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European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders.
Völlm, Birgit A; Clarke, Martin; Herrando, Vicenç Tort; Seppänen, Allan O; Gosek, Pawel; Heitzman, Janusz; Bulten, Erik.
Afiliação
  • Völlm BA; Section of Forensic Mental Health, Division of Psychiatry and Applied Psychology, University of Nottingham, Institute of Mental Health, Triumph Road, Nottingham NG7 2TU, United Kingdom. Electronic address: birgit.vollm@nottingham.ac.uk.
  • Clarke M; Nottinghamshire Healthcare NHS Foundation Trust, Institute of Mental Health, Triumph Road, Nottingham NG7 2TU, United Kingdom. Electronic address: martin.clarke@nottshc.nhs.uk.
  • Herrando VT; Unitat Polivalent de Psiquaitria Quatre Camins, Penitentiary Psychiatry, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Barcelona, Spain.
  • Seppänen AO; Helsinki University Hospital Psychoses and Forensic Psychiatry Vanha Valtatie 198, 04500 Kellokoski, Finland & Vanha Vaasa Hospital Vierinkiventie 1, 65380 Vaasa, Finland.
  • Gosek P; Department of Forensic Psychiatry, Institute of Psychiatry and Neurology, 9 Sobieskiego St., 02-957 Warsaw, Poland.
  • Heitzman J; Department of Forensic Psychiatry, Institute of Psychiatry and Neurology, 9 Sobieskiego St., 02-957 Warsaw, Poland.
  • Bulten E; The Pompe Foundation, Forensic Psychiatric Centre Pompestichting, Nijmegen, Netherlands; Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands.
Eur Psychiatry ; 51: 58-73, 2018 06.
Article em En | MEDLINE | ID: mdl-29571072
Forensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs. We undertook a rapid review of the literature with search terms related to: forensic psychiatry, review articles, randomised controlled trials and best practice. We searched the Medline, Embase, PsycINFO, and Cochrane library databases from 2000 onwards for adult groups only. We scrutinised publications for additional relevant literature, and searched the websites of relevant professional organisations for policies, statements or guidance of interest. We present the findings of the scientific literature as well as recommendations for best practice drawing additionally from the guidance documents identified. We found that the evidence base for forensic-psychiatric practice is weak though there is some evidence to suggest that psychiatric care produces better outcomes than criminal justice detention only. Practitioners need to follow general psychiatric guidance as well as that for offenders, adapted for the complex needs of this patient group, paying particular attention to long-term detention and ethical issues.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psiquiatria Legal / Pessoas Mentalmente Doentes / Criminosos Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psiquiatria Legal / Pessoas Mentalmente Doentes / Criminosos Tipo de estudo: Clinical_trials / Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article