RT Article
T1 An investigation of mental health care pathways for patients with psychosis who engage in antisocial behaviours
JF The journal of forensic psychiatry & psychology
VO 34
IS 5/6
SP 417
OP 433
A1 Challinor, Alexander
A2 Whyler, Jonathon
A2 Meggison, Neil
A2 Cresswell, Phoebe
A2 Evans, Leah
A2 Bingley, Michael
A2 Somarathne, Praveen
A2 Thompson, Jodi
A2 McIntyre, Jason
A2 Washington, Dawn
A2 Nathan, Rajan
LA English
YR 2023
UL https://krimdok.uni-tuebingen.de/Record/1871896681
AB Secure mental health services aim to assess and treat mentally disordered offenders, where a patients care pathway involves their movement from service to service on an individual journey towards recovery. Research has attempted to understand the relationship between psychosis and violence for mentally disordered offenders. From this empirical evidence base a tripartite typology has emerged. Three subgroups have been categorised as (i) schizophrenia preceded by conduct disorder (SZ+CD), (ii) offenders with schizophrenia who begin offending at illness onset (SZ+AS), and (iii) offenders with schizophrenia (SZ). This study aimed to examine differences in care pathways between subgroups. The sample consisted of 77 male patients admitted to low- and medium-secure care. The subgroup of patients was determined from data collected from health records. The analysis examined the differences in patient care pathways. The results demonstrated differences in subgroup pathways to, within and from secure services. The SZ+CD subgroup had a higher number of placements used, were more likely to transition between the same level of security, and had an increased use of the private sector. The SZ+AS subgroup was significantly more likely to use intensive care and less likely to use high secure services. Examining care pathways of mentally disordered offenders will ensure a more evidence-based approach to the configuration and operationalisation of services, help guide policymakers and hopefully improve patient care.
K1 care pathways
K1 Forensic psychiatry
K1 Violence
K1 Conduct Disorder
K1 Antisocial Personality Disorder
K1 Schizophrenia
DO 10.1080/14789949.2023.2251949