Julie Anne Laser-Maira, Granger Petersen, Haily Stephens, Donna Michelle Peach
Civil and Forensic Patients
Číslo: 4/2018
Periodikum: Sociální práce
Klíčová slova: civil, forensic, inpatient psychiatric hospitals, gender, risk factors
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Anotace:
OBJECTIVES: This investigation centres on how the mentally ill with a forensic admission
compare to the mentally ill with a civil admission, and investigates who inpatients with a forensic
and civil admission are, and how the risk factors and negative historical events they have
experienced compare or differ. THEORETICAL BASE: Using a risk and resilience framework,
risk factors that are deleterious to healthy development are used as variables. METHODS: The
records of all adult inpatients both forensic and civil, aged 18 to 89 at admission in two U.S.
mountain region public psychiatric hospitals were included in the sample (n=1768). All patients
are assessed using the Colorado Clinical Assessment Record (CCAR) which, measures a diverse
set of variables including Current Issues, History of Issues, Demographics, and Disabilities.
OUTCOMES: Civil and forensic patients have more in common than differences. Both samples
compare more closely to risk factors and negative historical events than they do to the general
population. However, this begins to break down once the sample is separated by gender. SOCIAL
WORK IMPLICATIONS: Social Workers who work in prison systems need to become more
familiar with mental illness interventions. Additionally, social workers should both educate law
enforcement about de-escalation tactics with the mentally ill and intervene on mental health
related police calls. On the macro level, social workers should advocate for the mentally ill to
be housed in psychiatric hospitals rather than be imprisoned where they will often not receive
inpatient psychiatric care.
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compare to the mentally ill with a civil admission, and investigates who inpatients with a forensic
and civil admission are, and how the risk factors and negative historical events they have
experienced compare or differ. THEORETICAL BASE: Using a risk and resilience framework,
risk factors that are deleterious to healthy development are used as variables. METHODS: The
records of all adult inpatients both forensic and civil, aged 18 to 89 at admission in two U.S.
mountain region public psychiatric hospitals were included in the sample (n=1768). All patients
are assessed using the Colorado Clinical Assessment Record (CCAR) which, measures a diverse
set of variables including Current Issues, History of Issues, Demographics, and Disabilities.
OUTCOMES: Civil and forensic patients have more in common than differences. Both samples
compare more closely to risk factors and negative historical events than they do to the general
population. However, this begins to break down once the sample is separated by gender. SOCIAL
WORK IMPLICATIONS: Social Workers who work in prison systems need to become more
familiar with mental illness interventions. Additionally, social workers should both educate law
enforcement about de-escalation tactics with the mentally ill and intervene on mental health
related police calls. On the macro level, social workers should advocate for the mentally ill to
be housed in psychiatric hospitals rather than be imprisoned where they will often not receive
inpatient psychiatric care.