Impact on the psychotic vulnerability of the therapeutic approachin the Prison Psychiatric Hospital in Seville (Spain).

OBJECTIVES: to analyze changes in psychotic vulnerability following the implementation of a program of prison psychiatric treatment, recidivism after the release and various descriptive variables of criminological interest. MATERIALS AND METHODS: review of a sample consisting of 50 patients diagnosed with schizophrenia admitted to the Prison Psychiatric Hospital of Seville. RESULTS: there was a statistically significant reduction of psychotic vulnerability according to an assessment using the Frankfurt psychopathological inventory (FBF-3), after conducting a complete psychiatric, psychological, social and rehabilitation approach in the prison environment. The core symptoms relating to complex perception and language also decreased significantly. The reduction is particularly noticeable in the number of patients categorized as medium-high and high severity. Recidivism in the follow-up of release of patients in the study sample is low (6%) and there were no cases of serious felony or grievous bodily harm. Recidivism, when it occurs, is not immediate. Although there is some criminal versatility, it is limited. The most frequent victims are parents with a previous relationship with the patient. Most of the patients in the sample, and all recidivists, have comorbid substance abuse (dual diagnosis). DISCUSSION: we need more comprehensive studies to establish causal relationships between the decrease in psychotic vulnerability and an integrated psychiatric, psychological, social and rehabilitation approach in prisons; or to attribute the low rate of recidivism to the decline of psychotic vulnerability.

Impacto sobre la vulnerabilidad psicótica del abordaje terapéutico en el Hospital Psiquiátrico Penitenciario de Sevilla / Impact on the psychotic vulnerability of the therapeutic approach in the Prison Psychiatric Hospital in Seville (Spain)

Objetivos: analizar los cambios en la vulnerabilidad psicótica tras la aplicación de un programa de tratamiento psiquiátrico penitenciario, la reincidencia delictiva tras realizar un seguimiento posterior a la excarcelación y variables de interés criminológico. Material y método: revisión de una muestra de 50 pacientes diagnosticados de esquizofrenia ingresados en el Hospital Psiquiátrico Penitenciario de Sevilla. Resultados: Se aprecia una reducción estadísticamente significativa de la vulnerabilidad psicótica, evaluada mediante el Inventario Psicopatológico de Frankfurt (FBF-3), tras realizar un abordaje integral psiquiátrico, psicológico, social y rehabilitador en el ámbito penitenciario. También se reducen significativamente los síntomas básicos en percepción compleja y lenguaje. La disminución es particularmente apreciable en el número de pacientes categorizados como de gravedad media-alta y alta. La reincidencia delictiva en el seguimiento posterior a la excarcelación de los pacientes de la muestra en estudio es baja (6%) y en ningún caso por delito grave o que haya supuesto un daño físico. La reincidencia delictiva, cuando se produce, no es inmediata. Aunque existe cierta versatilidad delictiva, es limitada. Las víctimas más frecuentes con relación previa con el paciente son los padres. La mayoría de los pacientes de la muestra, y la totalidad de los reincidentes, tienen consumo comórbido de sustancias (patología dual). Discusión: Son necesarios estudios más amplios para poder establecer relaciones de causalidad entre la reducción de la vulnerabilidad psicótica y el abordaje integral psiquiátrico, psicológico, social y rehabilitador en el ámbito penitenciario; o para atribuir el escaso índice de reincidencia delictiva a esa disminución de la vulnerabilidad psicótica (AU)

Objectives: to analyze changes in psychotic vulnerability following the implementation of a program of prison psychiatric treatment, recidivism after the release and various descriptive variables of criminological interest. Materials and methods: review of a sample consisting of 50 patients diagnosed with schizophrenia admitted to the Prison Psychiatric Hospital of Seville. Results: there was a statistically significant reduction of psychotic vulnerability according to an assessment using the Frankfurt psychopathological inventory (FBF-3), after conducting a complete psychiatric, psychological, social and rehabilitation approach in the prison environment. The core symptoms relating to complex perception and language also decreased significantly. The reduction is particularly noticeable in the number of patients categorized as medium-high and high severity. Recidivism in the follow-up of release of patients in the study sample is low (6%) and there were no cases of serious felony or grievous bodily harm. Recidivism, when it occurs, is not immediate. Although there is some criminal versatility, it is limited. The most frequent victims are parents with a previous relationship with the patient. Most of the patients in the sample, and all recidivists, have comorbid substance abuse (dual diagnosis). Discussion: we need more comprehensive studies to establish causal relationships between the decrease in psychotic vulnerability and an integrated psychiatric, psychological, social and rehabilitation approach in prisons; or to attribute the low rate of recidivism to the decline of psychotic vulnerability (AU)