The Substance Use among Forensic Psychiatric Patients

Kivimies, Kristiina; Repo-Tiihonen, Eila; Tiihonen, Jari

doi:10.3109/00952990.2011.643972

Cited by 14 publications

(6 citation statements)

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“…In addition to these psychiatric disorders, nearly 90% of inpatients also were reported to have problems with drug or alcohol use, and two-thirds had a history of engaging in suicidal and self-injurious behaviour. Current findings based on census data therefore align with clinical data obtained from smaller, opportunistic samples of forensic inpatients which have indicated a high prevalence of psychotic and substance abuse disorders (Corbett et al, 2018;Kivimies et al, 2012). It was also found that exposure to adverse life events in childhood was common amongst this population of forensic inpatients with 79.2% having experienced at least one of the 19 experiences that were assessed.…”

Section: Discussionsupporting

confidence: 72%

“…The prevalence of psychiatric disorders has been reported in both remand prisoners (26% had one or more disorders; Birmingham, Mason, & Grubin, 1996) and the general prison population (50% screened positive for a personality disorder, and 66% screened positive for any neurotic disorder; Singleton, Meltzer, Gatward, Coid, & Deasy, 1998). Existing data also suggest that psychotic disorders and substance abuse disorders are common in this population group (Corbett et al, 2018;Kivimies, Repo-Tiihonen, & Tiihonen, 2012). A meta-analysis of 33,588 prisoners from 24 countries found that 3.6% and 3.9% of male and female prisoners, respectively, suffered from a psychotic illness, and 10.2% and 14.1% of male and female prisoners, respectively, suffered from major depression (Fazel & Seewald, 2012).• However, the co-occurrence of childhood adversity and psychosis is not well understood in detained patients.…”

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confidence: 97%

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Childhood adversity and psychosis in detained inpatients from medium to high secured units: Results from the Scottish census survey

Karatzias

Shevlin

Pitcairn

et al. 2019

Child Abuse & Neglect

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Background: There is limited data available regarding the most common forms of psychiatric illness, the occurrence of childhood adversity, and the link between childhood adversity and criminal and psychiatric outcomes amongst forensic inpatients. Aims: Using census data for all Scottish forensic inpatients, we investigated the most common primary psychiatric diagnoses in forensic settings, the occurrence of childhood adversity amongst forensic inpatients, and whether childhood adversity experiences significantly predict a range of criminal and psychiatric outcomes. Method: Data for the current study were drawn from 'The Scottish Forensic Network Inpatient Census' (N = 422). The Responsible Medical Officers and other members of the clinical team collected all data from official patient records. All forensic inpatients across high, medium, and low security sites were surveyed. Results: The majority of patients had a psychotic disorder as their primary diagnosis (86.4%), with schizophrenia being the most common (70.0%). Childhood adversity was highly prevalent (79.2%), with physical abuse being the most common adverse experience (40.1%). Increased levels of childhood adversity were significantly associated with an increased risk of criminal convictions, self-reported abuse of animals, suicidal and self-injurious behaviour, and problematic use of drugs or alcohol. Conclusions: Considering the association between adversity and psychosis, trauma informed care is essential for the mental health and forensic needs of this population. 1. Introduction Exposure to adversity during childhood is a well-established risk factor for diagnosis of psychiatric disorders (e.g. Bentall,

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Section: Discussionsupporting

confidence: 72%

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confidence: 97%

Childhood adversity and psychosis in detained inpatients from medium to high secured units: Results from the Scottish census survey

Karatzias

Shevlin

Pitcairn

et al. 2019

Child Abuse & Neglect

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“…Over het algemeen wordt de relatie tussen problematisch middelengebruik en crimineel gedrag als evident beschouwd (Lammers et al, 2014, Spits et al, 2016. Het blijkt dat er wereldwijd een hogere prevalentie van middelengebruik onder de forensische populatie is ten opzichte van de algemene bevolking (Lundholm et al, 2013;Kivimies et al, 2012;Blaauw et al, 2000;Fazel et al, 2017;Koeter en van den Brink, 2012). Ook in Nederland is dit verschil zichtbaar: zo heeft 60% van de gedetineerden in het gevangeniswezen problemen met alcohol en/of drugs (Lammers et al, 2014) ten opzichte van ongeveer 7% problematisch drugs-en 8,5 % problematisch alcoholgebruik onder de algemene bevolking (Trimbos, 2018;Nationale Drug Monitor, 2019).…”

Section: Inleidingunclassified

(Poly)Substance use and Criminal Behavior: A Scoping Review

Suurmond¹

2021

Preprint

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Substance use and delinquent behavior like theft, violence and unacceptable sexual behavior is often mentioned in the same breath. The prevalence of substance use is higher in forensic populations and Tbs-populations (a Dutch forensic psychiatric hospital) compared to the general population. Nevertheless, there is still much unknown about the relation between substance use and criminal behavior and the literature at hand seems to be insufficient for a complex Tbs-population. The main goal of the study is to give an overview of existing literature about (poly)substance use and criminal behavior exposing gaps in knowledge. A scoping review is conducted in this context.After setting inclusion and exclusion criteria literature was screened in three steps; based on title, abstract and full-text. This resulted in 299 articles relevant for further synthesis.Results show that partner violence, property, violent, and unspecified crimes are the most researched criminal behavior in the literature. Most common substances are alcohol, cannabis, cocaine and heroin. Polysubstance use is found in a quarter of the studies and is often unspecified, if specified it mainly contains combinations of alcohol with other substances.There seem to be different reasons for existing knowledge gaps; some substances are more logic with criminal behavior.; some criminal behavior is less common. It turns out that the that the majority of the literature is about alcohol and cannabis what possibly comes at the cost of research about other substances.

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“…Violent offending and SUDs often go hand-in-hand as violent offenders are often intoxicated or under the influence of substances at the time of the offense (21,35,36). Research has also shown that SUDs often remain undertreated, worsening the prognosis of mental health disorders and leading to avoidance of care (37)(38)(39). The presence of a SUD is also an indicator or predictor for mental health disorders (40)(41)(42)(43)(44).…”

Section: Introductionmentioning

confidence: 99%

Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review

Marquant

Nuffel²,

Sabbe

et al. 2021

Front. Psychiatry

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Introduction: The prevalence of substance use disorders in forensic populations is high. They are an important factor linked to negative outcomes in mentally ill offenders and are detrimental to forensic or non-forensic outcome measures. In contrast, substance use disorders are often underdiagnosed and undertreated, especially in forensic settings. Forensic Assertive Community Treatment is a forensic adaptation of regular assertive community treatment, combined with essential elements of forensic rehabilitation theories. Little is known however on the effectivity of forensic assertive community treatment when it comes to substance use disorders or what their exact role is on the outcome measures. In this paper, we explore how SUD is treated in Forensic assertive community treatment and how it relates to the forensic and non-forensic outcome measures.Methods: We performed a systematic review (PRISMA) of forensic Assertive community treatment teams that followed the main evidence-based principles of regular assertive community treatment and added basic elements of forensic rehabilitation. We analyzed articles the Psychinfo and Medline databases dating from 2005 to 2020. Fifteen studies fit the search criteria and were included in the analysis. The Quality of the studies was assessed using the Newcastle-Ottawa scale.Results: SUD was highly prevalent in all studies. Patients entered FACT through two pathways, either from a care continuum or directly from prison. The severity of SUD at intake emerges as a critical element when deciding which pathway to choose, as a high severity-score at the start of FACT follow-up was linked to recidivism. While differing in method all studies offered integrated SUD treatment. These included evidence-based techniques like CBT, therapeutic communities, and Substance Abuse Management Module. Though results on SUD outcomes were mixed 4 studies mentioned abstinence in 50–75%. The severity of SUD tended to increase initially and to stabilize afterwards.Conclusion: Severity of SUD at intake emerges as a decisive element in decision-making on entering FACT teams directly from prison or through a care-continuum. The ways to provide SUD treatment varied and outcomes for SUD were mixed. SUD was found to be detrimental to forensic and non-forensic outcome measures, such as recidivism or hospitalizations during FACT treatment.

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The Substance Use among Forensic Psychiatric Patients

Cited by 14 publications

References 11 publications

Childhood adversity and psychosis in detained inpatients from medium to high secured units: Results from the Scottish census survey

Childhood adversity and psychosis in detained inpatients from medium to high secured units: Results from the Scottish census survey

(Poly)Substance use and Criminal Behavior: A Scoping Review

Substance Use Disorders as a Critical Element for Decision-Making in Forensic Assertive Community Treatment: A Systematic Review

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