Offender Recovery. Forensic Patient Perspectives on Long-Term Personal Recovery Processes

Møllerhøj, Jette

doi:10.3390/ijerph18126260

Cited by 5 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the research literature within the field of forensic psychiatry and personal recovery processes, START is emphasized as an important risk assessment tool because it focuses on the resources, strengths, and protective factors in addition to the weaknesses and risks of the individual patients ( 42 , 43 ). Managing risk as well as positive risk-taking and protective factors are key offender recovery elements in specialized forensic services, and this implies the involvement of mentally disordered offenders in their risk assessment and management and reduction of specific risks ( 44 – 46 ). Consequently, it would be relevant to develop a patient version of START to support and increase the involvement of the mentally disordered offenders, thereby supporting the processes of personal recovery.…”

Section: Discussionmentioning

confidence: 99%

Effects of Implementing the Short-Term Assessment of Risk and Treatability for Mechanical Restraint in a Forensic Male Population: A Stepped-Wedge, Cluster-Randomized Design

et al. 2022

Self Cite

View full text Add to dashboard Cite

The assessment and formulation of the risk of violence and other unwanted behaviors at forensic psychiatric facilities have been attempted for decades. Structured professional judgment tools, such as the Short-Term Assessment of Risk and Treatability (START), are among the recent attempts to overcome the challenge of accomplishing these goals. This study examined the effect of implementing START in clinical practice for the most serious adverse events among the target group of severely mentally ill forensic psychiatric inpatients. Results were based on the use of mechanical restraints as an outcome. This study is a pragmatic, stepped-wedge, cluster-randomized controlled trial and was conducted over 5 years. It included eight forensic psychiatric units. Fifty out of 156 patients who had a basic aggression score of more than 0 were included in the study. We found that the rate of mechanical restraint use within the START period were 82% [relative risk (RR) = 0.18], lower than those outside of the START period. Patients evaluated within the START period were also found to have a 36% (RR = 0.64) lower risk of having higher Brøset Violence Checklist scores than patients evaluated outside the START period. Previous studies on START have primarily focused on validation, the predictive capability of the assessment, and implementation. We were only able to identify one study that aimed to identify the benefits and outcomes of START in a forensic setting. This study showed a significant reduction in the chance for inpatients in a forensic psychiatric facility to become mechanically restrained during periods where the START was used as risk assessment.

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of Implementing the Short-Term Assessment of Risk and Treatability for Mechanical Restraint in a Forensic Male Population: A Stepped-Wedge, Cluster-Randomized Design

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Functional recovery is related to improving performance in everyday activities, as assessed by both the patient and others (Lloyd et al, 2008). Social recovery is connected to social inclusion (Lloyd et al, 2008), which is especially challenging for forensic patients because of their criminal history, typical symptoms of long-term mental illness, long periods of hospitalization, and stigma associated with mental health disorders (Møllerhøj, 2021). Personal recovery focuses on the patient's experiences of recovery as a journey toward a meaningful life and was therefore the concept chosen for this study (Drennan & Alred, 2012;Slade, 2010).…”

Section: ▪ Backgroundmentioning

confidence: 99%

Forensic Psychiatric Patients' Experiences of Personal Recovery

Lumén,

Louheranta,

Kuosmanen

2024

Journal of Forensic Nursing

View full text Add to dashboard Cite

Psychiatric patients' recovery processes have been studied rather extensively, and a relatively clear consensus on what recovery is already exists. We examined whether the personal recovery of forensic psychiatric patients varies from this definition. We conducted a concept analysis to assess the personal recovery of patients in forensic psychiatric hospitals based on 21 articles and then evaluated how our results compared with existing definitions on psychiatric and forensic recovery. On the basis of this comparison, we concluded that the personal recovery of forensic psychiatric patients does differ from that of other psychiatric patients. The recovery process of forensic psychiatric patients can be described through five themes: personal development and autonomy, social inclusion and normality, redemption and overcoming, future orientation and hope, and advancing process. The burden of a psychiatric disorder causes similar challenges, yet a criminal history and long hospitalization periods are distinctive issues for forensic patients, both of which can lead to severe alienation from society and deterioration of skills needed in life outside an institution. The results suggest that processing the criminal offense should be part of the care; furthermore, institutions should support forensic psychiatric patients in their reintegration into society and personal development. Identifying special recovery challenges can be useful when designing effective care and promoting the recovery of forensic patients. Thus, our results suggest that certain features of forensic psychiatric patients' recovery should be considered when planning their psychiatric care.

show abstract

“…As a result, it has been argued that nurses who are new to employment in a forensic mental health setting require additional knowledge and skills related to aspects of treatment, assessment and legislation (Marshall et al 2019). For instance, as understanding a person's index offence is essential in managing and preventing future offending behaviour (Møllerhøj 2021), nurses are required to use specific knowledge and skills to perform specialized risk assessments in supporting consumers to develop insight into their past behaviours.…”

Section: Forensic Mental Healthmentioning

confidence: 99%

“…2019). For instance, as understanding a person's index offence is essential in managing and preventing future offending behaviour (Møllerhøj 2021), nurses are required to use specific knowledge and skills to perform specialized risk assessments in supporting consumers to develop insight into their past behaviours.…”

Section: Introductionmentioning

confidence: 99%

The experience of nurses moving into forensic mental health employment: A qualitative study

Kinghorn

Froggatt

Thomas

et al. 2022

Int J Mental Health Nurs

View full text Add to dashboard Cite

While forensic mental health has seen considerable growth over the last two decades, little is known about the experience of registered nurses working in these environments. This study used a qualitative descriptive approach and interviewed 11 registered nurses to explore the interpersonal experiences of transition into a forensic mental health hospital. The data revealed three themes. ‘Observing what's safe’ examined nurses' ability to maintain safety in the context of inconsistent practices among colleagues. ‘Navigating cliques and divisions’ focused on nurses' sense of belonging and adapting to professional and personal groups. Finally, ‘gaining management support’ reflected nurses' experiences of engagement with management. This study provides new insight into nurses' experience of adapting to employment in forensic mental health settings and highlights the importance of positive support strategies for workplace transition.

show abstract

Offender Recovery. Forensic Patient Perspectives on Long-Term Personal Recovery Processes

Cited by 5 publications

References 17 publications

Effects of Implementing the Short-Term Assessment of Risk and Treatability for Mechanical Restraint in a Forensic Male Population: A Stepped-Wedge, Cluster-Randomized Design

Effects of Implementing the Short-Term Assessment of Risk and Treatability for Mechanical Restraint in a Forensic Male Population: A Stepped-Wedge, Cluster-Randomized Design

Forensic Psychiatric Patients' Experiences of Personal Recovery

The experience of nurses moving into forensic mental health employment: A qualitative study

Contact Info

Product

Resources

About