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Long-Term Forensic Psychiatric Care
This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little re...
Focus on Brain Mapping Research
This book includes research derived from non-invasive brain imaging modalities used to explore the spatial and temporal organisation of the neural systems supporting human behaviour. Imaging modalities of interest include positron emission tomography, event-related potentials, electro-and magnetoencephalography, magnetic resonance imaging, and single-photon emission tomography. Coverage includes novel brain imaging methods, analyses for detecting or localising neural activity, synergistic uses of multiple imaging modalities, and strategies for the design of behavioural paradigms and neural-systems modelling.
The Use of Coercive Measures in Forensic Psychiatric Care
This book presents the legal context and describes the ethical and practical challenges when using coercive measures in forensic psychiatric settings. A wide range of aspects relevant to the use of such measures, including environmental, patient-related, and staff-related factors, are explored, and the experience of coercive interventions is described from the staff and the patient perspective. Differences in jurisdictions and examples of good practice are highlighted. The authors are from a range of professional backgrounds, ensuring breadth as well as depth in discussion of the topic. The use of coercive measures, in particular restraint, seclusion, and involuntary medication, for the cont...
Diversity and Marginalisation in Forensic Mental Health Care
This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward. Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients’ socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more. Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.
Ethical Issues in Prison Psychiatry
Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.
The Essen Climate Evaluation Schema EssenCES
The social atmosphere in forensic hospitals and prisons is crucial to their success – this "manual and more" shows how to assess the climate and identify ways of improving it. The social climate in settings such as forensic psychiatric hospitals and prisons is crucial to their success. The Essen Climate Evaluation Schema (EssenCES) described here is a short, well-validated questionnaire that measures three essential facets of an institution's social atmosphere. An overview of the EssenCES is followed by detailed advice on how to administer and score it and how to interpret findings, as well as reference norms from various countries and types of institutions. The EssenCES "manual and more" is thus a highly useful tool for researchers, clinicians, and service managers working in forensic settings.
