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Do community mental health teams caring for severely mentally ill patients adjust treatments and services based on patients’ antisocial or criminal behaviours?

Published online by Cambridge University Press:  16 April 2020

S. Hodgins ,
A. Cree ,
F. Khalid ,
K. Patel ,
R. Sainz-Fuentes ,
M. Shortt ,
T. Mak  and
M. Riaz
S. Hodgins*
Affiliation:
Department of Forensic Mental Health Science, Institute of Psychiatry, King's College London, Box PO 23 De Crespigny Park, Denmark Hill, LondonSE5 8AF, UK
A. Cree
Affiliation:
Department of Forensic Mental Health Science, Institute of Psychiatry, King's College London, Box PO 23 De Crespigny Park, Denmark Hill, LondonSE5 8AF, UK
F. Khalid
Affiliation:
Department of Forensic Mental Health Science, Institute of Psychiatry, King's College London, Box PO 23 De Crespigny Park, Denmark Hill, LondonSE5 8AF, UK
K. Patel
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
R. Sainz-Fuentes
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
M. Shortt
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
T. Mak
Affiliation:
Department of Forensic Mental Health Science, Institute of Psychiatry, King's College London, Box PO 23 De Crespigny Park, Denmark Hill, LondonSE5 8AF, UK
M. Riaz
Affiliation:
Department of Forensic Mental Health Science, Institute of Psychiatry, King's College London, Box PO 23 De Crespigny Park, Denmark Hill, LondonSE5 8AF, UK
*
*Corresponding author. E-mail address: [email protected] (S. Hodgins).
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Abstract

Background

Antisocial behaviour is common among patients with severe mental illness (SMI) requiring hospitalisation.

Aim

To determine whether differential treatments and services are provided to patients with SMI who engage in antisocial behaviour.

Method

A random sample of 161 inpatients with SMI were recruited from general adult wards and assessed at baseline and two years later. Information on symptoms, aggressive behaviour, substance misuse, and service use was obtained from patients and clinical files.

Results

Past antisocial behaviours were not associated with type or intensity of treatments and services. Severity of positive symptoms, aggressive behaviour, and illicit drug use were positively associated with the frequency of CMHT contact, but not with the type of CMHT, type of medication, or other treatments and benefits.

Conclusions

While the frequency of meetings with CMHTs increased with the severity of antisocial behaviours, no specific treatments were provided to patients with SMI engaging in antisocial behaviours.

Keywords

Severe mental illnessAggressive behaviourTreatment
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 6 , September 2009 , pp. 373 - 379
Copyright
Copyright © Elsevier Masson SAS 2009

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References

Appelbaum, P.S.Robbins, P.C.Roth, L.H.Dimensional approach to delusions: Comparison across types and diagnoses. Am J Psychiatry 1999;156:1938–1943Google ScholarPubMed
Bellack, A.S.Bennett, M.E.Gearon, M.S.Brown, C.H.Yang, Y.A randomized clinical trial of a new behavioural treatment for drug abuse in people with severe and persistent mental illness. Arch Gen Psychiatry 2006;63:426–432Google ScholarPubMed
Berman, A.H.Bergman, H.Palmstierna, T.Schlyter, F.Evaluation of the Drug Use Disorders Identification Test (DUDIT) in criminal justice and detoxification settings and in a Swedish Population sample. Eur Addict Res 2005;11:22–31CrossRefGoogle Scholar
Bjørkly, S.Psychotic symptoms and violence towards others– A literature review of some preliminary findings: Part 1. Delusion Aggress Viol Behav 2002;7:617–631CrossRefGoogle Scholar
Bjørkly, S.Psychotic symptoms and violence towards others– A literature review of some preliminary findings: Part 2. Hallucination Aggress Viol Behav 2002;7:605–615CrossRefGoogle Scholar
Bond, G.R.Drade, R.E.Mueser, K.T.Latimer, E.Assertive community treatment for people with severe mental illness: critical ingredients and impact on patients. Dis Manag Health Outcomes 2001;9:141–159CrossRefGoogle Scholar
Bond, G.R.Witheridge, T.F.Dincin, J.Wasmer, D.Webb, J.Gaaf-Kaser, R.Assertive community treatment for frequent users of psychiatric hospitals in a large city: a controlled study. Am J Community Psychol 1990;18:865–891CrossRefGoogle Scholar
Bowie, R.Reichenberg, A.Patterson, T.L.Heaton, R.K.Harvey, P.D.Determinants of real-world functional performance in schizophrenia subjects: Correlations with cognition, functional capacity, and symptoms. Am J Psychiatry 2006;163:418–425CrossRefGoogle ScholarPubMed
Burns, T.Catty, J.Becker, T.Drake, R.E.Fioritti, A.Knapp, M.et al.The effectiveness of supported employment for people with severe mental illness: A randomised controlled trial in six European countries. Lancet 2007;370(9593):1146–1152CrossRefGoogle Scholar
Calsyn, R.J.Yonker, B.D.Lemming, M.R.Morse, G.A.Klinkenberg, W.D.Impact of assertive community treatment and client characteristics on criminal justice outcomes in dual disorder homeless individuals. Crim Behav Ment Health 2005;15:236–248CrossRefGoogle ScholarPubMed
Cook, J.A.Leff, H.S.Blyler, C.R.Gold, P.B.Goldberg, R.W.Mueser, K.T.et al.Results of a multisite randomized trial of supported employment interventions for individuals with severe mental illness. Arch Gen Psychiatry 2005;62:505–512CrossRefGoogle ScholarPubMed
Crocker, A.G.Mueser, K.T.Drake, R.E.Clark, R.E.McHugo, G.J.Ackerson, T.H.et al.Antisocial personality, psychopathy, and violence in persons with dual disorders. Crim Justice Behav 2005;32(4):452–476CrossRefGoogle Scholar
Cuddeback, G.S.Morrissey, J.P.Cusack, K.J.How many forensic assertive community treatment teams do we need?. Psychiatr Serv 2008;59(2):205–208CrossRefGoogle ScholarPubMed
Garety, P.A.Fowler, D.G.Freeman, D.Bebbington, P.Dunn, G.Kuipers, E.Cognitive– behavioural therapy and family intervention for relapse prevention and symptom reduction in psychosis: randomised controlled trial. Br J Psychiatry 2008;192:412–423Google ScholarPubMed
Haddock, G.Barrowclough, C.Tarrier, N.Moring, J.O’Brien, R.Schofield, N.et al.Cognitive-behavioural therapy and motivational intervention for schizophrenia and substance misuse: 18-month outcomes of a randomised control trial. Br J Psychiatry 2003;183:418–426CrossRefGoogle Scholar
Hamilton, M.A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56–62CrossRefGoogle ScholarPubMed
Hodgins, S.Violent behaviour among people with schizophrenia: A framework for investigations of causes, and effective treatment, and prevention. Phil Trans R Soc Lond B Biol Sci 2008;363(1503):2505–2518CrossRefGoogle ScholarPubMed
Hodgins, S.Alderton, J.Cree, A.Aboud, A.Mak, T.Aggressive behaviour, victimisation, and crime among severely mentally ill patients requiring hospitalisation. Br J Psychiatry 2007;191:343–350CrossRefGoogle Scholar
Hodgins, S.Hiscoke, U.L.Freese, R.The antecedents of aggressive behavior among men with schizophrenia: A prospective investigation of patients in community treatment. Behav Sci Law 2003;21:523–546CrossRefGoogle ScholarPubMed
Hodgins, S.Lincoln, T.Mak, T.Experience of victimisation and depression are associated with community functioning among men with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 2009;44(6):448–457CrossRefGoogle Scholar
Hodgins, S.Müller-Isberner, R.Preventing crime by people with schizophrenic disorders: the role of psychiatric services. Br J Psychiatry 2004;185:245–250CrossRefGoogle ScholarPubMed
Hodgins, S.Muller-Isberner, R.Tiihonen, J.Repo-Tiihonem, E.Eronen, M.Eaves, D.et al.A comparison of general and forensic patients with schizophrenia living in the community. Int J Forensic Mental Health 2007;6(1):63–75CrossRefGoogle Scholar
Hodgins, S.Tiihonen, J.Ross, D.The consequences of Conduct Disorder for males who develop schizophrenia: Associations with criminality, aggressive behavior, substance use, and psychiatric services. Schizophr Res 2005;78:323–335CrossRefGoogle ScholarPubMed
Kavanagh, D.J.Mueser, K.T.Current evidence on integrated treatment for serious mental disorder and substance misuse. Tidsskr Nor Psykologforening 2007;44(5):618–637Google Scholar
Kay, S.R.Fiszbein, A.Opler, L.A.The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13(2):261–276CrossRefGoogle Scholar
Kopelowicz, A.Liberman, R.P.Zarate, R.Recent advances in social skills training for schizophrenia. Schizophr Bull 2006;32S1:S12–23CrossRefGoogle Scholar
Lincoln, T.M.Wilhelm, K.Nestoriuc, Y.Effectiveness of psychoeducation for relapse, symptoms, knowledge, adherence and functioning in psychotic disorders: a meta-analysis. Schizophr Res 2007;96:232–245CrossRefGoogle ScholarPubMed
McGurk, S.R.Mueser, K.T.Feldman, F.Wolfe, R.Pascaris, A.Cognitive training for supported employment: 2-3 year outcomes of a randomized controlled trial. Am J Psychiatry 2007;164:437–441CrossRefGoogle ScholarPubMed
Roder, V.Mueller, D.R.Mueser, K.T.Bremer, H.D.Integrated psychological therapy (IPT) for schizophrenia: Is it effective?. Schizophr Bull 2006;32(S1):S81–93CrossRefGoogle ScholarPubMed
Saunders, J.B.Aasland, O.G.Babor, T.F.De la Fuente, J.R.Grant, M.Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction 1993;88:791–804CrossRefGoogle ScholarPubMed
Shahar, G.Wisher, A.Chinman, M.Sells, D.Kloos, B.Tebes, J.K.et al.Trauma and adaptation in severe mental illness: The role of self-reported abuse and exposure to community violence. J Trauma Dissociation 2004;5(1):29–47CrossRefGoogle Scholar
Silver, E.Mulvey, E.P.Swanson, J.W.Neighborhood structural characteristics and mental disorder: Faris and Dunham revisited. Soc Sci Med 2002;55(8):1457–1470CrossRefGoogle ScholarPubMed
Soyka, M.Morhart-Klute, V.Schoech, H.Delinquency and criminal offenses in former schizophrenic inpatients 7-12 years following discharge. Eur Arch Psychiatry Clin Neurosci 2004;254:289–294CrossRefGoogle ScholarPubMed
Steadman, H.J.Mulvey, E.P.Monahan, J.Robbins, P.C.Applebaum, P.S.Grisso, T.et al.Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Arch Gen Psychiatry 1998;55:393–401CrossRefGoogle ScholarPubMed
Swanson, J.W.Swartz, M.S.Elbogen, E.B.Effectiveness of atypical antipsychotic medications in reducing violent behaviour among persons with schizophrenia in community-based treatment. Schizophr Bull 2004;30(1):3–20CrossRefGoogle ScholarPubMed
Swanson, J.W.Swartz, M.S.Elbogen, E.B.Van Dorn, R.A.Reducing violence risk in persons with schizophrenia: olanzapine versus risperidone. J Clin Psychiatry 2004;65(12):1666–1673CrossRefGoogle ScholarPubMed
Swanson, J.W.Swartz, M.S.Van Dorn, R.A.Elbogen, E.B.Wagner, H.R.Rosenbeck, R.A.et al.A national study of violent behavior in persons with schizophrenia. Arch Gen Psychiatry 2006;63(5):490–499CrossRefGoogle ScholarPubMed
Taylor, P.J.Motives for offending among violent and psychotic men. Br J Psychiatry 1985;147:491–498CrossRefGoogle ScholarPubMed
Teplin, L.McClelland, G.M.Abram, K.M.Weiner, D.A.Crime victimization in adults with severe mental illness: comparison with the National Crime Victimization Survey. Arch Gen Psychiatry 2005;62:911–921CrossRefGoogle ScholarPubMed
Vevera, J.Hubbard, A.Vesely, A.Papezova, H.Violent behaviour in schizophrenia - retrospective study of four independent samples from Prague, 1949 to 2000. Br J Psychiatry 2005;187:426–430CrossRefGoogle 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 Psuychiatry 2004;161(4):716–727CrossRefGoogle Scholar
Walsh, E.Gilvarry, C.Samele, C.Harvey, K.Manley, C.Tyrer, P.et al.Reducing violence in severe mental illness: randomized controlled trial of intensive case management compared with standard care. BMJ 2001;323(10):1093–1097CrossRefGoogle ScholarPubMed
Walsh, E.Moran, P.Scott, C.McKenzie, K.Burns, T.Creed, F.et al.Prevalence of violent victimisation in severe mental illness. Br J Psychiatry 2003;183:233–238CrossRefGoogle ScholarPubMed
Wykes, T.Reeder, C.Landau, S.Everitt, B.Knapp, M.Patel, A.et al.Cognitive remediation therapy in schizophrenia: randomised control trial. Br J Psychiatry 2007;190:421–427CrossRefGoogle Scholar
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