Book contents
- Seminars in Forensic Psychiatry
- College Seminars Series
- Seminars in Forensic Psychiatry
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Chapter 1 Violence and Mental Disorder
- Chapter 2 Violence and Mental Disorder
- Chapter 3 Outcomes from the Key Inquiries and the Evolution of Modern Forensic Psychiatry
- Chapter 4 Prison Psychiatry
- Chapter 5 Legal Issues and Expertise in Forensic Psychiatry
- Chapter 6 Expertise, Structured Professional Judgement and Risk Assessment
- Chapter 7 Models of Care in Forensic Psychiatry
- Chapter 8 Psychopharmacology of Chronic Aggression and Violence in Forensic Settings
- Chapter 9 Ward Milieu and the Management of In-Patient Violence
- Chapter 10 Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies
- Chapter 11 Assessment of Personality Disorder, Psychopathy and Associated Offending Behaviour
- Chapter 12 Stalking and Threats to Harm and Kill
- Chapter 13 Sexual Offending
- Chapter 14 Terrorism-Related Assessments
- Chapter 15 Forensic Psychotherapy and Psychological Therapies in Forensic Mental Health Settings
- Chapter 16 Forensic Aspects of Medical Negligence
- Chapter 17 Child and Adolescent Forensic Mental Health Services
- Chapter 18 Women’s Services in Forensic Psychiatry
- Chapter 19 Forensic Psychiatry and Intellectual Disability
- Chapter 20 Cultural Service Delivery in Forensic Mental Health Services
- Chapter 21 Tackling Ethnic Inequality in Forensic Mental Healthcare
- Chapter 22 Academic Forensic Psychiatry
- Chapter 23 The No-Nonsense Guides
- Index
- References
Chapter 10 - Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies
Published online by Cambridge University Press: 06 June 2024
Book contents
- Seminars in Forensic Psychiatry
- College Seminars Series
- Seminars in Forensic Psychiatry
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Chapter 1 Violence and Mental Disorder
- Chapter 2 Violence and Mental Disorder
- Chapter 3 Outcomes from the Key Inquiries and the Evolution of Modern Forensic Psychiatry
- Chapter 4 Prison Psychiatry
- Chapter 5 Legal Issues and Expertise in Forensic Psychiatry
- Chapter 6 Expertise, Structured Professional Judgement and Risk Assessment
- Chapter 7 Models of Care in Forensic Psychiatry
- Chapter 8 Psychopharmacology of Chronic Aggression and Violence in Forensic Settings
- Chapter 9 Ward Milieu and the Management of In-Patient Violence
- Chapter 10 Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies
- Chapter 11 Assessment of Personality Disorder, Psychopathy and Associated Offending Behaviour
- Chapter 12 Stalking and Threats to Harm and Kill
- Chapter 13 Sexual Offending
- Chapter 14 Terrorism-Related Assessments
- Chapter 15 Forensic Psychotherapy and Psychological Therapies in Forensic Mental Health Settings
- Chapter 16 Forensic Aspects of Medical Negligence
- Chapter 17 Child and Adolescent Forensic Mental Health Services
- Chapter 18 Women’s Services in Forensic Psychiatry
- Chapter 19 Forensic Psychiatry and Intellectual Disability
- Chapter 20 Cultural Service Delivery in Forensic Mental Health Services
- Chapter 21 Tackling Ethnic Inequality in Forensic Mental Healthcare
- Chapter 22 Academic Forensic Psychiatry
- Chapter 23 The No-Nonsense Guides
- Index
- References
Summary
Within forensic mental health services, we assess and care for people with major mental disorders who at times present a high risk to the safety of others. Undoubtedly, the practice setting that manages the highest risk is the community. Community forensic psychiatry includes the work of community forensic mental health teams (CFMHTs), specialist services to the criminal justice system and liaison with general adult and public protection agencies. This chapter describes the components of a successful CFMHT, the likely make-up of its patient cohort and its outcomes. These outcomes present significant challenges, not based on risk management or recidivism, but on appalling social integration and physical health. A major change in the management of mentally disordered offenders (MDOs) in the community in recent years has been the development of formal multiagency working arrangements. This reflects the complexity in managing some high-risk offenders and MDOs. International examples are outlined.
Keywords
- Type
- Chapter
- Information
- Seminars in Forensic Psychiatry , pp. 246 - 261Publisher: Cambridge University PressPrint publication year: 2024
References
Walsh, E, Gilvarry, C, Samele, C et al. Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with standard care. BMJ (Clinical research ed.) 2001; 323 (7321): 1093–6.CrossRefGoogle ScholarPubMed
Lamberti, JS, Weisman, RL, Cerulli, C et al. A randomized controlled trial of the Rochester forensic assertive community treatment model. Psychiatric Services 2017; 68 (10): 1016–24.CrossRefGoogle ScholarPubMed
Swanson, JW, Swartz, MS, Wagner, HR et al. Involuntary out-patient commitment and reduction of violent behaviour in persons with severe mental illness. The British Journal of Psychiatry 2000; 176 (4): 324–31.CrossRefGoogle ScholarPubMed
Marquant, T, Sabbe, B, Van Nuffel, M, Goethals, K. Forensic assertive community treatment: a review of the literature. Community Mental Health Journal 2016; 52 (8): 873–81.CrossRefGoogle ScholarPubMed
Cusack, KJ, Morrissey, JP, Cuddeback, GS, Prins, A, Williams, DM. Criminal justice involvement, behavioral health service use, and costs of forensic assertive community treatment: a randomized trial. Community Mental Health Journal 2010; 46 (4): 356–63.CrossRefGoogle ScholarPubMed
Marquant, T, Sabbe, B, Van Nuffel, M, Verelst, R, Goethals, K. Forensic assertive community treatment in a continuum of care for male internees in Belgium: results after 33 months. Community Mental Health Journal 2018; 54: 58–65.CrossRefGoogle Scholar
Mohan, R, Slade, M, Fahy, TA. Clinical characteristics of community forensic mental health services. Psychiatric Services 2004; 55 (11): 1294–8.CrossRefGoogle ScholarPubMed
Jacobson, N, Greenley, D. What is recovery? A conceptual model and explication. Psychiatric Services 2001; 52 (4): 482–5.Google ScholarPubMed
Clarke, C, Lumbard, D, Sambrook, S, Kerr, K. What does recovery mean to a forensic mental health patient? A systematic review and narrative synthesis of the qualitative literature. The Journal of Forensic Psychiatry & Psychology 2016; 27 (1): 38–54.CrossRefGoogle Scholar
Bonnie, RJ, Monahan, J. From coercion to contract: reframing the debate on mandated community treatment for people with mental disorders. Law and Human Behavior 2005; 29: 485–503.CrossRefGoogle ScholarPubMed
Coid, JW, Hickey, N, Yang, M. Comparison of outcomes following after-care from forensic and general adult psychiatric services. British Journal of Psychiatry 2007; 190: 509–14.CrossRefGoogle ScholarPubMed
Scottish Government. Memorandum of Procedure on Restricted Patients. ANNEX H – Risk Management Traffic Lights for All Levels of Security. Edinburgh, Scottish Government, 2010.Google Scholar
Troquete, NA, van den Brink, RH, Beintema, H et al. Risk assessment and shared care planning in out-patient forensic psychiatry: cluster randomised controlled trial. British Journal of Psychiatry 2013; 202 (5): 365–71.CrossRefGoogle ScholarPubMed
Kelly, BL, Barrenger, SL, Watson, AC, Angell, B. Forensic assertive community treatment: recidivism, hospitalization, and the role of housing and support. Social Work in Mental Health 2017; 15 (5): 567–87.CrossRefGoogle Scholar
Heard, CP, Scott, J, Tetzlaff, A, Lumley, H. Transitional housing in forensic mental health: considering consumer lived experience. Health & Justice 2019; 7 (1): 1–9.CrossRefGoogle ScholarPubMed
Leclair, MC, Deveaux, F, Roy, L et al. The impact of Housing First on criminal justice outcomes among homeless people with mental illness: a systematic review. The Canadian Journal of Psychiatry 2019; 64 (8): 525–30.Google ScholarPubMed
Darjee, R, Øfstegaard, M, Thomson, L. Schizophrenia in a high-security hospital: long-term forensic, clinical, administrative and social outcomes. The Journal of Forensic Psychiatry & Psychology 2017; 28 (4): 525–47.CrossRefGoogle Scholar
Rees, C, Thomson, L. Exploration of morbidity, suicide and all-cause mortality in a Scottish forensic cohort over 20 years. BJPsych Open 2020; 6 (4): e62.CrossRefGoogle Scholar
Browning, M, Gray, R, Tomlins, R. A community forensic team for people with intellectual disabilities. Journal of Forensic Practice 2016; 18 (4): 274–82.CrossRefGoogle Scholar
Lindsay, WR, Steptoe, L, Wallace, L, Haut, F, Brewster, E. An evaluation and 20‐year follow‐up of a community forensic intellectual disability service. Criminal Behaviour and Mental Health 2013; 23 (2): 138–49.CrossRefGoogle ScholarPubMed
Blumenthal, S, Craissati, J, Minchin, L. The development of a specialist hostel for the community management of personality disordered offenders. Criminal Behaviour and Mental Health 2009; 19 (1): 43–53.CrossRefGoogle ScholarPubMed
Thomson, LD, Bogue, JP, Humphreys, MS, Johnstone, EC. A survey of female patients in high security psychiatric care in Scotland. Criminal Behaviour and Mental Health 2001; 11 (2): 86–93.CrossRefGoogle ScholarPubMed
Network, NPH. Brain Injury and Offending: Report to National Prisoner Network Committee. Edinburgh, Scottish Government, 2016, p. 57.Google Scholar
Robinson, L, Spencer, MD, Thomson, LD et al. Evaluation of a screening instrument for autism spectrum disorders in prisoners. PLoS One 2012; 7 (5): e36078.CrossRefGoogle ScholarPubMed
James, DV. Court diversion in perspective. Australian & New Zealand Journal of Psychiatry 2006; 40 (6–7): 529–38.CrossRefGoogle Scholar
Smith, D, Harnett, S, Flanagan, A et al. Beyond the walls: an evaluation of a Pre-Release Planning (PReP) programme for sentenced mentally disordered offenders. Frontiers in Psychiatry 2018; 9: 549.CrossRefGoogle ScholarPubMed
Shaw, J, Conover, S, Herman, D et al. Critical Time Intervention for Severely Mentally Ill Prisoners (CrISP): A Randomised Controlled Trial. Southampton, NIHR Journals Library, 2017. www.ncbi.nlm.nih.gov/books/NBK424457. doi: 10.3310/hsdr05080.Google Scholar
Bourne, R, Rajput, R, Field, R. Working with probation services and mentally disordered offenders. BJPsych Advances 2015; 21 (4): 273–80.CrossRefGoogle Scholar
Thomson, L, Goethals, K, Nedopil, N. Multi agency working in forensic psychiatry: theory and practice in Europe. Criminal Behaviour and Mental Health 2016; 26 (3): 153–60.CrossRefGoogle ScholarPubMed
Barry-Walsh, J, James, DV, Mullen, PE. Fixated Threat Assessment Centers: preventing harm and facilitating care in public figure threat cases and those thought to be at risk of lone-actor grievance-fueled violence. CNS Spectr. 2020; 25 (5): 630–7.CrossRefGoogle ScholarPubMed
Gill, P, Corner, E, Farnham, F et al. Predictors of varying levels of risks posed by fixated individuals to British public figures. Journal of Forensic Sciences 2021; 66 (4): 1364–6.CrossRefGoogle ScholarPubMed
Sydes, M, Wine, L, Higginson, A et al. Criminal justice interventions for preventing radicalisation, violent extremism and terrorism: an evidence and gap map. Campbell Systematic Reviews 2023; 19 (4): e1366.CrossRefGoogle ScholarPubMed
Wilson, S, Farnham, F, Taylor, A, Taylor, R. Reflections on working in public-figure threat management. Medicine, Science and the Law 2019; 59 (4): 275–81.CrossRefGoogle ScholarPubMed
Pathé, MT, Lowry, TJ, Haworth, DJ, Winterbourne, P, Day, L. Public figure fixation: cautionary findings for mental health practitioners. Behavioral Sciences & the Law 2016; 34 (5): 681–92.CrossRefGoogle ScholarPubMed