Staff supported community outings among forensic mental health patients
Patient characteristics, rehabilitative goals, and (the absence of) adverse outcomes
Bibliographic Data
| ID | 15524172 |
|---|---|
| Authors | Christian Farrell (0000-0003-4250-3768, University of Alberta, corresponding author), Karen L Petersen (0000-0002-9633-5125, University of British Columbia), Peri Hanzouli (Provincial Health Services Authority), Tonia L Nicholls (0000-0002-5989-4665, Provincial Health Services Authority) |
| Year | 2024 |
| Volume | 15 |
| Pages | 1382676-1382676 |
| Publication date | 2024-04-02 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2024.1382676 |
| PMID | 38628258 |
| OpenAlex | W4393466323 |
| Language | EN |
| References cited | 25 |
Mental health professionals are tasked with making difficult clinical decisions in treatment settings. In the forensic system, decision making regarding staff supervised community outings (SSCOs) provides a significant challenge due to the need to balance patient liberties, mental health recovery, and public safety. This study explored the characteristics and rehabilitative nature of SSCOs, characteristics of patients attending SSCOs, and any adverse events that occurred during the outings. Employing a cross-sectional design, 110 patients who participated in SSCOs over a one-year period from a Canadian Forensic Psychiatric Hospital were included. Clinical records were reviewed to capture patient and SSCO variables. Descriptive analyses were used to calculate participant, risk, SSCO, and adverse event characteristics. Qualitative analysis was used to explore the purpose of SSCOs and rehabilitative progress that occurred during the outings. Patients attending SSCOs were comprised of long-stay patients with over half having committed a violent index offence. Almost 75% of patients had a moderate/high risk for violence and 50% of the patients had a moderate/high risk of absconding. During the study period, 463 SSCOs were completed. Most outings focused on developing skills for daily living and staff comments suggested many patients developed skills in these areas. Despite considerable risk profiles and public concern regarding forensic patients having community access, there was a single occurrence of unauthorized leave and no instances of violence or substance use. This research can disrupt stigma, demonstrating that SSCOs support a specific rehabilitative intent, promote community reintegration, and maintain public safety
Adverse effect · Mental health · Physical therapy · Psychiatry · Public health · Qualitative research · Healthcare Decision-Making and Restraints · Medicine · Nursing · Psychiatric care and mental health services · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending · Rehabilitation
The Recent Past and Near Future of Risk and/or Need Assessment
Research electronic data capture (Redcap)—A metadata-driven methodology and workflow process for providing translational research informatics support
The Redcap consortium
Granting Leave to Patients in Bavarian Forensic-Psychiatric Hospitals
Temporary absences from prison in Canada reduce unemployment and reoffending
| Highly cited | No |
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