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Implementation of a specialized program to treat violence in a forensic population

Published online by Cambridge University Press:  11 March 2020

Susan Velasquez Open the ORCID record for Susan Velasquez [Opens in a new window] ,
Andrea Bauchowitz ,
David Pyo  and
Megan Pollock
Susan Velasquez*
Affiliation:
California Department of State Hospitals, Sacramento, California, USA
Andrea Bauchowitz
Affiliation:
California Department of State Hospitals, Sacramento, California, USA
David Pyo
Affiliation:
California Department of State Hospitals, Sacramento, California, USA
Megan Pollock
Affiliation:
California Department of State Hospitals, Sacramento, California, USA
*
*Address for correspondence: S. Velasquez, PhD, Department of State Hospitals-Clinical Operations, 1600 9th Street Suite 400, Sacramento, CA 95814, USA. (Email: [email protected])
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Abstract

A shift within state psychiatric hospitals toward serving a predominantly forensic population has resulted in increased violent incidents within those settings. Thus, addressing criminogenic needs in addition to mental illness is an important paradigm shift. Relying on seclusion or restraint as the primary mechanisms to address violence interferes with the provision of effective care to patients struggling with aggressive behaviors. Implementing new treatment programs aimed at reducing violence in forensic inpatient settings is warranted. This article focuses on the step-by-step process of developing such a specialized treatment program within the California Department of State Hospitals. Leadership within this hospital system collaborated with labor unions and other stakeholders to obtain funding to create a novel treatment environment. This treatment program includes a ward design aimed to improve safety and delivers treatment based on the Risk Needs Responsivity Model. Treatment is guided by violence risk assessment and primarily focused on addressing criminogenic needs. The selection of treatments with a focus on violence reduction is discussed.

Keywords

Violencetreatmentforensic
Type
Perspectives
Information
CNS Spectrums , Volume 25 , Issue 5 , October 2020 , pp. 571 - 576
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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Footnotes

The findings and conclusions in “Implementation of a specialized program to treat violence in a forensic population” are those of the author(s) and do not necessarily represent the views or opinions of the Department of State Hospitals or the California Health and Human Services Agency.

References

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