International Journal of Forensic Mental Health最新文献

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A Systematic Review of Participant and Facilitator Experiences of Restorative Justice Interventions in the Forensic Secure Estate 系统回顾法医安全区恢复性司法干预的参与者和促进者的经验
IF 1.4 4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-12-12 DOI: 10.1080/14999013.2023.2289113
Kathryn Rowsell, Kirsty Pegg, Peter Wallis, Richard Barker
{"title":"A Systematic Review of Participant and Facilitator Experiences of Restorative Justice Interventions in the Forensic Secure Estate","authors":"Kathryn Rowsell, Kirsty Pegg, Peter Wallis, Richard Barker","doi":"10.1080/14999013.2023.2289113","DOIUrl":"https://doi.org/10.1080/14999013.2023.2289113","url":null,"abstract":"","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"24 12","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Cognitive Functioning among Forensic Mental Health Inpatients 法医精神科住院病人认知功能的探讨
4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-11-03 DOI: 10.1080/14999013.2023.2276964
Han-Mari Cronje, Margaret Nixon, Susan L. Rossell
{"title":"Exploring Cognitive Functioning among Forensic Mental Health Inpatients","authors":"Han-Mari Cronje, Margaret Nixon, Susan L. Rossell","doi":"10.1080/14999013.2023.2276964","DOIUrl":"https://doi.org/10.1080/14999013.2023.2276964","url":null,"abstract":"AbstractA large proportion of forensic mental health (FMH) inpatients experience cognitive impairments, which may impact the extent to which they benefit from interventions aimed at reducing their risk of recidivism. These impairments should be identified and responded to as quickly and accurately as possible. The current study explored when and how FMH inpatients’ cognition is assessed during their stay at a forensic hospital, with a cognitive profile being constructed of the sample. The medical files of inpatients who resided at the hospital in Melbourne (Australia) during January 2016 and December 2019 were reviewed retrospectively. A total of 99 medical files were identified. The type, timing and results of each cognitive assessment were collected. Frequency analysis revealed more than half of the sample received a cognitive assessment, with most of the cognitive assessments being conducted within the first year of an inpatient’s admission to hospital. Between 19% and 31% of inpatients with available cognitive data demonstrated a global cognitive impairment, depending on the cognitive measure being used. These results highlight the value of assessing FMH inpatients for cognitive impairments to respond to them appropriately to increase their chances of rehabilitation. Careful consideration should be given to the type of cognitive assessment tool used among this demographic.Keywords: Neuropsychologycognitive assessmentsforensic inpatientsforensic psychiatric hospitalcognitive dysfunctionclinical practice AcknowledgementsThe authors would like to acknowledge Dr Stuart Lee and thank him for the contributions he made to this study.Conflict of interestThe authors have no conflicts of interest to report.Notes1 Inpatients admitted under a Custodial Supervision Order receive compulsory mental health treatment whilst under forensic care.2 A brief cognitive assessment was operationalised as the use of a cognitive screening tool (e.g., RBANS, WASI, Neuropsychiatric Unit Cognitive Screening Tool [NUCOG; Walterfang et al., Citation2003], Mini Mental State Exam [MMSE; Folstein, Folstein, & McHugh, Citation1975]) or a standalone measure (e.g., WAIS, Card Sorting Test, etc.)3 A more comprehensive cognitive assessment was operationalised as the use of two or more cognitive measures (e.g., WAIS and WMS).4 Some of these measures included cognitive assessment batteries (e.g., WAIS, WMS), as well as subtests of larger cognitive assessment batteries that were used as stand-alone measures (e.g., using only the Stroop test or TMT from the DKEFS battery).Additional informationFundingThis work was supported by an Australian Government Research Training Program Scholarship (H.C.), and Senior National and Medical Research Council (NHMRC) Fellowship (S.R., GNT1154651).","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"31 20","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patterns of Mental Health Service Contacts for Young People Deemed Eligible for Court Diversion 符合法庭转介条件的青少年的心理健康服务联系模式
4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-11-02 DOI: 10.1080/14999013.2023.2276961
Carey Marr, Sara Singh, Claire Gaskin, John Kasinathan, Trisha Lloyd, Kimberlie Dean
{"title":"Patterns of Mental Health Service Contacts for Young People Deemed Eligible for Court Diversion","authors":"Carey Marr, Sara Singh, Claire Gaskin, John Kasinathan, Trisha Lloyd, Kimberlie Dean","doi":"10.1080/14999013.2023.2276961","DOIUrl":"https://doi.org/10.1080/14999013.2023.2276961","url":null,"abstract":"AbstractPast research suggests that diverting young people away from the criminal justice system and into mental health services can reduce subsequent reoffending, but the impact of such programs on the rates of timely mental health service contact are largely unknown. In this study, we examined a sample of 523 young people who were deemed eligible for mental health diversion between 2008 and 2015. Around half (47%) of these young people were granted diversion by a Magistrate. Overall, the levels of timely mental health service contact after court finalization, even for those who were granted diversion, appeared low given that the purpose of diversion is to facilitate such contact for all those diverted. Specifically, only 22% of those who were granted community-based diversion and 62% of individuals granted inpatient-based diversion had mental health service contact within 7 days of court finalization. Rates of health contact were much lower for those who were not granted either type of diversion (8% and 23%, respectively). Diversion was associated with a significant reduction in reoffending rates, but the impact of early mental health service contact was less clear. There is a need to understand the reasons why many young people are not accessing appropriate mental health services following diversion in order to improve outcomes and fully realize the intended benefits of mental health court diversion.Keywords: Mental health court diversionadolesent court diversioncourt liaisonhealth outcomesmental health treatmentjuvenile justiceyouth justice Complete of interestThe authors declare there is no Complete of Interest at this study.Authors’ contributionsCM: Conceptualization, Methodology, Formal Analysis, Writing—Original draft preparation; SS: Conceptualization, Methodology, Formal Analysis, Writing—Reviewing and Editing; CG: Conceptualization, Writing—Reviewing and Editing; JK: Conceptualization, Writing—Reviewing and Editing; TL: Conceptualization, Writing—Reviewing and Editing; KD: Conceptualization, Methodology, Writing—Reviewing and Editing, Supervision, Funding Acquisition.Disclosure statementWe have no conflict of interest to disclose.Ethical approvalAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committees [see “Ethics Approval” section in manuscript for more details] and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.AcknowledgmentsWe gratefully acknowledge the Justice Health and Forensic Mental Health Network (JHFMHN) for their funding and in-kind support for the researchers employed by them, record linkage, data management, and analysis.Notes1 A new act (Mental Health and Cognitive Impairment Forensic Provisions Act 2020) is now in place.2 Fewer than five individuals granted a s 33 diversion had mental health treatment in the community within one week of court finalisation; due to sma","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"5 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Equity, Diversity, and Inclusion in Forensic Mental Health: An Introduction to the Special Issue 公平,多样性和包容法医心理健康:介绍特刊
4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-10-02 DOI: 10.1080/14999013.2023.2251438
Alicia Nijdam-Jones, Stephane Shepherd, Lauren E. Kois
{"title":"Equity, Diversity, and Inclusion in Forensic Mental Health: An Introduction to the Special Issue","authors":"Alicia Nijdam-Jones, Stephane Shepherd, Lauren E. Kois","doi":"10.1080/14999013.2023.2251438","DOIUrl":"https://doi.org/10.1080/14999013.2023.2251438","url":null,"abstract":"Click to increase image sizeClick to decrease image size Conflict of interestThe authors have no conflicts of interest to report.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caring for Male Prisoners Who Self-Harm: Perceptions, Attitudes and Experiences of Custodial Prison Staff and Male Prisoners in England 照顾自残男性囚犯:英国监狱看守人员与男性囚犯的认知、态度与经验
4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-09-21 DOI: 10.1080/14999013.2023.2258103
Siobhan Neave, Emily Glorney
{"title":"Caring for Male Prisoners Who Self-Harm: Perceptions, Attitudes and Experiences of Custodial Prison Staff and Male Prisoners in England","authors":"Siobhan Neave, Emily Glorney","doi":"10.1080/14999013.2023.2258103","DOIUrl":"https://doi.org/10.1080/14999013.2023.2258103","url":null,"abstract":"AbstractThe aims of this research were to explore custodial prison staff and male prisoners’ perceptions toward self-harm, prison system responses and environmental impacts on self-harm. Four staff focus groups (thematic analysis) and 12 semi-structured interviews with male prisoners (interpretative phenomenological analysis) took place in three prisons in England. Prison staff attributed manipulative intention to self-harm; self-harming prisoners felt misunderstood. The prison environment and formal response processes were barriers for care access and provision. Recommendations include staff training in understanding and management of self-harm, supported by a care-focused culture, and fostering safety, security, empowerment and value for both prisoners and staff.Keywords: Prison officersprison staffprisonersself-harmcare AcknowledgementsThank you to the staff and prisoners of this research and the prisons which hosted the research. This research was made possible because of funding from the Magna Carta Leverhulme Trust and support from Professor Lizzie Coles-Kemp, co-supervisor of this research.Disclosure statementWe have no conflict of interest to declare.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136235634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are Hostility, Anger, and Aggression Involved in the Social Anxiety of Forensic Psychiatric Outpatients Convicted of a Violent Crime? 敌意、愤怒和攻击性是否与被判暴力犯罪的法医精神科门诊患者的社会焦虑有关?
4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-09-20 DOI: 10.1080/14999013.2023.2250300
Floris W. Kraaimaat, Ruud H. J. Hornsveld
{"title":"Are Hostility, Anger, and Aggression Involved in the Social Anxiety of Forensic Psychiatric Outpatients Convicted of a Violent Crime?","authors":"Floris W. Kraaimaat, Ruud H. J. Hornsveld","doi":"10.1080/14999013.2023.2250300","DOIUrl":"https://doi.org/10.1080/14999013.2023.2250300","url":null,"abstract":"AbstractThere is limited evidence in the literature that hostility, anger, and aggression are involved with social anxiety. The present study examined the relationship of personality traits and aggression with social anxiety and social skills in forensic psychiatric outpatients convicted of a violent crime. Social anxiety was mainly contributed to by neuroticism, state anger, and social skills, while neuroticism and social anxiety were the main contributors to social skills. Anger, next to neuroticism and social skills, appeared to be involved in the outpatients’ social anxiety. Neuroticism and social anxiety were found to be the main contributors to social skills.Keywords: Social anxietysocial skillsangerhostilityaggressionforensic psychiatric outpatients convicted of a violent crime Conflict of interestNo potential conflict of interest was reported by the author(s).","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Weinberger Adjustment Inventory Portuguese Version: A Study of Cross-Cultural Adaptation and Measurement Invariance 温伯格调整量表葡萄牙语版:跨文化适应与测量不变性研究
4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-09-14 DOI: 10.1080/14999013.2023.2256261
Pedro Pechorro, Katie Shircliff, Matt DeLisi, Mário R. Simões, Melissa A. Cyders
{"title":"Weinberger Adjustment Inventory Portuguese Version: A Study of Cross-Cultural Adaptation and Measurement Invariance","authors":"Pedro Pechorro, Katie Shircliff, Matt DeLisi, Mário R. Simões, Melissa A. Cyders","doi":"10.1080/14999013.2023.2256261","DOIUrl":"https://doi.org/10.1080/14999013.2023.2256261","url":null,"abstract":"AbstractWe examine the psychometric properties of the Weinberger Adjustment Inventory (WAI) from a modern psychometric perspective, including second-order models, better estimation of reliability, and measurement invariance, among a sample of young adults (N = 610, M = 21.33 years, SD = 3.09 years) from Portugal. Results indicated that only the four-factor intercorrelated confirmatory models of the WAI Distress and Restraint scales, and the two-factor intercorrelated confirmatory models of the WAI Defensiveness scales showed adequate fits. The WAI showed good reliability and distinctive correlates with other psychometric measures and criterion variables. Cross-gender measurement invariance was established. Our findings support the WAI as a valid and reliable measure.Keywords: AdjustmentdefensivenessWeinberger adjustment inventory (WAI)validation Conflict of interestThe authors have no conflicts of interest to report.Data availability statementData is available upon reasonable request.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134911965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adverse Childhood Experiences and Treatability in Dutch Patients with Cluster B Personality Disorders Mandated to Forensic Clinical Care: A Comparison of Men Convicted for Sexual and Violent Offenses 荷兰B类人格障碍患者的不良童年经历和可治疗性:被判有性犯罪和暴力犯罪的男性的比较
4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-09-14 DOI: 10.1080/14999013.2023.2257641
Denise Dekkers, Marije Keulen-de Vos
{"title":"Adverse Childhood Experiences and Treatability in Dutch Patients with Cluster B Personality Disorders Mandated to Forensic Clinical Care: A Comparison of Men Convicted for Sexual and Violent Offenses","authors":"Denise Dekkers, Marije Keulen-de Vos","doi":"10.1080/14999013.2023.2257641","DOIUrl":"https://doi.org/10.1080/14999013.2023.2257641","url":null,"abstract":"AbstractAdverse childhood experiences (ACEs) have been consistently linked to interpersonal violence and are highly prevalent in correctional populations, particularly in men who perpetrate (sexual) violent behavior. Although exposure to ACEs is common in men who perpetrate interpersonal violence, less is known about the differences between men who commit sexual versus non-sexual violence. This cross-sectional study reports on the differences in prevalence of adverse childhood experiences in Dutch men who committed sexual offenses (N = 29) versus those who committed (non-sexual) violent offenses (N = 29), all who have been mandated to forensic clinical care. Drawing on data from a RCT-study among male forensic psychiatric inpatients with cluster B personality disorders from seven forensic hospitals in the Netherlands, the study explored potential differences in ACEs, and its relationship to treatability in the first year of forensic treatment. No significant differences were found in prevalence of childhood abuse and neglect among men convicted for sexual offenses versus those convicted for violent offenses. In our study, ACEs were not predictive of risk relating to treatability at the start of forensic treatment. Our findings suggest that taking into account trauma histories is of equal importance for both offending groups. Implications regarding trauma-informed forensic care are discussed.Keywords: Adverse childhood experiences (ACEs)treatabilitysexual violenceviolencemandated care AcknowledgementsWe kindly thank all patients for their time and effort spent on the RCT study and the clinical director of the participating forensic hospitals for their support.Conflict of interestThe authors have no conflicts of interest to report.Data availability statementThe data is not available because it is property of the participating forensic hospitals.Box 1 Case examplesMichael was born on the Antilles/Curaçao where he resided with his mom and five brothers. He never met his father. When Michael was eight years old, the family moved to the Netherlands. His mom had to work double shifts to cover the bills and left the boys home alone a lot. His older brothers went out on the street to commit petty crimes and deal drugs, leaving Michael alone often. A neighbor, calling himself “uncle”, came over and helped him with homework and provided him with food. After a while, the uncle took a sexual interest in Michael and performed sexual acts on him and his friends.Max was placed into foster care after his parents physically abused and neglected him. His parents were teenage parents who used a lot of drugs and forgot to take care of Max when they were high. In foster care he was sexually abused by several group leaders. The men visited him at night and touched him. Also, some of the older boys residing in the foster home took advantage of him. They forced him to perform sexual acts on them and threatened him to expose this “secret” if he didn’t do as they asked.Sam","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134911515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diversity in the International Journal of Forensic Mental Health 《国际法医心理健康杂志》的多样性
IF 1.4 4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-08-21 DOI: 10.1080/14999013.2023.2243853
Alicia Nijdam-Jones, J. Cortvriendt, M. Daffern
{"title":"Diversity in the International Journal of Forensic Mental Health","authors":"Alicia Nijdam-Jones, J. Cortvriendt, M. Daffern","doi":"10.1080/14999013.2023.2243853","DOIUrl":"https://doi.org/10.1080/14999013.2023.2243853","url":null,"abstract":"Abstract In this article, we evaluate the extent to which the International Journal of Forensic Mental Health addresses and incorporates discussion of diversity constructs in its publications. Five years of publishing data from 582 manuscript submissions and 164 published articles were reviewed and coded for the inclusion of several diversity constructs (i.e., sex or gender, race or ethnicity, country, age, culture), how these constructs were included in the research (i.e., part of the hypothesis/aims of the study), and the countries the authors and participants represented. Results indicate that most article submissions, authors, and participant samples came from Europe, North America, and Oceania, and these regions had higher acceptance rates. Most articles included studies of clinical populations, and many authors’ primary affiliations were forensic mental health or correctional services. Less than a third of the article titles and over half of the article abstracts mentioned one of the diversity constructs examined. This is somewhat promising and tells us that the journal is publishing articles reporting and examining aspects of diversity in their samples. However, we argue more can be done. Future research and recommendations for the next steps in improving diversity, equity, and inclusiveness in the publication processes and publications are outlined.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"22 1","pages":"354 - 365"},"PeriodicalIF":1.4,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48898422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Inequities in Forensic Mental Health in South Africa and Recommendations for Service Development 南非法医心理健康方面的不公平现象及服务发展建议
IF 1.4 4区 医学
International Journal of Forensic Mental Health Pub Date : 2023-08-16 DOI: 10.1080/14999013.2023.2243856
A. Pillay, A. Kramers-Olen, W. Gowensmith
{"title":"Inequities in Forensic Mental Health in South Africa and Recommendations for Service Development","authors":"A. Pillay, A. Kramers-Olen, W. Gowensmith","doi":"10.1080/14999013.2023.2243856","DOIUrl":"https://doi.org/10.1080/14999013.2023.2243856","url":null,"abstract":"Abstract The roots of South Africa’s forensic mental health system are plagued by its colonial and apartheid legacy. Extensive forensic waitlists exist partly due to restrictive criminal justice legislation and an under-funded forensic mental health system, predicated largely on European norms and standards. There are several areas of concern in South Africa’s forensic mental health system, which may be viewed as inequitable to Black Africans and other marginalized groups. Black Africans are over-represented in the forensic mental health system, and many defendants are not fluent in English – the official language of the courts. The absence of competency restoration can result in extended detention in forensic hospitals. People with intellectual disabilities are disproportionately targeted for sexual assault, and face significant barriers in attempts to achieve justice. Further, the colonial legacy of the rebuttable presumption of doli incapax (children presumed incapable of forming criminal intent) can affect determinations of children’s criminal capacity. These issues warrant change, including introducing competency restoration, improving systems for testimony by sexual violence survivors with intellectual disabilities, reconsidering the rebuttable presumption in child justice matters, and using psychologists and outpatient evaluations to address the waitlists for forensic examinations. Comparisons are also made with US standards, challenges, and developments, especially in view of the authors’ knowledge of both systems and the common challenges facing them.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"22 1","pages":"326 - 339"},"PeriodicalIF":1.4,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42038656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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