Dual diagnosis in an Australian forensic psychiatric hospital: prevalence and implications for services

Ogloff, James R. P.; Lemphers, Anthea; Dwyer, Catherine M

doi:10.1002/bsl.604

Cited by 73 publications

(62 citation statements)

References 27 publications

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“…Given the strong relationship between violence and substance abuse (Ogloff, Lemphers, & Dwyer, 2004;Steadman et al, 1998), a logical step in the process of validating the PCL measures is an examination of their utility in samples of men and women who abuse substances. Rutherford, Alterman, Cacciola, and colleagues are primarily responsible for the small wealth of information we have about psychopathy in female substance abusers.…”

Section: Substance Abusersmentioning

confidence: 99%

Psychopathy in women: a review of its clinical usefulness for assessing risk for aggression and criminality

Nicholls¹,

Ogloff

Brink

et al. 2005

Behavioral Sci & The Law

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103

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Despite a flurry of studies examining psychopathy in women, and the recent release of the second version of the Hare Psychopathy Checklist--Revised manual, there is still little consensus whether the lateral extension of the current conceptualization of psychopathy to women is appropriate. In particular, very little agreement exists concerning the clinical utility of the Hare psychopathy measures to assess women's risk of future offending and violence. This article presents a comprehensive review of studies of the association between psychopathy, antisocial behavior, and violence, in diverse samples of women, and looks at similarities and differences between these constructs in males and females. Findings from inmates and offenders, civil and forensic psychiatric patients, substance abusers, and community samples indicate a consistently lower base rate of psychopathy among women than among men. With some exceptions, correlates of psychopathy in women relevant to risk assessments for crime and violence tend to be modest and significant, generally mirroring what we see in men. Clinicians and policy makers charged with the care and management of women at risk for criminal offending and violence are likely to find the PCL-R and PCL:SV have clinical utility; however, cautious application is called for and ongoing research is required.

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Section: Substance Abusersmentioning

confidence: 99%

Psychopathy in women: a review of its clinical usefulness for assessing risk for aggression and criminality

Nicholls¹,

Ogloff

Brink

et al. 2005

Behavioral Sci & The Law

Self Cite

103

View full text Add to dashboard Cite

show abstract

“…The prevalence of co-morbid substance abuse is high among mentally ill offenders and some studies suggest that such co-morbidity is intricately linked for those with a psychotic illness who commit serious violence (Elbogen & Johnson, 2009;Fazel et al, 2009;Ogloff, Lemphers & Dwyer, 2004). Given that complete substance abuse data for the current sample was not available, this study obtained a composite measure that includes substance abuse registered with the public mental health database and any prior conviction of substance abuse.…”

Section: Discussionmentioning

confidence: 98%

A study of psychotic disorders among female homicide offenders

Bennett

Ogloff

Mullen

et al. 2010

Psychology, Crime & Law

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Although a considerable body of evidence has now accumulated about the link between psychotic illness and violent behaviour, fewer studies address this association in women. This data linkage study examined an entire population of female homicide offenders (N 055) in Victoria, Australia, over an eight-year period. Offence variables such as prior offending history and motivation for the offence were established by using police databases. The data were subsequently linked to a state-wide public mental health database and histories of prior mental health contact and relevant diagnoses, particularly psychosis, were obtained. Findings were compared to a comparison group from the general population. Of the 55 offenders, 11 (20%) had been diagnosed with a psychotic illness, nine prior to the offence and two after (nine (16%) with schizophrenia). The chance of finding psychosis among female homicide offenders was 20.77 times higher than among comparisons, while for schizophrenia the odds ratio was 43.17. Most of the mentally ill homicide offenders had a relatively long prior history of mental illness. The prevalence of known substance abuse did not differ for female homicide offenders with or without a psychotic illness but was higher than for controls.

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“…The higher provision of some care elements for harmful alcohol consumption and smoking may reflect a greater familiarity of mental health clinicians with such care, given the recognized comorbidity between substance use and mental illness [45][46][47] and the more-established treatment guidelines for smoking and alcohol consumption. 38,[48][49][50][51] The observed prevalence of assessment and brief advice in the current study reflects previous reports of moderate levels of assessment, brief advice, or counseling Other medical practitioner 9 (6.0) a One missing response.…”

Section: Discussionmentioning

confidence: 99%