Factors associated with quality of life in a cohort of forensic psychiatric in‐patients

Long, Clive G.; McLean, Andrew J.; Boothby, Anita; Hollin, Clive R.

doi:10.1108/14636646200800002

Cited by 48 publications

(23 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although policies should be developed in this context, a start could be made by recognizing sexuality as a need and discuss it as part of treatment planning. Another important aspect is satisfaction with daytime or leisure activities, which has been associated with higher QoL (27,29,90). However, daytime activities in forensic psychiatry are often characterized by passive leisure (e.g.…”

Section: Implications For Practicementioning

confidence: 99%

“…Improvement of objective indicators does not necessarily enhance the subjective evaluation and differences in subjective QoL can not necessarily be explained by objective indicators (25,26). Studies among forensic psychiatric patients have shown that a better QoL was related to (leisure) activities, living environment and health (27)(28)(29).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Vorstenbosch

Castelletti

2020

Front. Psychiatry

View full text Add to dashboard Cite

The Italian forensic psychiatric system underwent drastic reforms. The newly developed facilities are inspired by psychiatric community services, embracing a recovery-oriented approach. Needs and quality of life are broader concepts that consider the more rehabilitative and humanitarian aspects of treatment. In one of the new Italian forensic psychiatric services, this cross-sectional study aimed to investigate the needs and quality of life of forensic psychiatric patients. A second aim was to validate the Italian version of the Forensic inpatient Quality of Life questionnaire Short Version (FQL-SV). Overall, 42 forensic psychiatric patients were assessed using the Forensic version of the Camberwell Assessment of Need (CANFOR), the Historical-Clinical-Risk-Management-20 (HCR-20), the FQL-SV, and the World Health Organization Quality of Life (WHOQoL-Bref). Patients reported significantly fewer needs, whether met or unmet, than their treating clinicians. The general level of agreement between patients and clinicians on specific needs was low Kappa values were < .40 for 64% of the total needs and 46% of the unmet needs. Risk factors according to the HCR-20 mean scores were 13.1, 4.6, and 6.4 for the historical, clinical and risk management subscale. Quality of life was moderate to high for 74% of the patients. Our results showed that lower numbers of needs, whether reported by patients or clinicians, were associated with a better quality of life. The Italian FQL-SV had a Cronbach's alpha of 0.86 and correlated as expected with the WHOQoL-Bref. The FQL-SV is a valid and reliable tool, justifying its use for routinely assessing QoL in Italian forensic psychiatric services. This study enhances our understanding of needs and quality of life of forensic psychiatric patients and how their assessment could have an additional value for recoveryoriented treatment in forensic psychiatry. Although the detained status of forensic patients imposes real limits on the capacity for autonomy and choice, incorporating the patient's perspective on decision-making processes, in relation to aspects of treatment, care, and daily life, may have benefits such as a better treatment adherence or therapeutic alliance. Future research should clarify how routinely assessing needs and quality of life can contribute to the recovery of these forensic psychiatric patients.

show abstract

Section: Implications For Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Vorstenbosch

Castelletti

2020

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Similarly, within forensic hospitals, research found that higher QoL results in lower levels of anxiety, depression and hostility within wards. Research suggests security measures within hospitals contribute to a lower QoL due to decreased autonomy, privacy, personal control, and restricted access to leisure opportunities [26]. For all the aforementioned reasons, research in dementia for individuals living with moderate to severe dementia in hospitals, is directed towards delivering innovative interventions that reduce behaviour that challenges, and supports their QoL.…”

Section: Dementia In Long-term Carementioning

confidence: 99%

Bring the Outside In

Tabbaa

Ang

Rose

et al. 2019

Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems

View full text Add to dashboard Cite

show abstract

“…The treatment objectives are to reduce the risk that the patients pose to society and facilitate their reintegration into society (19). Initial studies have been performed on quality of life in forensic psychiatry, but they mostly focused on mentally ill patients (schizophrenia and personality disorders) (20,21) or community-based forensic psychiatric treatment (22-24). Therefore, we used the MQPL adapted for forensic psychiatry (25) (MQPL-forensic) to examine whether various aspects of quality of life are associated with depressive symptoms, hopelessness, or suicide ideations in forensic inpatients with substance use disorders.…”

Section: Introductionmentioning

confidence: 99%

High Quality of Life Reduces Depression, Hopelessness, and Suicide Ideations in Patients in Forensic Psychiatry

et al. 2020

View full text Add to dashboard Cite

Background: Suicides are more common in forensic patients than in the general population. Two reasons for this discrepancy are discussed: (1) Suicides are the consequence of maladaptation to the restrictive living conditions in forensic psychiatry, and (2) suicides are explained by the demographic, social, and psychosocial characteristics of the inmates themselves, i.e., suicides happen because the inmates belong to a particularly vulnerable group. Therefore, the present study aimed to analyze the relationship between quality of life, as an indicator of the restrictive living conditions, and hopelessness, depression, and suicide ideations in a sample of forensic patients. Methods: We assessed quality of life with a German version of the Measuring the Quality of Prison Life questionnaire that had been adapted to forensic hospitals (MQPL-forensic) and depressive symptoms with the Beck Depression Inventory, hopelessness with the Beck Hopelessness Scale, and suicide ideations with the Beck Scale for Suicide Ideation. The study included a total of 159 patients in 12 German forensic psychiatric hospitals who had been admitted in accordance with Section 64 of the German Criminal Code. We analyzed the relationships between quality of life and depression, hopelessness, and suicide ideations on the patient and hospital levels. Hospital characteristics were generated by aggregating the MQPL-forensic variables measured at the patient level. Results: In generalized estimating equation models, the MQPL-forensic total score and almost all the subscale scores were significant negative predictors of depressive symptoms, hopelessness, and suicide ideations at the patient and hospital levels. At the patient level, patients who experienced a supportive welcome at the hospital, good relationships with their therapists, respectful interactions, transparent decisions, and supportive therapeutic approaches were significantly less depressed, less hopeless, and less likely to consider suicide. At the hospital level, good relationships with therapists and respectful interactions were significant negative predictors of these variables.

show abstract

Factors associated with quality of life in a cohort of forensic psychiatric in‐patients

Cited by 48 publications

References 19 publications

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Bring the Outside In

High Quality of Life Reduces Depression, Hopelessness, and Suicide Ideations in Patients in Forensic Psychiatry

Contact Info

Product

Resources

About