Journal of Forensic Psychiatry & Psychology最新文献

{"title":"The mental health of older adults in the criminal justice system: a brief report from a nominal group.","authors":"Lee Mulligan, Jana Bowden, Adam O'Neill, Thomas Hewson, Leanne Heathcote, Jennifer Shaw, Catherine A Robinson, Katrina Forsyth, Jane Senior","doi":"10.1080/14789949.2024.2442572","DOIUrl":"10.1080/14789949.2024.2442572","url":null,"abstract":"<p><p>The number of older people in prison is increasing, and this group has significant mental health needs. Despite this, little research has evaluated mental healthcare for older prisoners, and examples of best practice are unknown. This paper explored staff experiences of supporting the mental health needs of older prisoners to identify existing forms of care provision, challenges to implementation, and areas for improvement. Eight professionals were recruited to a nominal group discussion, and seven themes were identified: 1) Lack of recognition of mental health problems in prison; 2) Risk factors for mental health problems among older prisoners; 3) Models of working; 4) Specialised environments; 5) Prison transfers; 6) Aftercare post release; and 7) Mental health education. There was consensus that older prisoners are vulnerable to mental health problems, though their needs are not sufficiently recognised nor addressed. While several ideas for improvement were identified, the provision of consistent and effective mental health care for older prisoners is lacking. To identify best practice guidelines for addressing the mental health needs of older prisoners, a valuable next step is to review mental healthcare provision for older people in the community and consider how this could be adapted to a prison environment.</p>","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"36 1","pages":"121-130"},"PeriodicalIF":0.7,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older women in the criminal justice system: a brief report from a nominal group.","authors":"Louise Robinson, Adam O'Neill, Katrina Forsyth, Leanne Heathcote, Kim Barnett, Jane Senior, Kerry Gutridge, Catherine A Robinson, Jennifer Shaw","doi":"10.1080/14789949.2024.2437447","DOIUrl":"10.1080/14789949.2024.2437447","url":null,"abstract":"<p><p>There are increasing numbers of older women in prison in England and Wales. The needs of older women in prison have been under researched and are often unmet. This paper explores staff and expert perspectives on the needs of older women in prison through a nominal group attended by six participants, including a consultant at the UK Health Security Agency; a General Practitioner; a postgraduate student completing a project on older women in prison; an academic researcher with expertise on older women in prison; a National Women's Health, Social Care, and Environment Review Group lead; and a HMMPS Diversity and Inclusion Lead. Six key themes were identified: 1) health screening; 2) health services and unmet health needs; 3) emotional wellbeing; 4) social and family connections; 5) the need for a professional's forum; and 6) limited data and research. Participants agreed that this population's needs are not adequately met. Moving forward, structures must be put in place to ensure that older women's needs are understood and met, and their voices heard.</p>","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"36 1","pages":"24-36"},"PeriodicalIF":0.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing evidence for a national strategy for older adults in the criminal justice system: overview of the nominal group approach for this series of brief reports.","authors":"Adam O'Neill, Jennifer Shaw, Leanne Heathcote, Thomas Hewson, Lee Mulligan, Louise Robinson, Anna Newton-Clarke, Ellie Thompson, Evelyn Wong, Kim Barnett, Fiona Lerigo, Jana Bowden, Kerry Gutridge, Matilda Minchin, Dawn Edge, Stuart Ware, Rhian Falvey, Catherine A Robinson, Jane Senior, Katrina Forsyth","doi":"10.1080/14789949.2024.2438882","DOIUrl":"10.1080/14789949.2024.2438882","url":null,"abstract":"<p><p>The number of people aged 50 and over entering the criminal justice system (CJS) in England and Wales is growing. This raises questions as to the suitability of the CJS to equitably accommodate individuals with complex illness or impairment, who might experience difficulties in cognitive function, frailty, and/or impaired mobility. Findings from the government, the third sector, and academic literature have highlighted the difficulties experienced by older adults in the CJS and those tasked with supporting them. To inform the development of the Ministry of Justice's national strategy for older people in prison, we conducted a series of nominal focus groups with policy makers, practitioners, prison staff, representatives from the third sector, and academics, each focusing on a specific topic area that impacts older adults in prison. These were: 1) older adult trajectories; 2) long term conditions; 3) dementia; 4) mental health; 5) social care; 6) end of life care; 7) women; 8) ethnicity; and 9) COVID-19. An additional nominal group was also held with older adults currently in prison to discuss what they thought should be included in the national strategy more broadly. This paper presents the methodology of the nominal groups and subsequent analysis, as well as providing a rationale for the research. It serves as a precursor to a series of papers reporting and discussing the findings of the topic-specific nominal groups.</p>","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"36 1","pages":"105-120"},"PeriodicalIF":0.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The COVID-19 pandemic and older adults in prison: a brief report from a nominal group.","authors":"Thomas Hewson, Adam O'Neill, Leanne Heathcote, Jane Senior, Catherine A Robinson, Jennifer Shaw, Katrina Forsyth","doi":"10.1080/14789949.2024.2437445","DOIUrl":"10.1080/14789949.2024.2437445","url":null,"abstract":"<p><p>Throughout the COVID-19 pandemic, concerns were raised regarding the vulnerability of prisoners to infection from the virus, leading to numerous changes to prison regimes and healthcare delivery. A nominal group was conducted exploring the experiences and views of prison staff involved in supporting older adult prisoners in England and Wales during times of COVID-19, including considering improvements in prison healthcare that can be applied beyond the pandemic. The group included seven participants with relevant knowledge and experience, comprising two consultants in public health, four heads of prison healthcare, and a prison governor. Three key themes emerged from the analysis of the group discussions: 1) Impact and uses of technology; 2) Changes to prison regimes; and 3) The importance of purposeful activities. Further research is needed to understand the impact and effectiveness of digital technologies in prisons during the pandemic, specifically telemedicine, including understanding which circumstances and patient groups these provide most benefit in. Furthermore, prisons should ensure that the health and social care needs of older adults are considered when designing prison regimes and offering educational and recreational activities.</p>","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"36 1","pages":"1-11"},"PeriodicalIF":0.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An assessment of interventions following moderate and high scores on the dynamic appraisal of situational aggression risk assessment tool in a forensic mental health unit","authors":"Alexander Challinor, Patrick Briggs, Faye Brennan, Charles Daniels, George Hurst, Mark Thorpe, Panchu Xavier, Rajan Nathan","doi":"10.1080/14789949.2023.2280565","DOIUrl":"https://doi.org/10.1080/14789949.2023.2280565","url":null,"abstract":"ABSTRACTThe Dynamic Appraisal of Situational Aggression (DASA) provides a quick and systematic assessment of short-term violence risk. Risk assessment should be closely aligned to management and result in interventions aimed to reduce risk. The aim of this study was to investigate what interventions followed a moderate/high DASA score and whether they reduced risk. The impact of staff training was also assessed. The study was a retrospective analysis of health records within a medium secure hospital over 6 months. Data was gathered on tool adherence and interventions that were used to reduce risk following a moderate/high score. The change in DASA score following the intervention was recorded. There were 70 patients covering 8224 bed days. There were 24 occasions where a moderate score led to an intervention (n = 24/40%), and 26 occasions for a high score (n = 26/87%). A moderate score was mostly followed by no intervention (n = 35/59%), a high score was mostly followed by seclusion (n = 9/29%). The intervention that led to the largest reduction in DASA score was pro re nata medication following a moderate score and seclusion following a high score. The training of staff led to a reduction in tool adherence and increased intervention use. These results support the need for combining the DASA assessment with operationalised systems to link assessment with risk prevention to help reduce aggression and restrictive practices.KEYWORDS: DASAviolence risk assessmentimplementationaggressioninterventionsstructured professional judgement Disclosure statementNo potential conflict of interest was reported by the authors.Supplementary dataSupplemental data for this article can be accessed online at https://doi.org/10.1080/14789949.2023.2280565Data availability statementThe data that support the findings of this study are available on request from the corresponding author (AC).Additional informationFundingThis research received no specific grant from any funding agency, commercial or not-for-profit sectors.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"55 16","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134902951","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}

{"title":"Do forensic mental health services have an ethical duty towards victims of mentally disordered offenders?","authors":"Mayura Deshpande","doi":"10.1080/14789949.2023.2276694","DOIUrl":"https://doi.org/10.1080/14789949.2023.2276694","url":null,"abstract":"Despite important changes in the rights of victims of crime and their role in influencing public policy across most jurisdictions, victims of mentally disordered offenders are often neglected in public discourse. They are also neglected in clinical discourse by forensic practitioners who are responsible for the care and treatment of mentally disordered offenders. In England, as in other countries, this duty is outsourced to public sector agencies for the most part. This review sets out to understand what has been written about ethical obligations of forensic practitioners towards victims. An examination of literature on ethical dilemmas commonly encountered in forensic mental health services has found that most of the existing literature focuses on issues such as the dual obligation nature of the specialty and the difficulties of promoting autonomy in long-term incarceration, with relatively little written about ethical obligations towards the victims of our patients. Some of the ethical and clinical arguments for including victims in our thinking are described, considering the Principlist approach of biomedical ethics, as well as other approaches including relational and communitarian ethics. Some implications for practice are considered.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"78 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135036865","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}

{"title":"Difficulties experienced by Turkish legal support officers in forensic interviews with individuals with autism and/or intellectual disabilities","authors":"Gizem Yıldız, Ali Kaya","doi":"10.1080/14789949.2023.2281576","DOIUrl":"https://doi.org/10.1080/14789949.2023.2281576","url":null,"abstract":"ABSTRACTIndividuals with autism spectrum disorder (ASD) or intellectual disabilities (ID) can often victims and sometimes witnesses or defendant in forensic events. It is important to investigate the experiences of forensic interviewing with these individuals and to identify associated issues to conduct better forensic interviews with them. The present study aims to determine the experiences of the staff and interviewees in forensic interviews conducted with individuals with ASD/ID. The study was conducted with a phenomenological approach, and the data were collected with the semi-structured interview method and analyzed with content analysis. The findings obtained with the analysis of the study data with content analysis revealed three themes: forensic interviews, legal support officer, and the judicial process. In the study, it was concluded that individuals with ASD/ID could not express themselves effectively, could be traumatized during the interviews, the interviewers felt inadequate and experienced associated problems, and required training support and counseling by a special education specialist. It is recommended to create a protocol for the participation of special education experts in forensic interviews in order to support individuals with ASD/ID.KEYWORDS: Autismintellectual disabilityforensic interviewcourtlegal support officer Disclosure statementNo potential conflict of interest was reported by the author(s).","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":" 75","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135241297","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}

{"title":"First steps towards a core outcome Set for measuring aggressive behavior in prisoners: a systematic review of current methods","authors":"Colin H. Cortie, Jason N. Skinner, Nattaporn Sutiyawan, Jasmine A. Matthews, Annabelle Lee, Elizabeth P. Neale, Mitchell K. Byrne, David Greenberg, Barbara J. Meyer","doi":"10.1080/14789949.2023.2262446","DOIUrl":"https://doi.org/10.1080/14789949.2023.2262446","url":null,"abstract":"ABSTRACTA large body of literature has examined the cause and treatment of aggressive behavior in prisons, but heterogeneity in the outcome measures used has led to difficulties comparing outcomes across studies. This systematic review aims to identify a Core Outcome Set for measuring aggression in prisons. Studies were eligible for inclusion if they measured aggressive behavior in adult male prisoners, described original research, and were in English. A systematic search of Medline, PubMed, PsycInfo, CINAHL and Cochrane databases to 7 March 2022 was conducted. Risk of bias was assessed using the QUADAS-2 method. The titles and abstracts of 19,619 records were screened, with 641 reports identified for full-text examination. From these reports, 283 studies with a total of 1,402,931 prisoners were included. These studies were predominantly published from 2000 onwards, published in North America, used a cross-sectional design, and included a single method to measure aggressive behavior. The studies most commonly used self-report and official records of misconduct, with staff report and mixed methods less common. Official records of misconduct and the Buss-Perry Aggression Questionnaire were identified as possible candidates for inclusion into a Core Outcome Set, but caveats exist around the specificity and sensitivity of these measures.KEYWORDS: PrisonaggressionviolenceCore Outcome SetQUADAS-2 AcknowledgementsCHC would like to acknowledge the University of Wollongong’s writing retreat for Early Career Research program, and Professor Chris Cook for early feedback on this article.Disclosure statementNo potential conflict of interest was reported by the author(s).Registration and protocol amendmentsThe protocol for this review was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO) (crd.york.ac.uk/PROSPERO, registration number: CRD42020185679). The protocol states that the risk of bias will be assessed using COSMIN with adaptations suggested by Jaspers et al. 2019 (doi.org/10.1016/j.burns.2018.05.015) but this method was not found to be suitable and the QUADAS-2 was used instead.Supplementary materialSupplemental data for this article can be accessed online at https://doi.org/10.1080/14789949.2023.2262446.Additional informationFundingCHC is employed in the NHMRC Partnership Grant (GNT1113396).","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136022955","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}

{"title":"Prevalence of anxiety, depression, and PTSD in exonerees: a brief report","authors":"Kathryn A. Thomas, William T. Hoyt","doi":"10.1080/14789949.2023.2270504","DOIUrl":"https://doi.org/10.1080/14789949.2023.2270504","url":null,"abstract":"ABSTRACTIn the last three decades, there have been 3,248 documented wrongful convictions in the United States, with over 28,000 years served collectively by innocent defendants. Despite the high prevalence of wrongful convictions in the United States, there is a dearth of research examining the psychological impact of wrongful convictions. A total of 74 exonerees, the largest sample of exonerees to-date, completed an online survey designed to investigate the psychological experiences of people who were wrongfully convicted and subsequently exonerated. The study was designed with the goal of gaining a better understanding of the psychological experiences of people who are wrongfully convicted, including the prevalence of generalized anxiety disorder (GAD), major depressive disorder (MDD), and posttraumatic stress disorder (PTSD). Results revealed that exonerees face high rates of depression, anxiety, and PTSD. Specifically, exonerees reported four times higher rates of MDD, seven times higher rates of GAD, and 11 times higher rates of PTSD than the general population. Results from the current study reveal dire rates of mental health disorders in exonerees, suggesting a need for policy reform to improve access to mental health treatment for exonerees.KEYWORDS: Wrongful convictionexonerationmental health symptomstrauma Disclosure statementNo potential conflict of interest was reported by the author(s).","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135803441","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}

{"title":"A qualitative study exploring patient experiences of art therapy in a female medium secure unit","authors":"Sharon Rajesh, David Straiton, Maria Fotiadou, Rachel Holden","doi":"10.1080/14789949.2023.2259888","DOIUrl":"https://doi.org/10.1080/14789949.2023.2259888","url":null,"abstract":"ABSTRACT This qualitative study is the first evaluation of patient experiences of art therapy within female secure mental health services. Data was collected using semi-structured interviews and analysed using thematic analysis in 10 patients with severe and enduring mental health conditions in a female medium secure unit in South London. Four themes (expression, connectedness, coping and sense of empowerment) and nine subthemes (the art therapist, the artwork, sense of belonging, building relationships, escapism, managing emotions, control, reflection, and achievement) were identified. These themes demonstrated the participants’ positive personal experiences of art therapy. Our results add to the body of evidence supporting the positive benefits of art therapy within inpatient mental health units. Escapism and achievement were highlighted as important themes that are often less valued in the professional literature. This provides new insight, and contribution that should be considered by clinicians to help to shape the future delivery of art therapy interventions within inpatient mental health settings. We hope this encourages others to study this topic further. Future research may wish to focus on whether there are measurable improvements in wellbeing from art therapy within forensic inpatient care.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"23 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":"135833257","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}