Civil and forensic patients : comparing demographics, risk factors, and negative life events

Laser-Maira, JA; Petersen, G; Stephens, H; Peach, DM

Abstract

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.

Citation

Laser-Maira, J., Petersen, G., Stephens, H., & Peach, D. (2018). Civil and forensic patients : comparing demographics, risk factors, and negative life events. Sociální práce (On-line), 7, 76-86

• Journal Article Type: Article
• Acceptance Date: Jun 29, 2018
• Online Publication Date: Aug 31, 2018
• Publication Date: Aug 31, 2018
• Deposit Date: Sep 17, 2018
• Publicly Available Date: Sep 17, 2018
• Journal: Czech and Slovak Social Work
• Print ISSN: 1213-6204
• Electronic ISSN: 1805-885X
• Volume: 7
• Pages: 76-86
• Publisher URL: http://socialniprace.cz/eng/index.php?sekce=2&ukol=detail&id=100&clanekid=1069
• Related Public URLs: http://socialniprace.cz/eng/index.php
• Additional Information: Additional Information : Published version reproduced by permission of the Czech Association of Educators in Social Work