Follow-up of 91 mentally ill criminals discharged from the maximum security hospital in Barcelona P.G.

Russo, G

doi:10.1016/0160-2527(94)90031-0

Cited by 25 publications

(18 citation statements)

References 23 publications

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“…Only two follow-up studies of forensic patients have been conducted to date: a five-year retrospective study examining 96 patients who had been discharged from the Barcellona Pozzo di Gotto FMH. Results showed poor liaison with ordinary mental health services and a 23% rate of crime recidivism, with serious crimes (homicide/attempted homicide) committed in 7% of cases (Russo, 1994). A more recent and sophisticated study is the MoDiOPG project, which aimed to assess the clinical and psychopathological characteristics of a representative sample of patients treated in three Italian FMHs, with a three-year follow-up after discharge into the community (Fioritti et al, 2001).…”

Section: The Italian Forensic Psychiatric Systemmentioning

confidence: 99%

Violent behavior of patients living in psychiatric residential facilities: A comparison of male patients with different violence histories

Candini

Buizza

Ferrari

et al. 2015

International Journal of Law and Psychiatry

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People with severe mental disorders and a history of violence are often seen as a difficult-to-manage segment of the population. In addition, this group is usually characterized by a high risk of crime recidivism, and poor compliance with community and aftercare programs. To investigate a sample of male patients living in Residential Facilities (RFs) with a history of violent behavior against people and to compare their characteristics with those of never-violent residents; to analyze the associations between aggressive behaviors in the last two years and a history of previous violence; and, to assess the predictors of aggressive behaviors. This study is part of a prospective observational cohort study which involved 23 RFs in Northern Italy. A comprehensive set of sociodemographic, clinical, and treatment-related information was gathered, and standardized assessments were administered to each participant. Also a detailed assessment of aggressive behaviors in the past two years was carried out. The study involved 268 males: 81 violent and 187 never-violent. Compared to never-violent patients, violent patients were younger, with a higher proportion of personality disorders, and have displayed an increased number of aggressive behaviors in the last two years. The presence of a history of violent behavior in the past significantly increases the probability of committing aggressive acts in the future.

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Section: The Italian Forensic Psychiatric Systemmentioning

confidence: 99%

Violent behavior of patients living in psychiatric residential facilities: A comparison of male patients with different violence histories

Candini

Buizza

Ferrari

et al. 2015

International Journal of Law and Psychiatry

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“…systems worldwide-exhibit substantial variability, several factors have consistently emerged as strong predictors of recidivism, including male gender (17,(20)(21)(22), single marital status (17,20), history of criminal offense (18), and substance use disorders (20,21). Psychiatric disorders have been found to be less consistent predictors of criminal recidivism.…”

mentioning

confidence: 99%

Parole Revocation Among Prison Inmates With Psychiatric and Substance Use Disorders

Baillargeon

Williams

Mellow

et al. 2009

Psychiatric Services

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Objective-This retrospective cohort study examined the association between co-occurring serious mental illness and substance use disorders and parole revocation among inmates from the Texas Department of Criminal Justice, the nation's largest state prison system. Methods-The study population included all 8,149 inmates who were released under parole supervision between September 1, 2006, and November 31, 2006. An electronic database was used to identify inmates whose parole was revoked within 12 months of their release. The independent risk of parole revocation attributable to psychiatric disorders, substance use disorders, and other covariates was assessed with logistic regression analysis.Results-Parolees with a dual diagnosis of a major psychiatric disorder (major depressive disorder, bipolar disorder, schizophrenia, or other psychotic disorder) and a substance use disorder had a substantially increased risk of having their parole revoked because of either a technical violation (adjusted odds ratio [OR]=1.7, 95% confidence interval [CI]=1.4-2.4) or commission of a new criminal offense (OR=2.8, 95% CI=1.7-4.5) in the 12 months after their release. However, parolees with a diagnosis of either a major psychiatric disorder alone or a substance use disorder alone demonstrated no such increased risk.Conclusions-These findings highlight the need for future investigations of specific social, behavioral, and other factors that underlie higher rates of parole revocation among individuals with co-occurring serious mental illness and substance use disorders.Over the past four decades the widespread deinstitutionalization of persons with serious mental illness (1-3), the increase in drug-related arrests (4,5), and the reduction of community-based mental health care (1,2) have resulted in a substantial overrepresentation of persons with serious mental illness in the U.S. correctional system (1,2,6). Approximately 10% to 20% of U.S. prison inmates are estimated to have an axis I major mental disorder of thought or mood, such as major depressive disorder, bipolar disorder, or schizophrenia (7-12). Moreover, a majority of inmates with serious mental illness have a comorbid substance use disorder (7,(12)(13)(14)(15).A number of investigations have examined predictors of recidivism among released inmates (16)(17)(18)(19). Although results of these studies-conducted throughout a variety of criminal justice disclosures: The authors report no competing interests. NIH Public Access Methods Design and study sampleThis retrospective cohort study was designed to determine whether there was an association between co-occurring serious mental illness and substance use disorders and the odds of reincarceration among parolees during the 12 months after release from prison. A secondary objective was to determine whether the risk of reincarceration increased among parolees who had either, but not both, of these disorders. The study sample was composed of 8,149 inmates who were released on parole from the TDCJ between September 1, 200...

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“…On the face of it, this does something to allay fears that closing down the civil asylums might lead to a 'criminalization' of the mentally ill, though it is by no means clear whether the drop in OPG inmates is matched by an increase in the serious mentally disturbed within ordinary prisons, or is due on the contrary to a lower crime rate among the mentally ill, or whether, again, such offenders are being more leniently treated by the paternalism of police or justice. Only one 5-year retrospective follow-up has ever been conducted, on 96 patients discharged from the OPG at Barcellona Pozzo di Gotto, and this showed poor liaison with ordinary psychiatric services and a 23% rate of criminal recidivism, with grave crimes (homicide, attempted homicide) committed in 7% of cases (Russo, 1994).…”

Section: Discussionmentioning

confidence: 98%

“…Only one 5-year retrospective follow-up has been conducted (on 96 patients discharged from the OPG at Barcellona Pozzo di Gotto) and this showed poor liaison with ordinary psychiatric services and a 23% rate of criminal recidivism, with serious crimes (homicide, attempted homicide) committed in 7% of cases (Russo, 1994).…”

mentioning

confidence: 99%

Crime and mental illness: an investigation of three Italian forensic hospitals

Fioritti¹,

Melega²,

Ferriani³

et al. 2001

J. Forensic Psychiatry

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Maximum-security forensic hospitals, or Ospedali Psichiatrici Giudiziari (OPGs), are the only facilities in Italy providing care and custody for mentally ill offenders. This article aims to describe clinical, criminological and psychosocial features of their population. The method was an assessment of 118 patients admitted to three forensic hospitals and a matched control group from community non-forensic services. Of the subjects, 72% had a diagnosis of non-affective psychosis, and 75.2% had committed serious crimes against other people; 54% of these crimes were homicide or attempted homicide. At the time of committing the index crime, 60% were being treated by a community service, and 68.9% had been compulsorily admitted previously. OPG inmates more frequently had a history of substance abuse, had committed more crimes and had lower social disability than controls. The needs and problems of this population seem quite speci c and often fall beyond the scope of ordinary psychiatric services. The project was funded by the Regione EmiliaRomagna and by the Istituto Superiore di Sanità.

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Follow-up of 91 mentally ill criminals discharged from the maximum security hospital in Barcelona P.G.

Cited by 25 publications

References 23 publications

Violent behavior of patients living in psychiatric residential facilities: A comparison of male patients with different violence histories

Violent behavior of patients living in psychiatric residential facilities: A comparison of male patients with different violence histories

Parole Revocation Among Prison Inmates With Psychiatric and Substance Use Disorders

Crime and mental illness: an investigation of three Italian forensic hospitals

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