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Clinical Forensic Psychiatry: Settings and Practices

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Ethical Issues in Clinical Forensic Psychiatry

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Abstract

This chapter is an introduction to forensic psychiatry. It provides information of what constitutes forensic psychiatry practice in different countries.

The interplay between justice, criminal responsibility and mental health varies among countries. Although there are shared principles acknowledging some relationship between mental disorder and offending, how this is put into practice within the judicial process may differ. This chapter consequently describes in detail the British system and focuses on issues such as the remit of clinical forensic psychiatry and how it is practiced in courts, in prisons, in specialised hospitals and also in the community. It also lays out details about the different forensic psychiatry systems in Europe (outside UK), Australia, Asia, America and the Middle East.

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Notes

  1. 1.

    Figures depicting the use of the Act in England in 2016–2017 are not mentioned here as they have been acknowledged as unreliably low due to incomplete data submission from healthcare services (NHS Digital Mental Health Act Statistics 2017).

References

  • Abed RT (2005) Tyranny and mental health. Br Med Bull 72(1):1–13

    Article  PubMed  Google Scholar 

  • Adshead G (2012) Chapter 1: what the eye doesn’t see: relationships, boundaries and forensic mental health. In: Kelly G, Aiyegbusi A (eds) Professional and therapeutic boundaries in forensic mental health practice. Jessica Kingsley Publishers, London, pp 13–32

    Google Scholar 

  • Al-Adawi S (2002) Perception and attitude towards mental illness in Oman. Int J Soc Psychiatry 48(4):305–307

    Article  PubMed  Google Scholar 

  • Al-Obaidi A, Budosan B, Jeffrey L (2010) Child and adolescent mental health in Iraq: current situation and scope for promotion of child and adolescent mental health policy. Intervention 8(1):1–88. https://doi.org/10.1097/WTF.0b013e3283387adf

    Article  Google Scholar 

  • Al-Taiar H (2014) Forensic psychiatry services in the Arab world, the past and the future. European Psychiatry 29, 1. https://www.europsy-journal.com/article/S0924-9338(14)78188-X/pdf

  • Annual report (2013) Inpatients formally detained in hospitals under the mental health act 1983, and patients subject to supervised community treatment. Health and Social Care Information Centre, England

    Google Scholar 

  • Bruckner T, Scheffler R, Shen G, Yoon J, Chisholm D, Morris J, Fulton B, Mario Dal Poz M, Saxena S (2011) The mental health workforce gap in low- and middle- income countries: a needs-based approach. Bull World Health Organ 89:184–194

    Article  PubMed  Google Scholar 

  • Centre for Mental Health (2011a) Pathways to unlocking secure mental health care. CMH, London

    Google Scholar 

  • Centre for Mental Health (2011b) Mental health care and the criminal justice system (briefing 39). CMH, London

    Google Scholar 

  • Centre for Mental Health and Capacity Law (2014) Scotland’s Mental Health and Capacity Law: the case for reform. Mental Welfare Commission for Scotland. https://www.mwcscot.org.uk/media/371023/scotland_s_mental_health_and_capacity_law.pdf

  • Cetorelli V, Shabila N (2014) Expansion of health facilities in Iraq a decade after the US-led invasion, 2003–2012. Confl Heal 8(1):16

    Article  Google Scholar 

  • Crawford N (2013) Civilian death and injury in the Iraq War, 2003–2013, Costs of War [Internet]. Boston University; [cited 30 May 2016]

    Google Scholar 

  • De Boer J, Gerrits J (2007) Learning from Holland: the TBS system. Psychiatry 6(11):459–461

    Article  Google Scholar 

  • Delmage E, Exworthy T, Blackwood N (2015) The ‘hybrid order’: origins and usage. J Forensic Psychiatry Psychol 26:325–336

    Article  Google Scholar 

  • Department of Health, Home Office (1992) Vol. 1 final summary report. Review of health and social services of mentally disordered offenders and others requiring similar services (reed report). DoH, Home Office, London

    Google Scholar 

  • Department of Health (2009) The Bradley report. Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system. Department of Health, London

    Google Scholar 

  • Eastman N, Adshead G, Fox S, Latham R, Whyte S (2012) Chapter 8 Forensic Psychiatric Services. In Oxford Specialist Handbooks in Psychiatry: Forensic Psychiatry. Oxford University Press

    Google Scholar 

  • Edworthy R, Sampson S, Vollm B (2016) Inpatient forensic-psychiatric care: legal frameworks and service provision in three European countries. Int J Law Psychiatry 47:18–27. https://doi.org/10.1016/j.ijlp.2016.02.027

    Article  PubMed  Google Scholar 

  • Every-Palmer S, Brink J, Chern TP, Choi WK, Hern-Yee JG, Green B, Shiina A (2014) Review of psychiatric services to mentally disordered offenders around the Pacific rim. Asia Pac Psychiatry 6(1):1–17

    Article  PubMed  Google Scholar 

  • Fazel S, FimiÅ„ska Z, Cocks C, Coid J (2016) Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis. Br J Psychiatry 208:17–25

    Article  PubMed  PubMed Central  Google Scholar 

  • Felthous AR, Saab H (2007) International handbook on psychopathic disorders and the law. Wiley, New York

    Google Scholar 

  • Fujii C, Fukuda Y, Ando K, Kikuchi A, Okada T (2014) Development of forensic mental health services in Japan: working towards the reintegration of offenders with mental disorders. Int J Ment Health Syst 8(1):21

    Article  PubMed  PubMed Central  Google Scholar 

  • Galappathie N, Khan ST, Hussain A (2017) Civil and forensic patients in secure psychiatric settings: a comparison. Br J Psychiatry Bull 41:156–159

    Google Scholar 

  • Gordon H, Lindqvist P (2007) Forensic psychiatry in Europe. Psychiatrist 31(11):421–424

    Google Scholar 

  • Guidance for Commissioners of Forensic Mental Health Services (2013) Joint Commissioning Panel for Mental Health

    Google Scholar 

  • Gunn J, Taylor P (2014) Forensic psychiatry: clinical, legal and ethical issues. CRC Press, Boca Raton

    Book  Google Scholar 

  • Gunn J (2004) Introduction: what is forensic psychiatry? Crim Behav Ment Health 14:S1–S5

    Article  PubMed  Google Scholar 

  • Home Office. Report of the Committee on Mentally Abnormal Offenders (Butler report) (1975) Great Britain. Parliament. Papers by Command; Issue 6244 of Statutory instruments H.M. Stationery Office

    Google Scholar 

  • Jenkins R, Loza N (2010) Mental health policy and development in Egypt - integrating mental health into health sector reforms 2001–9. Int J Ment Health Syst 4:17. https://doi.org/10.1186/1752-4458-4-17

    Article  PubMed  PubMed Central  Google Scholar 

  • Kakuma R, Minas H, van Ginneken N, Dal Poz MR, Desiraju K, Morris JE, Saxena S, Scheffler RM (2011) Human resources for mental health care: current situation and strategies for action. Lancet 378(9803):1654–1663. https://doi.org/10.1016/S0140-6736(11)61093-3. Epub 2011 Oct 16

    Article  PubMed  Google Scholar 

  • Kennedy HG, O’Neill C, Flynn G, Gill P (2012) Dangerousness, Understanding, Recovery And Urgency Manual (The Dundrum Quartet) V1.0.24 (14/07/12) Four structured professional judgement instruments for admission triage, urgency, treatment completion and recovery assessments. National Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin 14, Ireland and Academic Department of Psychiatry, University of Dublin, Trinity College

    Google Scholar 

  • Kutcher S, Wei Y, Weist M (2015) School mental health: global challenges and opportunities. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Lynch G, Campbell P, Taggart C (2017) Mental capacity act (Northern Ireland) 2016. Br J Psychiatry Bull 41(6):353–357

    Google Scholar 

  • Médecins Sans Fontières (2009) Healing Iraqis: The challenges of providing mental health care in Iraq. Médecins Sans Fontières. https://www.msf.org/sites/msf.org/files/english_iraq_mental_health_final_report.pdf

  • Mental Health (Care and Treatment) (Scotland) Act 2003 Approved medical practitioner- training manual. https://www.gov.scot/Publications/2005/05/1093513/35148

  • Millan B (2001) New Directions; Report on the Review of the Mental Health (Scotland) Act 1984. Scottish Executive

    Google Scholar 

  • Mohan R, Slade M, Fahy T (2004) Clinical characteristics of community forensic mental health services. Psychiatr Serv 11:55

    Google Scholar 

  • Mullen P (2000) Forensic mental health. Br J Psychiatry 176:307–311

    Article  CAS  PubMed  Google Scholar 

  • Natarajan M, Srinivas J, Briscoe G, Forsyth S (2012) Community forensic psychiatry and the forensic mental health liaison model. Adv Psychiatr Treat 18:408–415

    Article  Google Scholar 

  • National Health Service Act -Chapter 41 (2006). https://www.legislation.gov.uk/ukpga/2006/41/contents

  • Nedopil N (2009) The role of forensic psychiatry in mental health systems in Europe. Crim Behav Ment Health 19(4):224–234

    Article  PubMed  Google Scholar 

  • Nedopil N, Taylor P, Gunn J (2015) Forensic psychiatry in Europe: the perspective of the Ghent group. Int J Psychiatry Clin Pract 19(2):80–83

    Article  PubMed  Google Scholar 

  • Owens DC, McKenna PJ, Davenport R (2010) Clinical assessment: interviewing and examination. In: Johnstone EC, Owens DC, Lawrie SM, McIntosh AM, Sharpe M (eds) Companion to psychiatric studies. Churchill Livingstone Elsevier, London

    Google Scholar 

  • Peay J (2011) Mental disorder and detention, a perspective from prison. Chapter 11. In: Mental health and crime. Routledge, Oxford

    Google Scholar 

  • Priebe S, Badesconyi A, Fioritti A, Hansson L, Kilian R, Torres-Gonzales F, Turner T, Wiersma D (2005) Reinstitutionalisation in mental health care: comparison of data on service provision from six European countries. Br Med J 330(7483):123–126

    Article  Google Scholar 

  • Richardson G (1999) Report of the Expert Committee: Review of the Mental Health Act 1983. Department of Health

    Google Scholar 

  • Rix KJB (2011) Chapter 1 ‘nature and duties of an expert witness’. In: Expert psychiatric evidence. RCPsych Publications, London

    Google Scholar 

  • Roesch R, Cook AN (2017) Handbook of forensic mental health services. Taylor & Francis, UK

    Book  Google Scholar 

  • Sadik S, Bradley M, Al-Hasoon S, Jenkins (2010) Public perception of mental health in Iraq. Int J Ment Health Syst 4(26):5–6. [Cited 2016 Mar 20]

    Google Scholar 

  • Sauter J, Seewald K, Dahle K-P (2017) Wirksamkeit ambulanter forensischer Nachsorge - Was wissen wir wirklich? Ãœbersichtsarbeit über den aktuellen Forschungsstand in der Bundesrepublik Deutschland. Bewährungshilfe 61(2):146–161

    Google Scholar 

  • See Think Act 2nd edition (2015) Royal College of Psychiatrists Quality Network for Forensic Mental Health Services

    Google Scholar 

  • The International Committee of the Red Cross (2006) Civilians without protection: The ever-worsening humanitarian crisis in Iraq [Internet]. Geneva. [Cited 1 April 2016]

    Google Scholar 

  • Turley C, Payne C, Webster S (2013) Enabling features of psychologically informed planned environments. NatCen Social Research. National Offender Management Service. Ministry of Justice Analytical Series

    Google Scholar 

  • WHO (2008) AIMS Report on mental health system in Oman [Internet]. http://www.who.int/mental_health/who_aims_oman_report.pdf

  • WHO (2016) Psychiatrists and nurses (per 100 000 population) [Internet]. Who.int. [cited 5 June 2016]. http://www.who.int/gho/mental_health/human_resources/psychiatrists_nurses/en/

  • Zigmond T (2017) Mental health law across the UK. Br J Psychiatry Bull 41:305–307

    Google Scholar 

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Author information

Authors and Affiliations

  1. Clinical Lecturer and Honorary Consultant Forensic Psychiatrist, London, UK

    Catherine Marshall

  2. Forensic Psychologist and Senior Researcher at Research & Development Division, Prison & Probation Services, Berlin, Germany

    Katharina Seewald

  3. Consultant Forensic Psychiatrist, Oxford, UK

    Hasanen Al Taiar

Authors
  1. Catherine Marshall
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  2. Katharina Seewald
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  3. Hasanen Al Taiar
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Corresponding author

Correspondence to Katharina Seewald .

Editor information

Editors and Affiliations

  1. Senior Clinical Lecturer and Honorary Consultant Psychiatrist, Division of Psychiatry, University College London, London, UK

    Artemis Igoumenou

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Marshall, C., Seewald, K., Al Taiar, H. (2020). Clinical Forensic Psychiatry: Settings and Practices. In: Igoumenou, A. (eds) Ethical Issues in Clinical Forensic Psychiatry . Springer, Cham. https://doi.org/10.1007/978-3-030-37301-6_1

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  • DOI: https://doi.org/10.1007/978-3-030-37301-6_1

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