International Journal of Risk and Recovery最新文献

Impacts of implementing a forensic treatment mall: A program evaluation 实施法医治疗中心的影响:一个项目评估

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i2.14-22

Krystle Martin, K. Bickle, P. Leung, Danielle DaCosta, Brandon Joice

{"title":"Impacts of implementing a forensic treatment mall: A program evaluation","authors":"Krystle Martin, K. Bickle, P. Leung, Danielle DaCosta, Brandon Joice","doi":"10.59703/ijrr.v5i2.14-22","DOIUrl":"https://doi.org/10.59703/ijrr.v5i2.14-22","url":null,"abstract":"Psychiatric in-patients need programming and clinical interventions to support recovery and gradual re-integration into the community. Treatment malls are designed to meet these needs by offering psychosocial, person-centred rehabilitation groups in a centralized setting. Evidence suggests this treatment model increases patient engagement, broadens social networks, and improves functioning. Given this, our hospital implemented a treatment mall in our forensic services department in 2018. Because this was a new initiative at our hospital and the lack of outcome data on treatment malls in Canada, we conducted a program evaluation to explore the effects of the treatment mall and identify possible areas of improvement. Guided by a logic model, this evaluation used a retrospective chart review. Variables of interest included patient engagement, psychotropic pro re nata (PRN) administration, recovery scores, time spent off unit, elopement, use of restraints and seclusion, and patient activity levels. We assessed whether these changed post-implementation of the treatment mall. The results provide preliminary evidence of the positive effects of the treatment mall. Patient engagement and time spent off unit increased. Maintenance of changes and long-term outcomes remain to be seen; however, this evalua - tion provides support for the continued use and investigation of the treatment mall for our forensic services department.","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116645740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients’ and family members’ experiences of recovery in a forensic psychiatry program. 病人和家属在法医精神病学项目中的康复经验。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i2.3-13

I. Furimsky, Michelle A. Chen, F. Wilson, Gary Chaimowtiz

{"title":"Patients’ and family members’ experiences of recovery in a forensic psychiatry program.","authors":"I. Furimsky, Michelle A. Chen, F. Wilson, Gary Chaimowtiz","doi":"10.59703/ijrr.v5i2.3-13","DOIUrl":"https://doi.org/10.59703/ijrr.v5i2.3-13","url":null,"abstract":"The introduction of a recovery approach to forensic psychiatry services has been embraced in recent years. The recovery approach moves patient care beyond the domains of symptom reduction and aggression management. It places the importance on the patient’s personal experiences and values, and instills hope for a future with meaningful activities and supportive social relationships. As an initial step to integrating a recovery approach, we sought to better understand patients’ and family members’ perspectives and experiences of recovery in a forensic psychiatry program (FPP). This project involved one family member and two patient focus groups. All groups were asked what recovery meant to them and what we could do to support their recovery in the FPP. The focus groups were audio recorded and transcribed. A thematic analysis approach identified themes from the transcripts. Family themes included the patient returning to their original identity, opportunities to address the past, developing positive connections with others, balancing rehabilitation in the forensic environment, and maintaining communication with staff. Patient themes included developing positive connections, developing better communication about the forensic system, balancing rehabilitation in the forensic environment, and progressing with their lives. Patients and family members described their experiences of recovery in our FPP. Some areas for improvements were identified, which can form the groundwork for future improvement initiatives in our FPP.","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123455929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Participation as an expert in cases involving the production of mental health records in Canadian courts. 以专家身份参与在加拿大法院制作精神健康记录的案件。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i1.44-51

引用次数: 0

Convergent, discriminant and predictive validity of two instruments to assess recidivism risk among released individuals who have sexually offended: The SORAG and the VRAG-R. SORAG和VRAG-R两种评估性侵犯释放人员再犯风险的趋同效度、判别效度和预测效度

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i1.14-28

引用次数: 0

Violence risk assessment of older adults. 老年人暴力风险评估。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i1.1-4

Mini Mamak, G. Chaimowitz, Mamak Chaimowitz

引用次数: 0

The psychiatric aspects of terrorism: Prevention and rehabilitation. 恐怖主义的精神病学方面:预防和康复。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i2.31-36

引用次数: 0

Alexithymie, distorsions cognitives et violence sexuelle sur mineurs : une étude exploratoire [Alexithymia, Cognitive Distortions and Child Sexual Offending: An Exploratory Study]. 述情障碍、认知扭曲和性暴力:一项探索性研究[述情障碍、认知扭曲和儿童性侵犯:一项探索性研究]。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i2.23-30

Maxime Escarguel, Benoît Testé, M. Benbouriche

引用次数: 0

A conceptual framework for the management of a COVID-19 outbreak on a secure forensic Inpatient unit. 在安全的法医住院病房管理COVID-19疫情的概念性框架。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i1.5-13

Treena Wilkie, Patti Socha, Carley Sims, Margaret Mahendrian, Abanti Tagore, Shaheen A Darani

{"title":"A conceptual framework for the management of a COVID-19 outbreak on a secure forensic Inpatient unit.","authors":"Treena Wilkie, Patti Socha, Carley Sims, Margaret Mahendrian, Abanti Tagore, Shaheen A Darani","doi":"10.59703/ijrr.v5i1.5-13","DOIUrl":"https://doi.org/10.59703/ijrr.v5i1.5-13","url":null,"abstract":"Responses to outbreaks of the novel coronavirus SARS-CoV-2 (COVID-19) in secure forensic settings have included several interventions, such as cohorting, assertive testing, isolation units, and infection control practices. The design of forensic facilities and the psychiatric impairment inherent to the patient population can make com - pliance with pandemic protocols challenging. In this study, we report on a COVID-19 outbreak on a low secure forensic inpatient unit in a large mental health hospital. For the 17 patients on the unit, we compared data from the 22-day COVID-19 out-break period with the 30 days before the outbreak. We developed patient profiles that informed decision-making in COVID-19 outbreak management and developed a conceptual framework to identify interventions to effectively respond to and manage the outbreak. Patients had a decrease in as-needed nicotine replacement therapy during the outbreak. The average Dynamic Appraisal of Situational Aggression score increased slightly across all patients during the outbreak, though these differences were not statistically significant. Although forensic settings present challenges in outbreak management, leveraging therapeutic alliance, highlighting the importance of working together, communicating the rationale for measures, and providing staff information and tools such as a conceptual framework can support patients’ following protocols and effective management of an outbreak.","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122017563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mesures alternatives à l’emprisonnement pour les enfants en conflit avec la loi : situation au Niger [Alternative Measures to Incarceration for the Children in Conflict with the Law: Situation in Niger]. 违反法律儿童的替代监禁措施:尼日尔的情况[违反法律儿童的替代监禁措施:尼日尔的情况]。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i1.29-43

引用次数: 0

Reflections at five years and post COVID-19. 2019冠状病毒病五年后的思考。

International Journal of Risk and Recovery Pub Date : 2022-09-01 DOI: 10.59703/ijrr.v5i2.1-2

引用次数: 0