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[PMID]:28270462
[Au] Autor:Lacroix R; O'Shaughnessy R; McNiel DE; Binder RL
[Ad] Endereço:Dr. Lacroix is a Forensic Fellow, Dr. Binder is Professor and Director, Psychiatry and the Law Program, and Dr. McNiel is Professor of Clinical Psychology, Department of Psychiatry, University of California, San Francisco. Dr. O'Shaughnessy is Clinical Professor, Department of Psychiatry, Faculty of
[Ti] Título:Controversies Concerning the Canadian Not Criminally Responsible Reform Act.
[So] Source:J Am Acad Psychiatry Law;45(1):44-51, 2017 Mar.
[Is] ISSN:1943-3662
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In Canada, individuals found not criminally responsible on account of mental disorder are subject to the disposition recommendations of the Provincial or Territorial Review Board of the jurisdiction where the offense was committed. Bill C-14, known as "The Not Criminally Responsible Reform Act" made changes to the postverdict disposition process of these individuals. This legislation was consistent with a broader "tough-on-crime" agenda of the previous federal government. The legislative changes codify that Review Boards take public safety as the "paramount consideration" in making their recommendations. The legislation also creates a new "high-risk" category for certain offenders and imposes limitations on their liberty. Further, Bill C-14 seeks to enhance victim involvement in the disposition process. The passage of this legislation has generated significant controversy in the medical and legal fields. Critics have stated that there is an absence of empirical evidence on which to base the amendments, that the legislation was an overreaction to high-profile cases, and that Bill C-14 is in questionable compliance with the Canadian Charter of Rights and Freedoms. In this review, we explore the potential catalysts involved in the creation of Bill C-14, the controversy surrounding the legislation, and the potential future impact on practicing forensic psychiatrists and on the forensic mental health system in Canada.
[Mh] Termos MeSH primário: Criminosos/legislação & jurisprudência
Criminosos/psicologia
Psiquiatria Legal/legislação & jurisprudência
Reforma dos Serviços de Saúde/legislação & jurisprudência
Defesa por Insanidade
Transtornos Mentais/diagnóstico
Transtornos Mentais/terapia
Prisioneiros/legislação & jurisprudência
Prisioneiros/psicologia
Opinião Pública
[Mh] Termos MeSH secundário: Canadá
Internação Compulsória de Doente Mental/legislação & jurisprudência
Comportamento Perigoso
Seres Humanos
Transtornos Mentais/psicologia
Medição de Risco/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE


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[PMID]:28012128
[Au] Autor:Osculati A; Visonà SD; Re L; Sozzi M; Castelli F; Andrello L; Vignali C
[Ad] Endereço:Department of Public Health, Experimental and Forensic Medicine, Unit of Legal Medicine and Forensic Sciences "Antonio Fornari", University of Pavia, Pavia, Italy.
[Ti] Título:Death of a seven-month-old child in a washing machine: a case report.
[So] Source:Int J Legal Med;131(3):719-722, 2017 May.
[Is] ISSN:1437-1596
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The authors present a case which brings out a unique modality of child homicide by placing the baby in a washing machine and turning it on. The murder was perpetrated by the baby's mother, who suffered from a serious depressive disorder. A postmortem RX and then a forensic autopsy were performed, followed by histologic examinations and toxicology. On the basis of the results of the autopsy, as well as the histology and the negative toxicological data, the cause of death was identified as acute asphyxia. This diagnosis was rendered in light of the absence of other causes of death, as well as the presence of typical signs of asphyxia, such as epicardial and pleural petechiae and, above all, the microscopic examinations, which pointed out a massive acute pulmonary emphysema. Regarding the cause of the asphyxia, at least two mechanisms can be identified: drowning and smothering. In addition, the histology of the brain revealed some findings that can be regarded as a consequence of the barotrauma due to the centrifugal force applied by the rotating drum of the washing machine. Another remarkable aspect is that we are dealing with a mentally-ill assailant. In fact, the baby's mother, after a psychiatric examination, was confirmed to be suffering from a mental illness-a severe depressive disorder-and so she was adjudicated not-guilty-by-reason-of-insanity. This case warrants attention because of its uniqueness and complexity and, above all, its usefulness in the understanding of the pathophysiology of this particular manner of death.
[Mh] Termos MeSH primário: Asfixia/patologia
Homicídio
Utensílios Domésticos
[Mh] Termos MeSH secundário: Asfixia/etiologia
Barotrauma/etiologia
Barotrauma/patologia
Centrifugação
Transtorno Depressivo Maior/psicologia
Feminino
Seres Humanos
Lactente
Defesa por Insanidade
Mães/psicologia
Enfisema Pulmonar/patologia
Púrpura/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161225
[St] Status:MEDLINE
[do] DOI:10.1007/s00414-016-1521-2


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[PMID]:26648167
[Au] Autor:Sygel K; Sturup J; Fors U; Edberg H; Gavazzeni J; Howner K; Persson M; Kristiansson M
[Ad] Endereço:National Board of Forensic Medicine and Karolinska Institutet, Sweden.
[Ti] Título:The effect of gender on the outcome of forensic psychiatric assessment in Sweden: A case vignette study.
[So] Source:Crim Behav Ment Health;27(2):124-135, 2017 Apr.
[Is] ISSN:1471-2857
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Previous research suggests that female violent offenders at risk of a prison sentence are more likely than their male counterparts to be assessed as having mental health problems of a nature or degree that would lead to a court requirement for hospital treatment. AIMS/HYPOTHESES: To test the hypothesis that there is bias towards hospital disposal of female compared with male violent offenders with mental disorder. METHODS: In Sweden, the National Board of Forensic Medicine oversees all assessments of mental disorder for the criminal courts. Twenty-six Board appointed forensic psychiatrists, psychologists and social workers each independently assessed six case vignettes for fit with criteria for 'severe mental disorder', a prerequisite for hospital disposal from court. Each gender neutral vignette described a person who had been convicted of serious assault and had a major mental disorder. A gender was then assigned to each offender randomly within a block design, thus varying between sets. Participants were blind to the main aim of the study and the gender variation. RESULTS: There was no significant association between gender of the person assessed and judgement that s/he had a 'severe mental disorder'. An offender depicted as having mental retardation was more likely to be assessed as at high risk of criminal recidivism if portrayed as female, regardless of the sex, place of work or level of experience of the assessor. CONCLUSION: We found no evidence of gender bias in determining appropriateness of a hospital disposal of an offender with mental disorder. The difference in assessment of recidivism according to sex of the patient was only in relation to mental retardation; further research would be needed to able to interpret this. As researchers in other countries have reported gender bias in disposals from court, our findings may provide support for a centralised forensic psychiatric assessment board and formal, on-going training. Copyright © 2015 John Wiley & Sons, Ltd.
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental
Criminosos/estatística & dados numéricos
Psiquiatria Legal
Deficiência Intelectual/psicologia
Pessoas Mentalmente Doentes
Transtornos Psicóticos/psicologia
[Mh] Termos MeSH secundário: Adulto
Atitude
Feminino
Seres Humanos
Defesa por Insanidade
Masculino
Recidiva
Fatores Sexuais
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170502
[Lr] Data última revisão:
170502
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151210
[St] Status:MEDLINE
[do] DOI:10.1002/cbm.1987


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[PMID]:27837570
[Au] Autor:Douzenis A
[Ad] Endereço:Associate Professor in Psychiatry-Forensic Psychiatry, Director 2nd Psychiatry Department Athens University Medical School, "Attikon" Hospital.
[Ti] Título:The importance of the patients deemed not guilty by reason of insanity for the psychiatric reform.
[So] Source:Psychiatriki;27(3):165-168, 2016 Jul-Sep.
[Is] ISSN:1105-2333
[Cp] País de publicação:Greece
[La] Idioma:eng; gre
[Ab] Resumo:According to the Greek Penal Law if someone "because of a morbid disturbance of his mental functioning" (article 34) is acquitted of a crime or misdemeanour that the law punishes with more than 6 months imprisonment, then the court orders that this individual should be kept in a public psychiatric institution if the court reaches the conclusion that this person poses a threat to public safety.1 Individuals who have broken the law and deemed "not guilty by reason of insanity" are treated in psychiatric units of Psychiatric Hospitals according to the article 69 of the Penal Code. In Athens, in the Psychiatric Hospital of Athens and the Dromokaiteion Psychiatric Hospital, and in Thessaloniki in the Unit for "Not guilty by reason of insanity (NGRI)". The person who is deemed not guilty by reason of insanity following a crime is facing double stigmatisation and marginalisation from both the legal and the health system. He/she is usually treated initially with fear and later since there is no therapeutic aim but only the court instruction for "guardianship", with indifference. The patient who is committed by the courts in a psychiatric unit for being "NGRI" is facing a unique legal and psychiatric status.2 In this respect he/she is disadvantaged when compared to either convicted criminals or psychiatric inpatients. If the patient was not found "NGRI" (ie innocent as far as sentencing is concerned) he would have been punished with loss of liberty for a certain (specific) amount of time, and like all individuals convicted in court he/she would have the right to appeal and reduce his/her sentence in a higher court and maybe released from prison earlier for good behaviour etc. In this respect the individual found to be "NGRI" is disadvantaged when compared to a convicted felon since he/she is kept for an undefined period of time. Additionally, he/she will be allowed to leave the psychiatric unit following a subjective assessment of a judge with no psychiatric knowledge who will decide that this certain individual has "ceased to be dangerous". These problems are accentuated by the difficulties that the Greek justice system is facing. On the other side, from the psychiatric point of view, the "NGRI" patient who is an inpatient is not receiving the holistic, (bio psycho social) treatment and assessment of needs he/she requires. The psychiatric team looking after him, once the acute symptomatology is controlled is just getting used to a patient who will not be discharged in the immediate future. These patients form the "new chronic asylum psychiatric inpatients" for whom the treating psychiatrists are not allowed to discharge back into the community whilst it is unclear whether they can be transferred to supported rehabilitation units. It is a medical but also legal paradox to assign to contemporary psychiatric units aiming mainly to treat patients in the community to "keep and guard" inpatients whilst these psychiatric units should focus on care and rehabilitation of the patients (including the "NGRIs").3 Keeping patients like these in psychiatric units creates problems in the functioning of the units. These patients are "kept" in acute beds for long periods of time (5 to 6 years minimum) with patients treated voluntarily or against their will and cannot be discharged without a court's decision. The problems are obvious if one realises that the average time of hospitalisation is not exceeding 2 months for the vast majority of psychiatric patients. With the prolonged stay patients of the "article 69" (NGRIs) they not only burden the already limited resources (there is an established lack of psychiatric beds nationwide) but also this prolonged hospitalisation increases their stigmatisation and marginalisation. Thus the prolonged hospitalisation for "safety" reasons according to the court decision leads to the absence of a therapeutic aim other than maintaining the patient on the ward. Greece has agreed that there is an urgent need in developing community psychiatry services and closure/transformation of the big psychiatric hospitals (asylums). It is impossible to close hospitals where "NGRIs" are kept. The decision to move them into the community is not a medical-psychiatric but a legal one. In this respect it is imperative to establish a Forensic Psychiatric Unit for these patients. In our country as the "Psychargos" external evaluation highlighted, there are great gaps in the provision of Forensic psychiatric services.3 It must be emphasised that these gaps affect negatively psychiatric reform and social reintegration not only for the forensic psychiatric patients but for the whole of mentally ill individuals. Given that forensic Psychiatric services are developed in Athens and Thessaloniki and that training in Forensic Psychiatry has moved forward, it is imperative that the state should build upon the existing knowledge and experience and create specialist forensic units aiming to treat and rehabilitate this special and important group of patients.4 Only when the patients found "not guilty by reasons of insanity" have their own (safe for the society and them) therapeutic and rehabilitative services the aim of de-institutionalisation will be visible and realistic to implement.
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental/legislação & jurisprudência
Reforma dos Serviços de Saúde/legislação & jurisprudência
Defesa por Insanidade
[Mh] Termos MeSH secundário: Serviços Comunitários de Saúde Mental/legislação & jurisprudência
Comportamento Perigoso
França
Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência
Número de Leitos em Hospital
Hospitais Psiquiátricos/legislação & jurisprudência
Seres Humanos
Alta do Paciente/legislação & jurisprudência
Competência Profissional/legislação & jurisprudência
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170403
[Lr] Data última revisão:
170403
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161113
[St] Status:MEDLINE


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[PMID]:27504642
[Au] Autor:Hilton NZ; Simpson AI; Ham E
[Ad] Endereço:Department of Psychiatry, University of Toronto.
[Ti] Título:The increasing influence of risk assessment on forensic patient review board decisions.
[So] Source:Psychol Serv;13(3):223-31, 2016 Aug.
[Is] ISSN:1939-148X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Previous studies of decisions about forensic patients' placement in secure hospitals indicate some changes over time in the use of empirically supported risk factors. Our aim was to investigate whether, in more recent cases, risk assessment instruments were cited by a forensic patient review board or by the clinicians who made recommendations to the board and whether there was evidence of an association between risk assessment results and either dispositions or recommendations. Among review board hearings held in 2009-2012 pertaining to 63 different maximum security patients found not criminally responsible on account of mental disorder in Ontario, Canada, dispositions were most strongly associated with psychiatrists' testimony, consistent with previous studies. However, dispositions were associated with the scores on the Violence Risk Appraisal Guide (VRAG), such that transferred patients had a lower risk of violent recidivism than detained patients. An association between clinical opinions and risk assessment results was also evident and significantly larger than in previous research. There was no evidence that risk assessment was cited selectively in higher risk cases or when scores were concordant with the review board decision. This research may provide a baseline for studies of the effect of 2014 legislation introducing a high-risk designation for forensic patients in Canada. We recommend further efforts to measure the effect of nonpharmacological treatment participation and in-hospital security decisions on forensic decision-making. (PsycINFO Database Record
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental/legislação & jurisprudência
Criminosos/legislação & jurisprudência
Criminosos/psicologia
Defesa por Insanidade
Transtornos Mentais/diagnóstico
Transtornos Mentais/psicologia
Prisioneiros/legislação & jurisprudência
Prisioneiros/psicologia
[Mh] Termos MeSH secundário: Comitês Consultivos/legislação & jurisprudência
Canadá
Prova Pericial/legislação & jurisprudência
Seres Humanos
Competência Mental/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160810
[St] Status:MEDLINE
[do] DOI:10.1037/ser0000068


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[PMID]:27337424
[Au] Autor:Freeman SA
[Ad] Endereço:Department of Psychiatry, Harvard Medical School, Boston, and Massachusetts General Hospital, Boston.
[Ti] Título:Criminal Forensic Psychiatry: A Primer for Psychiatrists.
[So] Source:J Clin Psychiatry;77(6):e745, 2016 Jun.
[Is] ISSN:1555-2101
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Many mentally ill people are currently held in correctional settings, and general psychiatrists should be familiar with criminal forensic psychiatry in order to understand the legal aspects of the evaluation and treatment of these individuals, especially with regard to competency to stand trial and insanity. This educational activity briefly explains these evaluations and reviews relevant landmark legal cases.
[Mh] Termos MeSH primário: Educação Médica Continuada
Psiquiatria Legal/educação
Transtornos Mentais/diagnóstico
Transtornos Mentais/psicologia
[Mh] Termos MeSH secundário: Internação Compulsória de Doente Mental/legislação & jurisprudência
Currículo
Seres Humanos
Defesa por Insanidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160624
[St] Status:MEDLINE
[do] DOI:10.4088/JCP.11069tx1c


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[PMID]:27256003
[Au] Autor:Carabellese F; Felthous AR
[Ad] Endereço:Saint Louis University School of Medicine, Saint Louis, MO, U.S.A.
[Ti] Título:Closing Italian Forensic Psychiatry Hospitals in Favor of Treating Insanity Acquittees in the Community.
[So] Source:Behav Sci Law;34(2-3):444-59, 2016 Mar.
[Is] ISSN:1099-0798
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Originally a hedge against the death penalty, the insanity defense came to offer hospitalization as an alternative to imprisonment. In the late 19th century Italy opened inpatient services first for mentally ill prisoners and then for offenders found not guilty by reason of insanity. Within the past decade, a series of decrees has resulted in transferring the responsibility for treating NGRI acquittees and "dangerous" mentally ill prisoners from the Department of Justice to the Department of Health, and their treatment from Italy's high security forensic psychiatric hospitals (OPGs) to community regional facilities (REMSs, Residences for the Execution of Security Measures), community mental health facilities, one of which is located in each region of Italy. Today community REMSs provide the treatment and management of socially dangerous offenders. The dynamic evolution of Italy's progressive mental health system for insanity acquittees, to our knowledge the most libertarian, community oriented approach of any country, is retraced. Discussion includes cautionary concerns as well as potential opportunities for improvements in mental health services. Copyright © 2016 John Wiley & Sons, Ltd.
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental
Serviços Comunitários de Saúde Mental/utilização
Psiquiatria Legal/recursos humanos
Defesa por Insanidade
[Mh] Termos MeSH secundário: Serviços Comunitários de Saúde Mental/normas
Criminosos/psicologia
Comportamento Perigoso
Psiquiatria Legal/métodos
Hospitalização/tendências
Hospitais Psiquiátricos
Seres Humanos
Itália
Serviços de Saúde Mental/utilização
Pessoas Mentalmente Doentes/psicologia
Prisioneiros/psicologia
Transtornos Psicóticos/psicologia
Transtornos Psicóticos/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170303
[Lr] Data última revisão:
170303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160604
[St] Status:MEDLINE
[do] DOI:10.1002/bsl.2234


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[PMID]:27138216
[Au] Autor:Salem L; Crocker AG; Charette Y; Earls CM; Nicholls TL; Seto MC
[Ad] Endereço:Université de, Montréal, QC, Canada.
[Ti] Título:Housing Trajectories of Forensic Psychiatric Patients.
[So] Source:Behav Sci Law;34(2-3):352-65, 2016 Mar.
[Is] ISSN:1099-0798
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The objectives of this study were to describe the disposition and housing trajectories of individuals found Not Criminally Responsible on account of Mental Disorder (NCRMD), and the factors that predict different trajectories. To do so, disposition and housing status were coded for 934 NCRMD patients over a 36-month follow-up period. Sequential data analysis resulted in four distinct trajectories: detention in hospital, conditional discharge in supportive housing, conditional discharge in independent housing, and absolute discharge to unknown housing. The likelihood of a placement in supportive housing compared with detention significantly decreased for individuals with a higher index offense severity. Less restrictive trajectories were significantly predicted by clinical factors. The results revealed little change in the disposition and housing trajectories of NCRMD patients. Furthermore, decisions about disposition and housing placement reflect a knowledge-practice gap between risk factors known to be predictive of community resources use in the forensic population. Copyright © 2016 John Wiley & Sons, Ltd.
[Mh] Termos MeSH primário: Psiquiatria Legal/estatística & dados numéricos
Defesa por Insanidade
Transtornos Mentais/psicologia
Alta do Paciente/estatística & dados numéricos
Medição de Risco/métodos
[Mh] Termos MeSH secundário: Adulto
Ciências do Comportamento/tendências
Canadá/epidemiologia
Criminosos/legislação & jurisprudência
Criminosos/psicologia
Feminino
Psiquiatria Legal/métodos
Psiquiatria Legal/tendências
Habitação/estatística & dados numéricos
Habitação/tendências
Seres Humanos
Masculino
Competência Mental/legislação & jurisprudência
Competência Mental/psicologia
Transtornos Mentais/diagnóstico
Meia-Idade
Alta do Paciente/legislação & jurisprudência
Alta do Paciente/tendências
Fatores de Risco
Violência/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170303
[Lr] Data última revisão:
170303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160504
[St] Status:MEDLINE
[do] DOI:10.1002/bsl.2223


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[PMID]:27132763
[Au] Autor:Rezende Leal J; Martins Valença A
[Ad] Endereço:Instituto de Psiquiatria, Universidade Federal de Rio de Janeiro, Brasil.
[Ti] Título:[Fratricide and Schizophrenia].
[Ti] Título:Fratricidio y esquizofrenia..
[So] Source:Rev Colomb Psiquiatr;45(2):133-6, 2016 Apr-Jun.
[Is] ISSN:0034-7450
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:BACKGROUND: Fratricide is the killing of one's own bother. It's a type of homicide rarely seen on psychiatric practice. This is still a theme which is poorly studied, and not well understood by the scientific literature. OBJECTIVE: To report a case of a men, with paranoid schizophrenia that murdered his own bother and had a psychiatric forensic evaluation to establish his penal responsibility. METHODS: A psychiatric interview was carried out and the psychiatric diagnosis was established based on the interview and analysis of forensic and medical records, using the DSM-IV-TR criteria. Literature review was held about the theme. RESULTS: The examinee was considered not guilty by reason of insanity, due to the presence of a mental disorder that affected her entire understanding and volition of the practiced act. CONCLUSIONS: The study of such cases may illustrate and identify motivating factors related to homicidal behavior in individuals with severe mental disorders.
[Mh] Termos MeSH primário: Homicídio/psicologia
Defesa por Insanidade
Esquizofrenia Paranoide/psicologia
Psicologia do Esquizofrênico
[Mh] Termos MeSH secundário: Brasil
Homicídio/legislação & jurisprudência
Seres Humanos
Masculino
Meia-Idade
Esquizofrenia Paranoide/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160503
[St] Status:MEDLINE


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[PMID]:27097984
[Au] Autor:Melnick I
[Ti] Título:Passageway: A Novel Approach to Success of Conditional Release - Principles and Constructs of the Model Residential Program for the Forensic Mentally III Patient.
[So] Source:Behav Sci Law;34(2-3):396-406, 2016 Mar.
[Is] ISSN:1099-0798
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:With the advent of psychotropic medications and with the deinstitutionalization of psychiatry starting in 1968, patients were prematurely discharged from forensic state hospitals. Due to lack of resources, psychiatric forensic patients ended up in the correctional system or homeless with the reduction of psychiatric beds in forensic and civil state hospitals. Lacking proper training and medication management, the recidivism rate of this population was close to 10% for rearrest and about 35% for revocation of conditional release (CR; Manguno-Mire et al., ). A new treatment modality was created to successfully transition patients from the forensic state hospital system to the community. This article describes and analyzes the principles and constructs of Passageway, a model residential program for patients found not guilty by reason of insanity or those incompetent to proceed to CR. The CR allows for a program like Passageway to be successful in transitioning patients back into the community. This is accomplished with minimal government funding, and since 1982 has resulted in a 0% recidivism rate, for any known arrests or convictions and for recommittal of a felony, defined in the state of Florida as, "any criminal offense that is punishable under the laws of this state, or that would be punishable, if committed in this state, by death or imprisonment in a state penitentiary. " (Fla. Stat. § 775.08). Copyright © 2016 John Wiley & Sons, Ltd.
[Mh] Termos MeSH primário: Internação Compulsória de Doente Mental/legislação & jurisprudência
Psiquiatria Legal/métodos
Pessoas Mentalmente Doentes/legislação & jurisprudência
Alta do Paciente/legislação & jurisprudência
Transtornos Psicóticos/reabilitação
[Mh] Termos MeSH secundário: Crime
Florida
Psiquiatria Legal/normas
Habitação
Seres Humanos
Defesa por Insanidade
Pessoas Mentalmente Doentes/psicologia
Alta do Paciente/normas
Prisões
Transtornos Psicóticos/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170303
[Lr] Data última revisão:
170303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160422
[St] Status:MEDLINE
[do] DOI:10.1002/bsl.2227



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