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The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state
Routine outcome measures are increasingly being mandated across mental health services in Australia and overseas. This requirement includes forensic mental health services, but their utility in such specialist services and the inter-relationships between the measures remain unclear. This study sough...
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Published in: | BMC psychiatry 2018-02, Vol.18 (1), p.35-35, Article 35 |
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description | Routine outcome measures are increasingly being mandated across mental health services in Australia and overseas. This requirement includes forensic mental health services, but their utility in such specialist services and the inter-relationships between the measures remain unclear. This study sought to characterise the risks, needs and stages of recovery of an entire cohort of forensic patients in one jurisdiction in Australia.
Local expert groups, comprising of members of the forensic patient treating teams, were formed to gather information about the status and needs of all forensic patients in the State of New South Wales, Australia. The expert groups provided demographic information and completed three assessment tools concerning the risks, needs and stages of recovery of each forensic patient.
The cohort of 327 forensic patients in NSW appears to be typical of forensic mental health service populations internationally when considering factors such as gender, diagnosis, and index offence. A number of important differences across the three structured tools for forensic patients in different levels of secure service provision are presented. The DUNDRUM Quartet demonstrated interesting findings, particularly in terms of the therapeutic security needs, the treatment completion, and the stages of recovery for the forensic patients in the community. The CANFOR highlighted the level of needs across the forensic patient population, whilst the HCR-20 data showed there was no significant difference in the mean clinical and risk management scores between male forensic patients across levels of security.
To the authors' knowledge this is the first study of its kind in New South Wales, Australia. We have demonstrated the utility of using a suite of measures to evaluate the risks, needs, and stages of recovery for an entire cohort of forensic patients. The data set helps inform service planning and development, together with providing various avenues for future research. |
doi_str_mv | 10.1186/s12888-017-1584-8 |
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Local expert groups, comprising of members of the forensic patient treating teams, were formed to gather information about the status and needs of all forensic patients in the State of New South Wales, Australia. The expert groups provided demographic information and completed three assessment tools concerning the risks, needs and stages of recovery of each forensic patient.
The cohort of 327 forensic patients in NSW appears to be typical of forensic mental health service populations internationally when considering factors such as gender, diagnosis, and index offence. A number of important differences across the three structured tools for forensic patients in different levels of secure service provision are presented. The DUNDRUM Quartet demonstrated interesting findings, particularly in terms of the therapeutic security needs, the treatment completion, and the stages of recovery for the forensic patients in the community. The CANFOR highlighted the level of needs across the forensic patient population, whilst the HCR-20 data showed there was no significant difference in the mean clinical and risk management scores between male forensic patients across levels of security.
To the authors' knowledge this is the first study of its kind in New South Wales, Australia. We have demonstrated the utility of using a suite of measures to evaluate the risks, needs, and stages of recovery for an entire cohort of forensic patients. The data set helps inform service planning and development, together with providing various avenues for future research.</description><identifier>ISSN: 1471-244X</identifier><identifier>EISSN: 1471-244X</identifier><identifier>DOI: 10.1186/s12888-017-1584-8</identifier><identifier>PMID: 29415683</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Analysis ; Cohort Studies ; Criminals - psychology ; DUNDRUM ; Female ; Forensic mental health ; Forensic Psychiatry - methods ; Forensic Psychiatry - trends ; Health aspects ; Health Services Needs and Demand - trends ; Humans ; Male ; Management ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental Disorders - therapy ; Mental health services ; Mental Health Services - trends ; Middle Aged ; Need ; New South Wales - epidemiology ; Outcome Assessment, Health Care ; Recovery ; Recovery of Function ; Risk ; Risk Factors ; Security</subject><ispartof>BMC psychiatry, 2018-02, Vol.18 (1), p.35-35, Article 35</ispartof><rights>COPYRIGHT 2018 BioMed Central Ltd.</rights><rights>The Author(s). 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-7394118ed92f9b9bf4ed4717beabfac20d9ab71c713b4c45cc8fe15002a12f203</citedby><cites>FETCH-LOGICAL-c532t-7394118ed92f9b9bf4ed4717beabfac20d9ab71c713b4c45cc8fe15002a12f203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804006/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804006/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29415683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adams, Jonathon</creatorcontrib><creatorcontrib>Thomas, Stuart D M</creatorcontrib><creatorcontrib>Mackinnon, Tobias</creatorcontrib><creatorcontrib>Eggleton, Damien</creatorcontrib><title>The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state</title><title>BMC psychiatry</title><addtitle>BMC Psychiatry</addtitle><description>Routine outcome measures are increasingly being mandated across mental health services in Australia and overseas. This requirement includes forensic mental health services, but their utility in such specialist services and the inter-relationships between the measures remain unclear. This study sought to characterise the risks, needs and stages of recovery of an entire cohort of forensic patients in one jurisdiction in Australia.
Local expert groups, comprising of members of the forensic patient treating teams, were formed to gather information about the status and needs of all forensic patients in the State of New South Wales, Australia. The expert groups provided demographic information and completed three assessment tools concerning the risks, needs and stages of recovery of each forensic patient.
The cohort of 327 forensic patients in NSW appears to be typical of forensic mental health service populations internationally when considering factors such as gender, diagnosis, and index offence. A number of important differences across the three structured tools for forensic patients in different levels of secure service provision are presented. The DUNDRUM Quartet demonstrated interesting findings, particularly in terms of the therapeutic security needs, the treatment completion, and the stages of recovery for the forensic patients in the community. The CANFOR highlighted the level of needs across the forensic patient population, whilst the HCR-20 data showed there was no significant difference in the mean clinical and risk management scores between male forensic patients across levels of security.
To the authors' knowledge this is the first study of its kind in New South Wales, Australia. We have demonstrated the utility of using a suite of measures to evaluate the risks, needs, and stages of recovery for an entire cohort of forensic patients. The data set helps inform service planning and development, together with providing various avenues for future research.</description><subject>Adult</subject><subject>Analysis</subject><subject>Cohort Studies</subject><subject>Criminals - psychology</subject><subject>DUNDRUM</subject><subject>Female</subject><subject>Forensic mental health</subject><subject>Forensic Psychiatry - methods</subject><subject>Forensic Psychiatry - trends</subject><subject>Health aspects</subject><subject>Health Services Needs and Demand - trends</subject><subject>Humans</subject><subject>Male</subject><subject>Management</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - therapy</subject><subject>Mental health services</subject><subject>Mental Health Services - trends</subject><subject>Middle Aged</subject><subject>Need</subject><subject>New South Wales - epidemiology</subject><subject>Outcome Assessment, Health Care</subject><subject>Recovery</subject><subject>Recovery of Function</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Security</subject><issn>1471-244X</issn><issn>1471-244X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptkkFr3DAQhU1paNK0P6CXIuglhzjVyJItXwpLaNpAoJcUehOyNNpValtbSRvIv6-2TkMWgg4aZt77mIFXVR-AXgDI9nMCJqWsKXQ1CMlr-ao6Ad5BzTj_9fpZfVy9TemOFqEU8KY6Zj0H0crmpLK3GyTRp9_pnMyINhE9W5KyXmMiwZGIJtxjfNjXmpgwbUfMSFyIOCdvyFZnj3Muk02Imfi5-Mlql3LUoy9lIWV8Vx05PSZ8__ifVj-vvt5efq9vfny7vlzd1EY0LNddU9YCibZnrh_6wXG05YJuQD04bRi1vR46MB00AzdcGCMdgqCUaWCO0ea0ul64Nug7tY1-0vFBBe3Vv0aIa6Vj9mZEZVqNAhtLJR04MKEbwaVpWiskagddYX1ZWNvdMKE15chy0gH0cDL7jVqHeyUk5ZS2BXD2CIjhzw5TVpNPBsdRzxh2SUHf960EzkSRflqka11W87MLhWj2crUSvKVdyygrqosXVOVZnLwJMzpf-gcGWAwmhpQiuqftgap9gNQSIFVyofYBUrJ4Pj4_-8nxPzHNXyfLwUk</recordid><startdate>20180207</startdate><enddate>20180207</enddate><creator>Adams, Jonathon</creator><creator>Thomas, Stuart D M</creator><creator>Mackinnon, Tobias</creator><creator>Eggleton, Damien</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20180207</creationdate><title>The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state</title><author>Adams, Jonathon ; Thomas, Stuart D M ; Mackinnon, Tobias ; Eggleton, Damien</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-7394118ed92f9b9bf4ed4717beabfac20d9ab71c713b4c45cc8fe15002a12f203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Analysis</topic><topic>Cohort Studies</topic><topic>Criminals - psychology</topic><topic>DUNDRUM</topic><topic>Female</topic><topic>Forensic mental health</topic><topic>Forensic Psychiatry - methods</topic><topic>Forensic Psychiatry - trends</topic><topic>Health aspects</topic><topic>Health Services Needs and Demand - trends</topic><topic>Humans</topic><topic>Male</topic><topic>Management</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Mental Disorders - therapy</topic><topic>Mental health services</topic><topic>Mental Health Services - trends</topic><topic>Middle Aged</topic><topic>Need</topic><topic>New South Wales - epidemiology</topic><topic>Outcome Assessment, Health Care</topic><topic>Recovery</topic><topic>Recovery of Function</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Security</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adams, Jonathon</creatorcontrib><creatorcontrib>Thomas, Stuart D M</creatorcontrib><creatorcontrib>Mackinnon, Tobias</creatorcontrib><creatorcontrib>Eggleton, Damien</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adams, Jonathon</au><au>Thomas, Stuart D M</au><au>Mackinnon, Tobias</au><au>Eggleton, Damien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state</atitle><jtitle>BMC psychiatry</jtitle><addtitle>BMC Psychiatry</addtitle><date>2018-02-07</date><risdate>2018</risdate><volume>18</volume><issue>1</issue><spage>35</spage><epage>35</epage><pages>35-35</pages><artnum>35</artnum><issn>1471-244X</issn><eissn>1471-244X</eissn><abstract>Routine outcome measures are increasingly being mandated across mental health services in Australia and overseas. This requirement includes forensic mental health services, but their utility in such specialist services and the inter-relationships between the measures remain unclear. This study sought to characterise the risks, needs and stages of recovery of an entire cohort of forensic patients in one jurisdiction in Australia.
Local expert groups, comprising of members of the forensic patient treating teams, were formed to gather information about the status and needs of all forensic patients in the State of New South Wales, Australia. The expert groups provided demographic information and completed three assessment tools concerning the risks, needs and stages of recovery of each forensic patient.
The cohort of 327 forensic patients in NSW appears to be typical of forensic mental health service populations internationally when considering factors such as gender, diagnosis, and index offence. A number of important differences across the three structured tools for forensic patients in different levels of secure service provision are presented. The DUNDRUM Quartet demonstrated interesting findings, particularly in terms of the therapeutic security needs, the treatment completion, and the stages of recovery for the forensic patients in the community. The CANFOR highlighted the level of needs across the forensic patient population, whilst the HCR-20 data showed there was no significant difference in the mean clinical and risk management scores between male forensic patients across levels of security.
To the authors' knowledge this is the first study of its kind in New South Wales, Australia. We have demonstrated the utility of using a suite of measures to evaluate the risks, needs, and stages of recovery for an entire cohort of forensic patients. The data set helps inform service planning and development, together with providing various avenues for future research.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>29415683</pmid><doi>10.1186/s12888-017-1584-8</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Analysis Cohort Studies Criminals - psychology DUNDRUM Female Forensic mental health Forensic Psychiatry - methods Forensic Psychiatry - trends Health aspects Health Services Needs and Demand - trends Humans Male Management Mental Disorders - epidemiology Mental Disorders - psychology Mental Disorders - therapy Mental health services Mental Health Services - trends Middle Aged Need New South Wales - epidemiology Outcome Assessment, Health Care Recovery Recovery of Function Risk Risk Factors Security |
title | The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state |
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