ArticleBMC psychiatry2018
The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state.
Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing the length of stay in forensic psychiatric settings: a systematic review.BMC health services research · 2024Pooled it
- From risky individuals to risky systems: a conceptual framework for the next generation of forensic mental health research.Frontiers in psychiatry · 2025Article
- Italian Evaluation and Excellence in REMS (ITAL-EE-REMS): appropriate placement of forensic patients in REMS forensic facilities.International journal of mental health systems · 2024Article
- Examining the need for a high level of therapeutic security at a regional forensic mental health service in Aotearoa New Zealand.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2024Article
- Excellence in forensic psychiatry services: international survey of qualities and correlates.BJPsych open · 2023Article
- A Qualitative Study on Sexuality and Sexual Experiences in Community Forensic Mental Health Patients in Queensland, Australia.Frontiers in psychiatry · 2022Article
- A review and comparative analysis of the risk-needs-responsivity, good lives, and recovery models in forensic psychiatric treatment.Frontiers in psychiatry · 2022Review
- A tool to evaluate proportionality and necessity in the use of restrictive practices in forensic mental health settings: the DRILL tool (Dundrum restriction, intrusion and liberty ladders).BMC psychiatry · 2020Observational
- Outcome measures of risk and recovery in Broadmoor High Secure Forensic Hospital: stratification of care pathways and moves to medium secure hospitals.BJPsych open · 2020Article
- Security needs among patients referred for high secure care in Broadmoor Hospital England.BJPsych open · 2020Article
- Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety.Frontiers in psychiatry · 2020Article
- Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services.Frontiers in psychiatry · 2019Article
- Prospective observational cohort study of 'treatment as usual' over four years for patients with schizophrenia in a national forensic hospital.BMC psychiatry · 2018Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoutine 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.
methodsLocal 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.
resultsThe 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.
conclusionsTo 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.
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