Birgit Völlm – författare

This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward.Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients’ socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more.Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.

This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward.Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients’ socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more.Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.

This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length ofstay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.

This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length ofstay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.

This book presents the legal context and describes the ethical and practical challenges when using coercive measures in forensic psychiatric settings. A wide range of aspects relevant to the use of such measures, including environmental, patient-related, and staff-related factors, are explored, and the experience of coercive interventions is described from the staff and the patient perspective. Differences in jurisdictions and examples of good practice are highlighted. The authors are from a range of professional backgrounds, ensuring breadth as well as depth in discussion of the topic. The use of coercive measures, in particular restraint, seclusion, and involuntary medication, for the control of aggression in psychiatry remains controversial. Forensic mental health care deals with individuals who pose a risk to others and often present with significant management problems within institutions. The care of patients in these settings gives rise to debates about the balance between care and safety, and between the interests of the patients and those of the wider society to be protected. Despite these tensions, limited research has been conducted specifically on the use of coercive measures in forensic mental health care. This volume aims to fill the gap and will be of value to all professionals working in forensic psychiatric settings as well as to those working in general psychiatric and custodial settings, law professionals, and patients.

This book presents the legal context and describes the ethical and practical challenges when using coercive measures in forensic psychiatric settings. A wide range of aspects relevant to the use of such measures, including environmental, patient-related, and staff-related factors, are explored, and the experience of coercive interventions is described from the staff and the patient perspective. Differences in jurisdictions and examples of good practice are highlighted. The authors are from a range of professional backgrounds, ensuring breadth as well as depth in discussion of the topic. The use of coercive measures, in particular restraint, seclusion, and involuntary medication, for the control of aggression in psychiatry remains controversial. Forensic mental health care deals with individuals who pose a risk to others and often present with significant management problems within institutions. The care of patients in these settings gives rise to debates about the balance between care and safety, and between the interests of the patients and those of the wider society to be protected. Despite these tensions, limited research has been conducted specifically on the use of coercive measures in forensic mental health care. This volume aims to fill the gap and will be of value to all professionals working in forensic psychiatric settings as well as to those working in general psychiatric and custodial settings, law professionals, and patients.

Dieses Buch vermittelt alle notwendigen Grundlagen, um in der Forensischen Psychiatrie tätig werden zu können, ist aber auch für alle im Maßregelvollzug tätigen Personen mit fortgeschrittenen Kenntnissen geeignet. Es behandelt zunächst die relevanten rechtlichen Grundlagen in Deutschland, inklusive der Menschenrechte, die Begutachtung v.a. im strafrechtlichen Bereich, Theorien der Kriminalitätsentstehung sowie die Organisation von Behandlung in verschiedenen Institutionen.Der Schwerpunkt liegt auf der Vermittlung vertiefender Kenntnisse im Bereich der Behandlung von psychisch kranken Straftätern. Die Themen werden dabei von führenden nationalen und z.T. auch internationalen Experten dargestellt: Sie bieten aktuelles Wissen, insbesondere für das Verständnis aller im Maßregelvollzug anzutreffenden Störungs-/Deliktgruppen, sowie detaillierte Beschreibungen der dazugehörigen evidenzbasierten Behandlungsansätze. Auch typische Probleme, etwa mit Motivation und Widerstand, Therapieresistenz oder Zwangsmaßnahmen werden in eigenen Beiträgen adressiert. Den verschiedenen Berufsgruppen, z.B. der Pflege, der Ergotherapie oder auch der Genesungsbegleitung im Maßregelvollzug werden eigene Kapitel gewidmet. Auch die Perspektive und Bedeutung von Angehörigen wird beleuchtet. Kapitel zu ethischen Fragen, zu internationalen Aspekten und zur Forschung im Maßregelvollzug laden zur vertiefenden Reflexion ein. Abgerundet wird der umfangreiche Inhalt durch elektronisches Zusatzmaterial, welches den Brückenschlag zwischen Theorie und Praxis fördern soll.Dieses Buch deckt alle Inhalte ab, die zum Erwerb der Schwerpunktbezeichnung Forensische Psychiatrie erforderlich sind und eignet sich daher für Weiterbildungsassistenten, die den Erwerb dieser Schwerpunktbezeichnung anstreben.

Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.