- Category: Publications
Tiwana R, McDonald S, Völlm B (2016): Policies on sexual expression in forensic psychiatric settings in different European countries. International Journal of Mental Health Systems. Published online 3.2.2016
Edworthy R, Sampson S, Völlm BA (2016): Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries. International Journal of Law and Psychiatry. Available online 4.4.2016
Submitted to: International Journal of Law and Psychiatry
Laws governing the detention and treatment of mentally disordered offenders (MDOs) vary widely across Europe, yet little information is available about the features of these laws and their comparative advantages and disadvantages. The purpose of this article is to compare the legal framework governing detention in forensic psychiatric care in three European countries with long-established services for MDOs, England, Germany and the Netherlands. A literature review was conducted alongside consultation with experts from each country. We found that the three countries differ in several areas, including criteria for admission, review of detention, discharge process, the concept of criminal responsibility, service provision and treatment philosophy. Our findings suggest a profound difference in how each country relates to MDOs, with each approach contributing to different pathways and potentially different outcomes for the individual. Hopefully making these comparisons will stimulate debate and knowledge exchange on an international level to aid future research and the development of best practice in managing this population.
Dutton S, Majid S, Völlm B (accepted for publication): Experiences of nursing staff working with long-stay patients in a high secure psychiatric hospital setting
Völlm BA, Bartlett P, McDonald R (2016): Ethical issues of long-term forensic psychiatric care. Ethics, Medicine and Public Health 2: 36 - 44
Ethical issues of long-term Forensic Psychiatric Care
- Category: Publications
Forensic psychiatry is a subspecialty of clinical psychiatry that operates at the interface between law and psychiatry. It is concerned with patients who have a mental disorder as well as having committed an offence, often serious. Forensic psychiatric institutions are high-cost/low-volume services that impose significant restrictions upon their residents. Patients may be detained in those services against their will for lengthy periods, potentially life-long. The purpose of this detention is seen as two-fold: care and treatment for the patient and protection of the public from harm from the offender. Here we review the ethical issues around such long-term detention. We base our observations on a review of relevant literature and from focus groups with professionals working in forensic psychiatric settings.