Offending in psychiatric patients after discharge from medium secure units: prospective national cohort study

Maden, Anthony; Scott, Fiona J.; Burnett, Rachel; Lewis, Glyn; Skapinakis, Petros

doi:10.1136/bmj.38075.467569.ee

Cited by 107 publications

(63 citation statements)

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“…International studies on (medium security) forensic psychiatric treatment have presented a mixed picture of recidivism rates that seems to vary from 7.1% to 63% for general recidivism and from 1.8% to 46% for violent recidivism over different follow-up periods of 1 to 10.8 years in NGRI populations (for an overview, see Hayes, Kemp, Large, & Nielssen, 2014) (studies not reported in Hayes et al, 2014;Edwards, Steed, & Murray, 2002;Friendship, McClintock, Rutter, & Maden, 1999;Harris, Rice, & Cormier, 2002;Lund, Hofvander, Forsman, Anckarsater, & Nilsson, 2013;Maden, Scott, Burnett, Lewis, & Skapinakis, 2004;Müller-Isberner, Freese, Jockel, & Gonzalez Cabeza, 2000;Nilsson, Wallinius, Gustavson, Anckarsäter, & Kerekes, 2011;Nowak & Nugter, 2014;Seifert & Moller-Mussavi, 2005;Tabita, de Santi, & Kjellin, 2012). To the best of our knowledge, no meta-analysis of recidivism rates in NGRI patients is currently available.…”

Section: Medium Security Treatment and Recidivism Ratesmentioning

confidence: 99%

Reconviction and revocation rates in Flanders after medium security treatment

Jeandarme

Habets

Oei

et al. 2016

International Journal of Law and Psychiatry

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Section: Medium Security Treatment and Recidivism Ratesmentioning

confidence: 99%

Reconviction and revocation rates in Flanders after medium security treatment

Jeandarme

Habets

Oei

et al. 2016

International Journal of Law and Psychiatry

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“…In contrast, the evidence for the relationship between drug use and violence is less strong, but there are some findings that are indicative of an association. Forensic participants who misuse substances have been found to be at higher risk of violent recidivism (e.g., Baxter, Rabe-Hesketh & Parrott, 1999;Maden, Scott, Burnett, Lewis & Skapinakis, 2004;Rasanen et al, 1998) and reconviction more generally following discharge (Scott, Whyte, Burnett, Hawley & Maden, 2004).…”

Section: Introductionmentioning

confidence: 99%

A Multi-Method Evaluation of a Substance Misuse Program in a Medium Secure Forensic Mental Health Unit

Oddie

Davies

2009

Journal of Addictions Nursing

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Evidence suggests a complex relationship between substance misuse, mental health, and violence in forensic populations, however, the majority of existing research and interventions focus on these factors individually. This paper reports an evaluation of the first module of an integrated poly-substance misuse group delivered within a medium secure mental health hospital, which was designed to address these factors collectively. Qualitative and quantitative approaches were used to assess participant's subjective views of the program and to gather pre and post quantitative measurement of change. The concordance between self report and observer reports was explored. Recommendations for the development of the treatment and for further evaluation and research are discussed.

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“…Maden, Scott, Burnett, Lewis, and Skapinakis (2004) reported a 6% rate for reconviction for violence for 959 patients discharged from such units. However, Davies, Clarke, and Duggan (2004) criticized this finding, stating that reconviction is too crude a measure to accurately describe outcome.…”

Section: Introductionmentioning

confidence: 99%

Outcome of patients rehabilitated through a New Zealand forensic psychiatry service: a 7.5 year retrospective study

Simpson

Jones

Evans

et al. 2006

Behavioral Sci & The Law

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This paper describes a 7.5 year retrospective study of all patients discharged from inpatient forensic services to forensic community team (FCT) follow-up from the Auckland Regional Forensic Psychiatry Service. Patients' files were studied for clinical, criminal, and risk data, type of service delivered, and final level of function achieved in the community. Rearrest, re-hospitalization, and reimprisonment data were obtained from clinical, court, and prison records.105 patients were included. The most common diagnosis was a psychotic disorder, and index offending behaviour was typically violent. The median period of inpatient stay was 36 months and mean subsequent FCT follow-up 21.7 months (SD 17.8). The majority of patients were from Maori and Pacific Island ethnic groups. At the end of the study, half were in independent living, half were in some form of employment, and 19% were readmitted to a forensic hospital. One patient was rearrested but not reimprisoned whilst under forensic community team care. However, 9 of the 48 who were discharged to general mental health services were rearrested and 5 reimprisoned. Only two offences were as serious as the original index offence. Broad based assertive, mandated, and committed forensic rehabilitation can achieve high quality outcomes. These levels of function may not be sustained under less assertive care.

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Offending in psychiatric patients after discharge from medium secure units: prospective national cohort study

Cited by 107 publications

References 0 publications

Reconviction and revocation rates in Flanders after medium security treatment

Reconviction and revocation rates in Flanders after medium security treatment

A Multi-Method Evaluation of a Substance Misuse Program in a Medium Secure Forensic Mental Health Unit

Outcome of patients rehabilitated through a New Zealand forensic psychiatry service: a 7.5 year retrospective study

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