19 September, 2014 at 2:58 pm #485
Definition Long-term Forensic Psychiatric patients
- We are interested in patients who do not react positively on the prevailing therapy or care and for that reason cannot make progress.
- We are interested in patients who get stuck in the current level of security due to legal and/or organizational reasons/failures of the system.
- We want to learn from the “not-learners or slow-learners” what is needed to improve their perspective / possibilities.
- We want to learn how to improve quality of life.
- We are focused on forensic psychiatric patients, patients with security needs.
- We are focused on patients with psychiatric needs and criminogenic needs: we include a broad spectrum of mental disorder (including personality disorders, mental retardation, addiction, autism etc.).
- Our main focus are inpatients (including prisoners, patients in prison).
- Although forensic, psychiatric inpatients with security needs is our target group, other patients (e.g. patients without a court decision or specific forensic outpatients) can be part of the action as a comparison group.
- Longterm can be defined in several ways: time in treatment, based on treatment progress, based on official court decisions. In all these cases patients get stuck in the system. These patients are not on track, are stuck in the current level of security.
- The necessity to provide care in the least restrictive setting and for the least amount of time necessary.
- Patients are not on track due to a: patient characteristics (including responsivity),b: low quality, effectiveness of care/treatment and c: legal matters, failures of the system.
The definition should therefore include: forensic inpatients, needs care, needs security, not able to make it to a level of lower security and reasons
“Forensic psychiatric inpatients with needs for security and care who are not able to make it to a level of lower security due to internal and/or external factors ”26 April, 2015 at 8:55 am #810
As an inpatient of secure and forensic services who has been detained under the mental health act for the past 8 years. I affirm all your points of focus and aims. I would like to highlight the need of long-term psychiatric inpatients with a diagnosis of ASD.
ASD sufferers, especially if female can have atypical (with respect to the rest of the in patient population) presentations and often find their needs go unmet due to the lack of specialised ASD services and trained staff. Furthermore they are often especially sensitive to the restrictive and communal nature of secure and forensic services which impact negatively on their recovery progress.
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