Monitored conditional release of persons found not guilty by reason of insanity.
- Administration and Policy in Mental Health and Mental Health Services Research 06/1994; 21(6):537-544. · 3.44 Impact Factor
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ABSTRACT: Until recently, many researchers have been sceptical about any relationship between psychiatric disorders and violence. Since public opinion has always been prejudiced against the mentally ill, professionals in the field of psychiatry have been very cautious about further stigmatizing individuals with psychiatric illnesses. The authors have reviewed studies of mental disorders and violence, particularly the most recent, and find that there is increasing evidence for an association between psychiatric disorders and violence. Recent data suggest that the combination of previous violent behavior, alcoholism and antisocial personality disorder markedly increases the risk of future violent behavior. Schizophrenia, personality disorders and alcoholism per se do not increase the risk of violent behavior as much as do the above factors, but the risk among these diagnostic groups is, however, notably higher than that in the general population. The authors emphasize that only a minority of patients with mental disorders are violent. Future research is needed to better identify and treat these potentially violent patients.International Journal of Psychiatry in Clinical Practice 01/1997; 1(3):179-188. · 1.31 Impact Factor
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ABSTRACT: This paper discusses issues in the community-based management of forensic patients. Community acceptance and safety demand a careful system of follow-up treatment for insanity acquittees. Many studies have examined the recidivism of this population, but few have dealt with administrative strategies to manage their care as outpatients. In this paper, we discuss our experiences in developing systems for follow-up care as outpatients. In this paper, we discuss our experiences in developing systems for follow-up care of insanity acquittees in the state of Maryland. Central to this work is the balancing of clinical, judicial and community concerns. The decision for outpatient care or movement of the patient to a non-forensic (regional) hospital is a significant turning point in the forensic patient’s care. One of the major challenges faced by forensic mental health services is to develop consistency of practice throughout a state. A centralized system is easier to manage, but costly. A system embedded in community mental health centers is less duplicative, but requires major and ongoing educational support. A private practice model is flexible, but administratively challenging. The authors believe Maryland possesses well-developed approaches for the evaluation, treatment and conditional release of insanity acquittees. The state continues to study and redesign its systems toward increased effectiveness and efficiency.The Journal of Behavioral Health Services & Research 08/1991; 18(3):242-252. · 1.03 Impact Factor
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