Book contents
- Seminars in Forensic Psychiatry
- College Seminars Series
- Seminars in Forensic Psychiatry
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Chapter 1 Violence and Mental Disorder
- Chapter 2 Violence and Mental Disorder
- Chapter 3 Outcomes from the Key Inquiries and the Evolution of Modern Forensic Psychiatry
- Chapter 4 Prison Psychiatry
- Chapter 5 Legal Issues and Expertise in Forensic Psychiatry
- Chapter 6 Expertise, Structured Professional Judgement and Risk Assessment
- Chapter 7 Models of Care in Forensic Psychiatry
- Chapter 8 Psychopharmacology of Chronic Aggression and Violence in Forensic Settings
- Chapter 9 Ward Milieu and the Management of In-Patient Violence
- Chapter 10 Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies
- Chapter 11 Assessment of Personality Disorder, Psychopathy and Associated Offending Behaviour
- Chapter 12 Stalking and Threats to Harm and Kill
- Chapter 13 Sexual Offending
- Chapter 14 Terrorism-Related Assessments
- Chapter 15 Forensic Psychotherapy and Psychological Therapies in Forensic Mental Health Settings
- Chapter 16 Forensic Aspects of Medical Negligence
- Chapter 17 Child and Adolescent Forensic Mental Health Services
- Chapter 18 Women’s Services in Forensic Psychiatry
- Chapter 19 Forensic Psychiatry and Intellectual Disability
- Chapter 20 Cultural Service Delivery in Forensic Mental Health Services
- Chapter 21 Tackling Ethnic Inequality in Forensic Mental Healthcare
- Chapter 22 Academic Forensic Psychiatry
- Chapter 23 The No-Nonsense Guides
- Index
- References
Chapter 15 - Forensic Psychotherapy and Psychological Therapies in Forensic Mental Health Settings
Published online by Cambridge University Press: 06 June 2024
- Seminars in Forensic Psychiatry
- College Seminars Series
- Seminars in Forensic Psychiatry
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Chapter 1 Violence and Mental Disorder
- Chapter 2 Violence and Mental Disorder
- Chapter 3 Outcomes from the Key Inquiries and the Evolution of Modern Forensic Psychiatry
- Chapter 4 Prison Psychiatry
- Chapter 5 Legal Issues and Expertise in Forensic Psychiatry
- Chapter 6 Expertise, Structured Professional Judgement and Risk Assessment
- Chapter 7 Models of Care in Forensic Psychiatry
- Chapter 8 Psychopharmacology of Chronic Aggression and Violence in Forensic Settings
- Chapter 9 Ward Milieu and the Management of In-Patient Violence
- Chapter 10 Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies
- Chapter 11 Assessment of Personality Disorder, Psychopathy and Associated Offending Behaviour
- Chapter 12 Stalking and Threats to Harm and Kill
- Chapter 13 Sexual Offending
- Chapter 14 Terrorism-Related Assessments
- Chapter 15 Forensic Psychotherapy and Psychological Therapies in Forensic Mental Health Settings
- Chapter 16 Forensic Aspects of Medical Negligence
- Chapter 17 Child and Adolescent Forensic Mental Health Services
- Chapter 18 Women’s Services in Forensic Psychiatry
- Chapter 19 Forensic Psychiatry and Intellectual Disability
- Chapter 20 Cultural Service Delivery in Forensic Mental Health Services
- Chapter 21 Tackling Ethnic Inequality in Forensic Mental Healthcare
- Chapter 22 Academic Forensic Psychiatry
- Chapter 23 The No-Nonsense Guides
- Index
- References
Summary
‘Forensic psychotherapy’ is a shorthand term for the treatment of offenders with psychodynamic psychotherapy. Over the last decade, a range of psychological therapies for offenders have been developed, often based on improved therapies for personality disorder. The author discusses what distinguishes forensic psychotherapy from other psychological therapies offered to offenders; and which offenders might benefit most from psychodynamically focussed therapy. The author describes how psychological treatments broadly fit within the risk needs responsivity construct and the matched stepped care system. Matched stepped care and an appropriate governance framework ensure services deliver evidence-based practices, targeting underlying needs. Clear treatment pathways exist, low- to high-intensity interventions are provided with good fidelity and the right people skills are in place to deliver these interventions. The requirement to step up in intensity and expertise level of treatment is based on a clinical formulation and risk. Having the right service in the right place at the right time delivered by the right professional is critical to reducing risk among people who are violent.
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- Seminars in Forensic Psychiatry , pp. 343 - 361Publisher: Cambridge University PressPrint publication year: 2024