Substance use disorders in forensic psychiatric patients

Insane Sex Offenders: Psychiatric and Legal Characteristics of Sexual Offenders Found Not Guilty by Reason of Insanity

“…These individuals likely have comorbid personality pathology that became the focus of their treatment over time. Regardless, our findings are consistent with prior studies demonstrating high rates of personality disorders among incarcerated sexual offenders and psychiatrically hospitalized sexual offenders (11,19,20), as well as high rates of substance misuse among incarcerated sexual offenders (6) and forensic psychiatric patients (33). Our results indicate that both personality pathology and substance use are likely to be risk factors for sexual offenders who are hospitalized as not guilty by reason of insanity.…”

Treatment Responsivity of Aggressive Forensic Psychiatric Outpatients

“…In addition, more weekly alcohol and cannabis use were reported by FPOs who dropped out of treatment. Problems regarding substance use occur frequently in FPOs ( Ruiz et al, 2012 ; van der Kraan et al, 2014 ). In the present study, FPOs with substance abuse or dependency were excluded from participation.…”

“…High levels of cognitive distortions, when untreated, might then also be related to a less successful reduction of externalizing problems, such as aggressive behavior. In addition, substance use is closely related to antisocial and offending behavior and occurs frequently in forensic psychiatric patients ( Doran, Luczak, Bekman, Koutsenok, & Brown, 2012 ; Ruiz, Douglas, Edens, Nikolova, & Lilienfeld, 2012 ; van der Kraan et al, 2014 ). Furthermore, the comorbidity of substance misuse is relatively high in forensic psychiatric settings ( van der Kraan et al, 2014 ).…”

“…In addition, substance use is closely related to antisocial and offending behavior and occurs frequently in forensic psychiatric patients ( Doran, Luczak, Bekman, Koutsenok, & Brown, 2012 ; Ruiz, Douglas, Edens, Nikolova, & Lilienfeld, 2012 ; van der Kraan et al, 2014 ). Furthermore, the comorbidity of substance misuse is relatively high in forensic psychiatric settings ( van der Kraan et al, 2014 ). It, moreover, is suggested that when substance problems are not the primary diagnosis, it still is important to increase insight in substance use as a risk factor for the recurrence of criminal or antisocial behavior ( van der Kraan et al, 2014 ).…”

“…Furthermore, the comorbidity of substance misuse is relatively high in forensic psychiatric settings ( van der Kraan et al, 2014 ). It, moreover, is suggested that when substance problems are not the primary diagnosis, it still is important to increase insight in substance use as a risk factor for the recurrence of criminal or antisocial behavior ( van der Kraan et al, 2014 ). Furthermore, it was thought that this increase in insight is associated with treatment motivation and, therefore, also with treatment effectiveness.…”