Violence among the Mentally III: Effective Treatments and Management StrategiesSheilagh Hodgins The NATO Advanced Study Institute on the Prevention of Crime and Violence Among the Mentally III was held in May 1999 in Tuscany, Italy. Participants from 15 countries attended. Since care for persons with mental illness (schizophrenia, major depression, bipolar disorder, delusional disorder, atypical psychoses) has been deinstitutionalized, some persons with these disorders are committing crimes and serious violence. Consequently, societies around the world are confronted with a new challenge: to provide mental health care and social services to mentally ill persons in a humane way that will prevent illegal behaviours. Research in this field has been dominated by investigations designed to improve clinicians' accuracy in predicting violent behaviours, with little attention focused on the organization and implemen tation of treatments. The premise of the Advanced Study Institute was that treatments must have em pirically proven efficacy. Both professional ethics and public accountability require empirical evidence that each treatment will alleviate the problem that it targets. However, despite the fact that Western industrial societies provide treatment for mentally ill persons who have offended, there is a very limited base of knowledge on what constitutes effective treatment and how such treatments should be organized and delivered. The Advanced Study Institute was an attempt to stimulate and encour age research that will extend this knowledge base. The goals were to review what is known about mentally ill offenders and about effective treatments for them, and to provide a framework for the orientation of future investigations designed to improve treatment efficacy. |
Contents
A Focus on Patient Populations and Cohort Investigations | 3 |
Diagnostically Based Clues from the MacArthur Violence Risk Assessment Study | 19 |
A Return to a Situational Perspective | 35 |
Monahan and Appelbaum Reducing Violence Risk Diagnostically Based Clues from the MacArthur Violence Risk Assessment Study Steadman and Si... | 49 |
ETIOLOGICAL FACTORS LINKED TO CRIMINAL VIOLENCE AND ADULT MENTAL ILLNESS | 59 |
Tehrani and Mednick Etiological Factors Linked to Criminal Violence and Adult Mental Illness | 77 |
Conceptual and Methodological Issues and Some Preliminary Findings | 89 |
An Approach to Managing Violence and Improving Mental Health | 117 |
Emerging Evidence and Its Relevance to Effective Treatment and Prevention of Violence on Psychiatric Wards | 235 |
Prevention Strategies and Challenges to Their Evaluation | 249 |
EFFECTIVE TREATMENT STRATEGIES FOR PREVENTING VIOLENCE ON PSYCHIATRIC WARDS | 275 |
Size Specificity and Implications for Practice | 289 |
EFFECTIVE TREATMENT FOR DISTURBED VIOLENT PRISONERS? | 311 |
THE EFFICACY AND EFFECTIVENESS OF COMMUNITY TREATMENT PROGRAMMES IN PREVENTING CRIME AND VIOLENCE AMON... | 339 |
Heilbrun and Peters The Efficacy and Effectiveness of Community Treatment Programmes in Preventing Crime and Violence Among Those with Se... | 357 |
SOCIAL SERVICES NECESSARY FOR COMMUNITY TREATMENT PROGRAMMES DESIGNED TO PREVENT CRIME AND VIOLENCE AM... | 365 |
TREATMENT IMPLICATIONS OF THE ANTECEDENTS OF CRIMINALITY AND VIOLENCE IN SCHIZOPHRENIA AND MAJOR AFFECTIVE... | 143 |
PHARMACOLOGICAL INTERVENTION FOR PREVENTING VIOLENCE AMONG THE MENTALLY ILL WITH SECONDARY ALCOHOL AN... | 169 |
PHARMACOLOGICAL INTERVENTIONS FOR PREVENTING VIOLENCE AMONG THE MENTALLY ILL WITH COOCCURRING PERSONAL... | 191 |
INSTITUTIONAL VIOLENCE AMONG THE MENTALLY ILL | 211 |
381 | |
Administrative Organization Legal and Clinical Aspects | 387 |
407 | |
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Violence among the Mentally III: Effective Treatments and Management Strategies Sheilagh Hodgins No preview available - 2000 |
Common terms and phrases
affective disorder alcohol American Journal antisocial personality disorder Archives assaults associated bipolar disorder birth cohort British Journal carbamazepine chiatry clinical clinicians clozapine committed Community Psychiatry community treatment comorbid conduct disorder delusions diagnosis discharge drug early-starters effect follow-up genetic Hakola hallucinations Hodgins homicide Hospital and Community incidents individuals inmates inpatient insanity defence interventions Journal of Psychiatry major mental disorders males measures medication Mednick mental health mentally disordered offenders mentally ill mentally ill offenders Monahan Mueser neuroleptics odds ratio outcome outpatient outpatient commitment personality disorder prediction predictors prevention prison problems psychiatric hospital psychiatric patients Psychiatric Services Psychology Psychopathy psychosis psychotic symptoms Quinsey rates recidivism reduce relationship risk assessment risk factors risk of violence risperidone sample schizoaffective disorder schizophrenia severe mental illness staff Steadman studies substance abuse teratogen Tiihonen tion treatment programmes variables violence risk violent acts violent behaviour violent offending Volavka