Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code.
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| Title: | Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code. |
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| Authors: | Simpson, Alexander I. F., Chatterjee, Sumeeta, Duchcherer, Maryana, Ray, Ipsita, Prosser, Aaron, Penney, Stephanie R. |
| Source: | Journal of Forensic Psychiatry & Psychology. Dec2018, Vol. 29 Issue 6, p867-881. 15p. 3 Charts. |
| Subjects: | Mental health, Mental illness, Medical care, Forensic sciences, Public health |
| Abstract: | There is insufficient knowledge regarding outcomes among persons who are no longer supervised by the forensic mental health system, and consequently little data to inform public perception regarding the risk of harm posed by such persons. We performed a retrospective case audit and one-year follow-up of all patients receiving an absolute discharge from compulsory forensic care in the years 2013 and 2014 (N = 60) and report on the prevalence of outcomes concerning mental health deterioration, treatment non-compliance, hospital readmission, substance use and recidivism. In the year following absolute discharge, rates of medication non-compliance, hospital readmission and violence increased significantly (odds ratios = 3.51-10.41). Discharged patients who engaged in violence or reoffending (n = 10) were characterized by greater substance use problems, and were less likely to be rated as low risk on the HCR-20. A comparison to a matched sample of community-dwelling but not absolutely discharged patients revealed that those not yet discharged experienced more symptoms of mental illness and greater problems with treatment compliance and social support. The low base rate of serious violence among absolutely discharged patients suggests that the decision-making model employed by the review board in our jurisdiction is a reasonably accurate and balanced one. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 132498419 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Simpson%2C+Alexander+I%2E+F%2E%22">Simpson, Alexander I. F.</searchLink><br /><searchLink fieldCode="AR" term="%22Chatterjee%2C+Sumeeta%22">Chatterjee, Sumeeta</searchLink><br /><searchLink fieldCode="AR" term="%22Duchcherer%2C+Maryana%22">Duchcherer, Maryana</searchLink><br /><searchLink fieldCode="AR" term="%22Ray%2C+Ipsita%22">Ray, Ipsita</searchLink><br /><searchLink fieldCode="AR" term="%22Prosser%2C+Aaron%22">Prosser, Aaron</searchLink><br /><searchLink fieldCode="AR" term="%22Penney%2C+Stephanie+R%2E%22">Penney, Stephanie R.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Forensic+Psychiatry+%26+Psychology%22">Journal of Forensic Psychiatry & Psychology</searchLink>. Dec2018, Vol. 29 Issue 6, p867-881. 15p. 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Forensic+sciences%22">Forensic sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: There is insufficient knowledge regarding outcomes among persons who are no longer supervised by the forensic mental health system, and consequently little data to inform public perception regarding the risk of harm posed by such persons. We performed a retrospective case audit and one-year follow-up of all patients receiving an absolute discharge from compulsory forensic care in the years 2013 and 2014 (N = 60) and report on the prevalence of outcomes concerning mental health deterioration, treatment non-compliance, hospital readmission, substance use and recidivism. In the year following absolute discharge, rates of medication non-compliance, hospital readmission and violence increased significantly (odds ratios = 3.51-10.41). Discharged patients who engaged in violence or reoffending (n = 10) were characterized by greater substance use problems, and were less likely to be rated as low risk on the HCR-20. A comparison to a matched sample of community-dwelling but not absolutely discharged patients revealed that those not yet discharged experienced more symptoms of mental illness and greater problems with treatment compliance and social support. The low base rate of serious violence among absolutely discharged patients suggests that the decision-making model employed by the review board in our jurisdiction is a reasonably accurate and balanced one. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=132498419 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/14789949.2018.1439992 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 867 Subjects: – SubjectFull: Mental health Type: general – SubjectFull: Mental illness Type: general – SubjectFull: Medical care Type: general – SubjectFull: Forensic sciences Type: general – SubjectFull: Public health Type: general Titles: – TitleFull: Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Simpson, Alexander I. F. – PersonEntity: Name: NameFull: Chatterjee, Sumeeta – PersonEntity: Name: NameFull: Duchcherer, Maryana – PersonEntity: Name: NameFull: Ray, Ipsita – PersonEntity: Name: NameFull: Prosser, Aaron – PersonEntity: Name: NameFull: Penney, Stephanie R. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2018 Type: published Y: 2018 Identifiers: – Type: issn-print Value: 14789949 Numbering: – Type: volume Value: 29 – Type: issue Value: 6 Titles: – TitleFull: Journal of Forensic Psychiatry & Psychology Type: main |
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