Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-25T16:27:00.608Z Has data issue: false hasContentIssue false
  • English
  • Français

An increase in substance misuse rather than other mental disorders has led to increased forensic treatment rates in the Czech Republic

Published online by Cambridge University Press:  16 April 2020

J. Vevera ,
J. Svarc ,
K. Grohmannova ,
J. Spilkova ,
J. Raboch ,
M. Cerny ,
L. Kalisova ,
M. Bartonkova ,
P. Bob  and
M. Susta
J. Vevera*
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
J. Svarc
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
K. Grohmannova
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
J. Spilkova
Affiliation:
Faculty of Science, Prague, Czech Republic
J. Raboch
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
M. Cerny
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
L. Kalisova
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
M. Bartonkova
Affiliation:
Ministry Of Justice Of The Czech Republic, Prague, Czech Republic
P. Bob
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
M. Susta
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General Teaching Hospital, Ke Karlovu, 11, 12808 Praha 2, Czech Republic
*
*Corresponding author. Tel.: +420 224 965 359; fax: +420 224 923 077; Cell: +420 775 983 837. E-mail address: janvevera@centrum.cz (J. Vevera).
Get access

Abstract

It is suggested that limited access to appropriate care forces psychiatric patients towards forensic treatment or to the prison system. According to our data, the number of prisoners, the number of hospitalized psychiatric patients (from 1987 to 2007), the number of court ordered forensic treatments in the Czech Republic (from 1991 to 2007), and the rate of people in psychiatric and sex offender forensic treatment has remained constant. However, an increase (162%) in number of treatments imposed for abusing illicit drugs did occur during this period. This increase contributed to the correlation between both the number of sentences given for protective treatment and the number of all sentenced persons (Pearson cor. 0.647, p < 0,001) and the number of prisoners (Pearson cor. 0.798, p < 0,001). The analysis of all admissions to a forensic facility from a catchment area of 1,260,318 inhabitants shows no increase in number of admission between 2002 and 2007. The same data prove that the number of patients ordered to psychiatric and sexology treatment remained steady and did not reflect changes in the number of prisoners or number of hospitalized patients. This could be explained by a high number of psychiatric hospitalizations protecting the patients from deteriorating to criminal behaviour.

Keywords

Forensic psychiatryViolencePsychiatry in Europe
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 6 , September 2009 , pp. 380 - 387
Copyright
Copyright © Elsevier Masson SAS 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brink, J.Epidemiology of mental illness in a correctional system. Curr Opin Psychiatry 2005;18:536–541Google Scholar
Dzúrová, D.Bražinová, A.Dragomirecká, E.Mental health status of the Czech and Slovak populationsScheffler, R.Potucek, M.Mental Health Care Reform in the Czech and Slovak Republics, 1989 to the present PragueKarolinum Press 2008 39–80Google Scholar
Gunn, J.Future directions for treatment in forensic psychiatry. Br J Psychiatry 2000;176:332–338CrossRefGoogle ScholarPubMed
Hodgins, S.Alderton, J.Cree, A.Aboud, A.Mak, T.Aggressive behaviour, victimization and crime among severely mentally ill patients requiring hospitalisation. Br J Psychiatry 2007;191:343–350CrossRefGoogle ScholarPubMed
Hodgins, S.Cree, A.Alderton, J.Mak, T.From conduct disorder to severe mental illness: associations with aggressive behaviour, crime and victimization. Psychol Med 2008;38:975–987CrossRefGoogle ScholarPubMed
Hodgins, S.Hiscoke, U.L.Freese, R.The antecedents of aggressive behavior among men with schizophrenia: a prospective investigation of patients in community treatment. Behav Sci Law 2003;21:523–546CrossRefGoogle ScholarPubMed
Hodgins, S.Mednick, S.A.Brennan, P.A.Schulsinger, F.Engberg, M.Mental disorder and crime. Evidence from a Danish birth cohort. Arch Gen Psychiatry 1996;53:489–496CrossRefGoogle ScholarPubMed
Hodgins, S.Muller-Isberner, R.Preventing crime by people with schizophrenic disorders: the role of psychiatric services. Br J Psychiatry 2004;185:245–250CrossRefGoogle ScholarPubMed
Hodgins, S.Tiihonen, J.Ross, D.The consequences of Conduct Disorder for males who develop schizophrenia: associations with criminality, aggressive behavior, substance use, and psychiatric services. Schizophr Res 2005;78:323–335CrossRefGoogle ScholarPubMed
Hogan, M.F.The President's New Freedom Commission: recommendations to transform mental health care in America. Psychiatr Serv 2003;54:1467–1474CrossRefGoogle ScholarPubMed
Institute of Health Information and Statistics of the Czech Republic (IHIS CR). In: http://www.uzis.cz. Date accessed: 25th November 2008.Google Scholar
Kallert, T.W.Glockner, M.Onchev, G.et al.The EUNOMIA project on coercion in psychiatry: study design and preliminary data. World Psychiatry 2005;4:168–172Google ScholarPubMed
Kelly, B.D.Penrose's Law in Ireland: an ecological analysis of psychiatric inpatients and prisoners. Ir Med J 2007;100:373–374Google Scholar
Kitzlerová, E.Peč, O.Raboch, J.Howardová, A.Stárková, L.Baková, N.et al.Mapování denních stacionářů v České republice. Ceska Slov Psychiatr 2003;6:299–305Google Scholar
Koop, C.E.Lundberg, G.B.Violence in America: a public health emergency. Time to bite the bullet back. JAMA 1992;267:3075–3076CrossRefGoogle ScholarPubMed
Lamb, H.R.Mills, M.J.Needed changes in law and procedure for the chronically mentally ill. Hosp Community Psychiatry 1986;37:475–480Google Scholar
McAfee, R.E.Physicians and domestic violence. Can we make a difference?. J Miss State Med Assoc 1995;36:347–348Google Scholar
Mullen, P.E.Burgess, P.Wallace, C.Palmer, S.Ruschena, D.Community care and criminal offending in schizophrenia. Lancet 2000;355:614–617CrossRefGoogle Scholar
Munk-Jorgensen, P.Has deinstitutionalization gone too far?. Eur Arch Psychiatry Clin Neurosci 1999;249:136–143Google ScholarPubMed
Nawka, P.Dragomirecká, E.Dzúrová, D.Motlová, L.Potůček, M.Weiss, C.H.et al.Organizational structuresScheffler, R.Potucek, M.Mental Health Care Reform in the Czech and Slovak Republics, 1989 to the present PragueKarolinum Press 2008 113–141Google Scholar
Penrose, L.S.Mental disease and crime: outlines of a comparative study of European statistics. Br J Med Psychol 1939;18:1–15CrossRefGoogle Scholar
Priebe, S.Badesconyi, A.Fioritti, A.et al.Reinstitutionalisation in mental health care: comparison of data on service provision from six European countries. BMJ 2005;330:123–126CrossRefGoogle ScholarPubMed
Salize, H.J.Dreßing, H.Kief, C. Mentally disordered persons in European prison systems– Needs, programmes and outcome (EUPRIS) http://ec.europa.eu/health/ph_projects/2004/action1/docs/action1_2004_frep_17_en.pdf 2008;Google Scholar
Schanda, H.Psychiatry reforms and illegal behaviour of the severely mentally ill. Lancet 2005;365:367–369CrossRefGoogle ScholarPubMed
Schanda, H.Knecht, G.Schreinzer, D.et al.Homicide and major mental disorders: a 25-year study. Acta Psychiatr Scand 2004;110:98–107CrossRefGoogle ScholarPubMed
Steadman, H.J.Mulvey, E.P.Monahan, J.et al.Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Arch Gen Psychiatry 1998;55:393–401CrossRefGoogle ScholarPubMed
Swanson, J.W.Swartz, M.S.Van Dorn, R.A.et al.A national study of violent behavior in persons with schizophrenia. Arch Gen Psychiatry 2006;63:490–499CrossRefGoogle ScholarPubMed
Vevera, J.Co pomůže psychiatrickým pacientům. Zdravotnické noviny 2006;21:20–21Google Scholar
Vevera, J.Problems and goals in the US psychiatry and its application for Czech psychiatric care. Ceska Slov Psychiatr 2004; 134–140Google Scholar
Vevera, J.Brazinova, A.Nemec, J.Palova, E.Raboch, J.Human Resources and TrainingScheffler, R.Potucek, M.Mental Health Care Reform in the Czech and Slovak Republics, 1989 to the present PragueKarolinum Press 2008 197–223Google Scholar
Vevera, J.Hubbard, A.Vesely, A.Papezova, H.Violent behaviour in schizophrenia. Retrospective study of four independent samples from Prague, 1949 to 2000. Br J Psychiatry 2005;187:426–430CrossRefGoogle ScholarPubMed
Volavka, J.Neurobiology and violence 2nd ed.WashingtonAmerican Psychiatric Publishing, Inc 2002Google Scholar
Wallace, C.Mullen, P.E.Burgess, P.Criminal offending in schizophrenia over a 25-year period marked by deinstitutionalization and increasing prevalence of comorbid substance use disorders. Am J Psychiatry 2004;161:716–727CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.