000 02855 2200325 4500
001 408945
011 _a0924-9338
090 _a408945
100 _a20241028d kkky0pory50 ba
101 _aeng
102 _aGB
200 _aEuropean Psychiatric Association (EPA) guidance on forensic psychiatry
_eevidence based assessment and treatment of mentally disordered offenders
_fBirgit A. Völlma, Martin Clarkeb, Vicenç Tort Herrandoc ... [et al.]
330 _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.
461 _cCambridge
_d2018
_pp. 58-73
_tEuropean Psychiatry
_vVol. 51
_x0924-9338
606 _91089
_aPSIQUIATRIA FORENSE
606 _9228698
_aDOENÇA MENTAL
606 _9105042
_aAVALIAÇÃO DO RISCO
606 _95106
_aPRISÃO
675 _911934
_a61
700 _9423274
_aVÖLLMA
_bBirgit A.
701 _4070
_9423275
_aCLARKE
_bMartin
701 _4070
_9423276
_aHERRANDOC
_bVicenç Tort
701 _4070
_9423277
_aSEPPÄNEND
_bAllan O.
701 _4070
_9423278
_aGOSEKE
_bPawel
701 _4070
_9423279
_aHEITZMANE
_bJanusz
701 _4070
_9423280
_aBULTEN
_bErik
801 _aPT
_gRPC
852 _j61VOL