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Chapter 10 - Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies

Published online by Cambridge University Press:  06 June 2024

By
Lindsay Thomson
Edited by
Mary Davoren  and
Harry G. Kennedy
Mary Davoren
Affiliation:
Broadmoor Hospital and West London NHS Trust
Harry G. Kennedy
Affiliation:
Trinity College Dublin
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Summary

Within forensic mental health services, we assess and care for people with major mental disorders who at times present a high risk to the safety of others. Undoubtedly, the practice setting that manages the highest risk is the community. Community forensic psychiatry includes the work of community forensic mental health teams (CFMHTs), specialist services to the criminal justice system and liaison with general adult and public protection agencies. This chapter describes the components of a successful CFMHT, the likely make-up of its patient cohort and its outcomes. These outcomes present significant challenges, not based on risk management or recidivism, but on appalling social integration and physical health. A major change in the management of mentally disordered offenders (MDOs) in the community in recent years has been the development of formal multiagency working arrangements. This reflects the complexity in managing some high-risk offenders and MDOs. International examples are outlined.

Keywords

Community forensic mental healthTeamsPatients and outcomesCourt diversion and liaison servicesMultiagency workingPublic protection agenciesForensic Mental Health Services Managed Care Network
Type
Chapter
Information
Seminars in Forensic Psychiatry , pp. 246 - 261
Publisher: Cambridge University Press
Print publication year: 2024

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