02794     2200313   4500001000700000011001400007090001100021100004100032101000800073102000700081200022300088330170800311461007102019606002402090606002002114606002702134606001302161675000702174700002402181701002402205701003502229701003202264701002302296701002702319701002202346801001202368852001002380995009002390408945  a0924-9338  a408945  a20241028d        kkky0pory50      ba  aeng  aGB  aEuropean Psychiatric Association (EPA) guidance on forensic psychiatryeevidence based assessment and treatment of mentally disordered offendersfBirgit A. Völlma, Martin Clarkeb, Vicenç Tort Herrandoc ... [et al.]  aForensic 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.  cCambridged2018pp. 58-73tEuropean PsychiatryvVol. 51x0924-9338  aPSIQUIATRIA FORENSE  aDOENÇA MENTAL  aAVALIAÇÃO DO RISCO  aPRISÃO  a61  aVÖLLMAbBirgit A.  4070aCLARKEbMartin  4070aHERRANDOCbVicenç Tort   4070aSEPPÄNENDbAllan O.   4070aGOSEKEbPawel  4070aHEITZMANEbJanusz  4070aBULTENbErik  aPTgRPC  j61VOL  10461VOL52024-10-28697169480545aDGRSPcDGRSPfDGRSP9716k61VOLn2024-10-28o0rAP