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Providing mental health services to adult offenders in Victoria, Australia: Overcoming barriers

Published online by Cambridge University Press:  16 April 2020

P. Mullen  and
J. Ogloff
P. Mullen*
Affiliation:
Department of Psychological Medicine, Monash University and Victorian Institute of Forensic Mental Health, Victoria, Australia
J. Ogloff
Affiliation:
Department of Psychological Medicine, Monash University and Victorian Institute of Forensic Mental Health, Victoria, Australia Psychological Services, Victorian Institute of Forensic Mental Health, Australia
*
*Corresponding author. Victorian Institute of Forensic Mental Health, Thomas Embling Hospital, Locked Bag 10, Fairfield, Victoria 3078, Australia. Tel.: +61 3 94959136; fax: +61 3 94959190. E-mail address: [email protected] (P. Mullen).
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Abstract

Purpose

To illustrate the development of the interface between general and forensic mental health services in Victoria, Australia.

Method

Developing effective cooperation between the general and forensic mental health services requires overcoming a number of barriers. The attitude of general services that antisocial behaviour was none of their business was tackled through ongoing workshops and education days over several years. The resistance to providing care to those disabled by severe personality disorders or substance abuse was reduced by presenting and promoting models of care developed in forensic community and inpatient services which prioritised these areas. The reluctance of general services to accept offenders was reduced by involving general services in court liaison clinics and in prisoner release plans. Cooperation was enhanced by the provision of risk assessments, the sharing of responsibility for troublesome patients, and a problem behaviours clinic to support general services in coping with stalkers, sex offenders and threateners.

Conclusions

Active engagement with general services was promoted at the level of providing education, specialised assessments and a referral source for difficult patients. This generated a positive interface between forensic and general mental health services, which improved the quality of care delivered to mentally abnormal offenders.

Keywords

Forensic servicesMentally abnormal offenders
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 6 , September 2009 , pp. 395 - 400
Copyright
Copyright © Elsevier Masson SAS 2009

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References

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 4th ed. Text Revision, Washington DC. 2000.Google Scholar
Andrews, D.A.Bonta, J.The level of service inventory TorontoMulti-Health Syst 1995 [Revised]Google Scholar
Andrews, D.A.Bonta, J.Wormith, J.S.The level of service/case management inventory TorontoMulti-Health Syst 2004Google Scholar
Arseneault, L.Moffitt, T.Caspi, A.Taylor, P.Silva, P.Mental disorders and violence in a total birth cohort: Results from the Dunedin study. Arch Gen Psychiatry 2000;57:979–986CrossRefGoogle Scholar
Bonta, J.Law, M.Hanson, K.The prediction of criminal and violent recidivism among mentally disordered offenders: A meta-analysis. Psychol Bull 1998;123:123–142CrossRefGoogle ScholarPubMed
Douglas, K.S.Ogloff, J.R.P.Nicholls, T.Grant, I.Assessing risk for violence among psychiatric patients: The HCR-20 Violence Risk Assessment Scheme and the Psychopathy Checklist. Screening version. J Consult Clin Psychol 1999;67:917–930CrossRefGoogle ScholarPubMed
Doyle, M.Dolan, M.Predicting community violence from patients discharged by mental health services. Br J Psychiatry 2006;189:520–526CrossRefGoogle ScholarPubMed
Eronen, M.Tiihonen, J.Hakola, P.Schizophrenia and homicidal behaviour. Schizophr Bull 1996;22:83–89CrossRefGoogle Scholar
Ferguson, A.M.Ogloff, J.R.P.Thomson, L.Predicting recidivism by mentally disordered offenders using the LSI-R:SV. Crim Justice Behav 2009;36:5–20CrossRefGoogle Scholar
Hare, RD. Manual for the Hare Psychopathy Checklist, 2nd ed. Revised. Toronto, Ontario: Multi-Health Syst; 2003.Google Scholar
Hodgins, S.Mednick, S.Brennar, P.A.et al.Mental disorder and crime: Evidence from a Danish birth cohort. Arch Gen Psychiatry 1996;53:489–496CrossRefGoogle ScholarPubMed
Hodgins, S.Tiihonen, J.Ross, D.The consequences of conduct disorder for males who develop schizophrenia: associations with criminality, aggressive behaviour, substance use, and psychiatric services. Schizophr Res 2005;78:323–335CrossRefGoogle ScholarPubMed
McGuire, J.Criminal sanctions versus psychologically-based interventions with offenders: A comparative empirical analysis. Psychology Crime Law 2002;8:183–208CrossRefGoogle Scholar
Moran, P.Walsh, E.Tyrer, P.et al.Impact of comorbid personality disorder on violence in psychosis: Report from the UK700 trial. Br J Psychiatry 2003;182:129–134CrossRefGoogle ScholarPubMed
Mullen, P.E.Burgess, P.Wallace, C.Palmer, S.Ruschena, D.Community care and criminal offending in schizophrenia. Lancet 2000;355:614–617CrossRefGoogle Scholar
Mullen, P.E.Schizophrenia and violence: from correlations to prevention strategies. Adv Psychiatr Treat 2006;12:239–248CrossRefGoogle Scholar
Mullen, P.E.Pathé, M.Purcell, R.Stalkers and their victims 2nd ed.CambridgeCambridge University Press 2009Google Scholar
Ogloff, J.R.P.Identifying and accommodating the needs of mentally ill people in goals and prisons. Psychiatry Psychology Law 2002;9:1–33CrossRefGoogle Scholar
Ogloff, J.R.P.The Psychopathy/antisocial personality disorder conundrum. Aust N Z J Psychiatry 2006;40:519–528CrossRefGoogle ScholarPubMed
Ogloff, J.R.P.Davis, M.R.Advances in offender assessment and rehabilitation: Contributions of the risk–needs–responsivity approach. Psychology Crime Law 2004;10:229–242Google Scholar
Ogloff, J.R.P.Lemphers, A.Dwyer, C.Dual diagnosis in an Australian forensic psychiatric hospital: Prevalence and implications for services. Behav Sci Law 2004;22:543–562CrossRefGoogle Scholar
Regina V. McNaughton, 10 Cl. and F. 200, 8 Eng. Rep. 718, 1843.Google Scholar
Silver, E.Extending social disorganisation theory: a multilevel approach to the study of violence among persons with mental illness. Criminology 2000;38:1043–1074CrossRefGoogle Scholar
Soyka, M.Substance abuse, psychiatric disorder and violent and disturbed behaviour. Br J Psychiatry 2000;176:345–350CrossRefGoogle ScholarPubMed
Swanson, J.Borum, R.Swartz, M.Monahan, J.Psychotic symptoms and disorders and the risk of violent behaviour in the community. Crim Behav Ment Health 2006;6:309–329CrossRefGoogle Scholar
Wallace, C.Mullen, P.E.Burgess, P.Palmer, S.Ruschena, D.Browne, C.Serious criminal offending and mental disorder: A case-linkage study. Br J Psychiatry 1998;172:477–484CrossRefGoogle ScholarPubMed
Wallace, C.Mullen, P.E.Burgess, P.Criminal offending in schizophrenia over a 25-year period marked by deinstitutionalization and increasing prevalence of comorbid substance use disorders. Am J Psychiatry 2004;161:716–727CrossRefGoogle Scholar
Warren, L.MacKenzie, R.Mullen, P.E.Ogloff, J.R.P.The problem behavior model: The development of a stalkers clinic and threateners clinic. Behav Sci Law 2005;23:287–397CrossRefGoogle ScholarPubMed
Wong, S.Hare, R.D.Program guidelines for the institutional treatment of violent psychopathic offenders TorontoMulti-Health Syst 2007Google Scholar
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