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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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