Predicting discharge in forensic psychiatry: The legal and psychosocial factors associated with long and short stays in forensic psychiatric hospitals

Roß, Thomas; Querengässer, Jan; Fontao, María Isabel; Hoffmann, Klaus

doi:10.1016/j.ijlp.2012.02.011

Cited by 46 publications

(89 citation statements)

References 12 publications

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“…12,26,28,29,33,34,37,[39][40][41][42]57,74, Eleven countries were represented: the UK (n = 22 12,26,28,29,33,34,37,39-42,77-80, 82,84,86,87,89,92,97 ), the USA (n = 4 90,94,96,99 ), Ireland (n = 2 81,98 ), Germany [n = 2 93 (one of which was personal communication: Dönisch-Seidel, Ministerium für Gesundheit, Emanzipation, Pflege und Alter des Landes Nordrhein-Westfalen, 2013)], Croatia (n = 2 57,88 ), Australia (n = 1 85 ), Malaysia (n = 1 83 ), New Zealand (n = 1 95 ), Norway (n = 1 91 ), the Netherlands (n = 1 74 ) and Sweden (n = 1 76 ). The studies from the UK had samples drawn from high secure (n = 5 29,33,78,84,89 ), medium secure (n = 14 26,37,[39][40][41][42]77,79,80,82,86,87,92,97 ) and mixed secure (n = 3 12,28,34 ) settings.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…40,87 An earlier UK study of Broadmoor high secure patients by Dell et al 33 used an 8-year threshold, the authors observing that 53% of those with a 'psychopathic disorder' and 42% of those with a 'mental illness' classification of the (then) MHA were 'long-termers' who were detained for > 8 years. A threshold of 10 years was used in Germany by Ross et al, 93 who found that 15% of their sample had a LoS that exceeded 120 months.…”

Section: Study Characteristicsmentioning

confidence: 99%

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A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Völlm

Edworthy

Holley

et al. 2017

Health Serv Deliv Res

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, et al. A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation. Health Serv Deliv Res 2017;5(11). Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 11/1024/06. The contractual start date was in March 2013. The final report began editorial review in March 2016 and was accepted for publication in September 2016. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. If there are verbatim quotations included in this publication the ...

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Völlm

Edworthy

Holley

et al. 2017

Health Serv Deliv Res

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“…However, more recent studies showed that many inpatients in UK medium and high secure hospital (34 and 66%) have a mean LOS substantially exceeding 2 years (Shah et al, 2011). Studies in other European countries report mean LOS of 5.8 years in Sweden and Germany (Andreasson et al, 2014;Ross et al, 2012), 6.7 years in Croatia (Margetić et al, 2014) and an increasing LOS from 6.1 years (O'Neill et al, 2003) to 7.6 years in Ireland (Davoren et al, 2012). Also in the Netherlands, the average LOS of a forensic inpatient in high security provision rose from 5.6 to 9.8 years between 1990 and 2009 (Nagtegaal, Horst, & Schönberger, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, more attention has been drawn to length of stay (LOS) in forensic psychiatric care (Sharma, Dunn, O'Toole, & Kennedy, 2015). In several Western countries, the average duration a patient stays in highly secure forensic settings has been rising (Andreasson et al, 2014;Davoren et al, 2012;Margetić, Margetić, & Ivanec, 2014;O'Neill et al, 2003;Ross, Querengässer, Fontao, & Hoffmann, 2012;Shah, Waldron, Boast, Coid, & Ullrich, 2011;Sharma et al, 2015). Two decades ago researchers in the UK reported mean LOS in medium security was less than 2 years (Maden, Friendship, McClintock, & Rutter, 1999;McKenna, 1996).…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have investigated patient characteristics affecting LOS in forensic psychiatry in several European countries and in the US (Andreasson et al, 2014;Davoren et al, 2012Davoren et al, , 2015Lammers, Nijman, & Vrinten, 2014;Margetić et al, 2014;Moran et al, 1999;O'Neill et al, 2003;Ross et al, 2012;Shah et al, 2011). Some of the factors found to be related to LOS were only found in some of the studies.…”

Section: Introductionmentioning

confidence: 99%

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Patient characteristics related to length of stay in Dutch forensic psychiatric care

Eckert¹,

Schel²,

Kennedy

et al. 2017

The Journal of Forensic Psychiatry & Psychology

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Create an overview of characteristics of patients in long-term forensic psychiatric care (LFPC) with a higher length of stay (LOS) care compared to patients in regular forensic psychiatric care (RFPC) with a shorter LOS. Data were collected from 139 patient records. This study examined whether patients in LFPC differ from patients in RFPC on sociodemographic data, legal data and clinical data and whether those characteristics are able to predict LOS. Patients in LFPC were more often born in a Dutch Caribbean country, less often had a substance abuse disorder, were more often emotionally neglected during childhood, had a higher HCR-20 risk item score, a higher security needs score, a higher (less successful) recovery score, were more often recidivist and had absconded more often than RFPC patients. Certain characteristics were able to distinguish the longer LOS group which might be useful to establish sequel services and enhance treatment efficiency.

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Factors influencing treatment team recommendations to review tribunals for forensic psychiatric patients

Martin

2016

Behavioral Sci & The Law

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It is the responsibility of forensic psychiatric hospitals to detain and treat patients, gradually reintegrating them into society; decisions to release patients must balance risk to the public with maintaining the least restrictive environment for patients. Little is known about the factors considered when making such decisions and whether these factors have been empirically linked to future risk of violence. The current study explores the factors predictive of forensic treatment teams' recommendations for patients under the care of the Ontario Review Board (ORB). Factors differ depending on level of security; decisions on medium secure units were influenced by the presence of active symptoms and patients' overall violence risk level and decisions made on minimum secure units were influenced by the number of critical incidents that occurred within the recommendation year. Understanding the factors used to make recommendations to the ORB tribunal helps treatment teams to reflect on their own decision-making practices. Furthermore, the results serve to inform us about factors that influence length of stay for forensic psychiatric patients. Copyright © 2016 John Wiley & Sons, Ltd.

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Predicting discharge in forensic psychiatry: The legal and psychosocial factors associated with long and short stays in forensic psychiatric hospitals

Cited by 46 publications

References 12 publications

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Patient characteristics related to length of stay in Dutch forensic psychiatric care

Factors influencing treatment team recommendations to review tribunals for forensic psychiatric patients

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