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

  • Edited by Mary Davoren, Broadmoor Hospital and West London NHS Trust, Harry G. Kennedy, Trinity College Dublin
  • Book:
    Seminars in Forensic Psychiatry
    Published online:
    06 June 2024
    Print publication:
    13 June 2024, pp 246-261

  • 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.