What happens after forensic psychiatric care? A latent class analysis of dimensions of welfare for former forensic psychiatric patients.

Criminal recidivism Forensic psychiatry Latent class analysis Level of living Life situation Mentally disordered offender Post-discharge Welfare dimensions

Journal

BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559

Informations de publication

Date de publication:
12 Dec 2023
Historique:
received: 04 05 2023
accepted: 30 11 2023
medline: 13 12 2023
pubmed: 13 12 2023
entrez: 13 12 2023
Statut: epublish

Résumé

Mentally disordered offenders are a heterogenous group regarding psychopathology as well as background factors, which makes it likely that more than one stereotypical life situation will apply to all forensic psychiatric patients following discharge. Knowledge about typical life situations would be valuable for optimising support for improving the overall life situation of these individuals. This paper investigates life situations from the perspective of level of living research and resources in terms of different welfare dimensions. Included were all all individuals (n = 1146) who had been discharged from forensic psychiatric care in Sweden during 2009-2018 and were included in the Swedish National Forensic Psychiatric Register. Follow-up time varied from 4 to 3644 days, (m = 1697, Md = 1685). Register data from several different registers was combined. Data was analysed using latent class analysis, and multinominal logistic regression analysis investigated what background factors were associated with class membership. The results show that there are four subgroups of post-discharge life situations: the high support group, the general psychiatric needs group, the working group, and the family group. The high support group was the largest, representing 54% of the entire sample. There are background factors associated with group membership, including both age at discharge, length of stay in forensic psychiatric care and pre-index crime historical factors. This study contributes to the understanding of the post-discharge lives of former forensic psychiatric patients and shows that for several subgroups, negative outcomes are rare. Knowledge about these subgroups could be drawn upon to make informed decisions about in- and outpatient forensic psychiatric care, discharge from forensic psychiatric services, and what support is offered to former forensic psychiatric patients.

Sections du résumé

BACKGROUND BACKGROUND
Mentally disordered offenders are a heterogenous group regarding psychopathology as well as background factors, which makes it likely that more than one stereotypical life situation will apply to all forensic psychiatric patients following discharge. Knowledge about typical life situations would be valuable for optimising support for improving the overall life situation of these individuals. This paper investigates life situations from the perspective of level of living research and resources in terms of different welfare dimensions.
METHODS METHODS
Included were all all individuals (n = 1146) who had been discharged from forensic psychiatric care in Sweden during 2009-2018 and were included in the Swedish National Forensic Psychiatric Register. Follow-up time varied from 4 to 3644 days, (m = 1697, Md = 1685). Register data from several different registers was combined. Data was analysed using latent class analysis, and multinominal logistic regression analysis investigated what background factors were associated with class membership.
RESULTS RESULTS
The results show that there are four subgroups of post-discharge life situations: the high support group, the general psychiatric needs group, the working group, and the family group. The high support group was the largest, representing 54% of the entire sample. There are background factors associated with group membership, including both age at discharge, length of stay in forensic psychiatric care and pre-index crime historical factors.
CONCLUSIONS CONCLUSIONS
This study contributes to the understanding of the post-discharge lives of former forensic psychiatric patients and shows that for several subgroups, negative outcomes are rare. Knowledge about these subgroups could be drawn upon to make informed decisions about in- and outpatient forensic psychiatric care, discharge from forensic psychiatric services, and what support is offered to former forensic psychiatric patients.

Identifiants

pubmed: 38087234
doi: 10.1186/s12888-023-05428-x
pii: 10.1186/s12888-023-05428-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

937

Informations de copyright

© 2023. The Author(s).

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Auteurs

Ebba Noland (E)

Department of Social Work, Umeå University, Umeå, 901 87, Sweden. ebba.noland@umu.se.
Sundsvall Forensic Psychiatric Centre, Region Västernorrland, Box 880, Sundsvall, 851 24, Sweden. ebba.noland@umu.se.

Fia Klötz Logan (F)

Sundsvall Forensic Psychiatric Centre, Region Västernorrland, Box 880, Sundsvall, 851 24, Sweden.

Stefan Sjöström (S)

Department of Sociology, Center for social work, Uppsala University, Box 624, Uppsala, Sweden.

Mattias Strandh (M)

Department of Social Work, Umeå University, Umeå, 901 87, Sweden.

Classifications MeSH