Long-Term Forensic Psychiatric Care

  • Birgit Voellm Peter Braun
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This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients' detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length of stay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.
1. IntroductionPart-1: The context2. Asylums and deinstitutionalisation: The Penrose hypothesis in the 21st century3. Challenges in comparing healthcare systems across different countries4. Long stay in Europe: a system oriented approach5. Ethical aspects of long-stay forensic psychiatric care6. Prevalence and characteristics of long-stay patients: Results from a study in EnglandPart-2: Clinical aspects of long-stay7. Recovery and strength-based practice in long-term forensic psychiatry8. How to measure progress in forensic care9. Enhancing protective factors in the management of violence risk in long-term psychiatric care 10. Quality of life in long-term clinical forensic psychiatry11. Occupational therapy with long-stay service users12. Challenges in the treatment of sex offenders13. Long-stay and ageing14. The experience of long-stay in secure psychiatric hospitals in the UK: the patient perspective15. Forensic carers and secure inpatient servicesPart-3: Service models and alternative provision16. Long-term forensic psychiatric care: The Dutch perspective17. Long-stay services in German forensic settings18. Forensic psychiatric care in Belgium 19. Challenges in the provision of forensic services in the Baltic states20. Complementary model of long-term care in Poland as a result of the political transformation, law reform and service changes in forensic psychiatry21. History and organization of long-stay forensic care in Croatia22. The closure of forensic-psychiatric institutions in Italy 23. Attitudinal and organisational barriers to the introduction of long-stay services
Uitgavejaar 2020
ISBN 9783030125967
Verschijningsdatum 15 aug. 2020
Omvang 343
Editie 1st ed. 2019
Auteur(s) Birgit Voellm Peter Braun
Bindwijze Paperback
Taal Engels
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