02855 2200325 4500 408945 0924-9338 408945 20241028d kkky0pory50 ba eng GB European Psychiatric Association (EPA) guidance on forensic psychiatry evidence based assessment and treatment of mentally disordered offenders Birgit A. Völlma, Martin Clarkeb, Vicenç Tort Herrandoc ... [et al.] Forensic psychiatry in Europe is a specialty primarily oncerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders(MDOs)are oftencared for insecure psychiatric environments or prisons.In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs. We undertook a rapid review of the literature with search terms related to: forensic psychiatry, review articles, randomised controlled trials and best practice. We searched the Medline, Embase, PsycINFO, and Cochrane library databases from 2000 on wards for adult groups only. We scrutinised publications for additional relevant literature, and searched the websites of relevant professional organisations for policies,statements or guidance of interest. We presentthe findings of the scientific literature as well as recommendations for best practice drawing additionally from the guidance documents identified. We found that the evidence basefor forensic-psychiatric practice is weak though there is some evidence to suggest that psychiatric care produces better out comes than criminal justice detention only. Practitioners need to follow general psychiatric guidance as well as that for offenders, adapted for the complex needs of this patient group, paying particular attention to long-term detention and ethical issues. Cambridge 2018 p. 58-73 European Psychiatry Vol. 51 0924-9338 PSIQUIATRIA FORENSE DOENÇA MENTAL AVALIAÇÃO DO RISCO PRISÃO 61 VÖLLMA Birgit A. 070 CLARKE Martin 070 HERRANDOC Vicenç Tort 070 SEPPÄNEND Allan O. 070 GOSEKE Pawel 070 HEITZMANE Janusz 070 BULTEN Erik PT RPC 61VOL 0 61VOL 2024-10-28 9716 480545 DGRSP DGRSP DGRSP9716 61VOL 2024-10-28 0 AP