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
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
937Informations de copyright
© 2023. The Author(s).
Références
Jankovic M, Masthoff EDM, Spreen M, Looff PCd, Bogaerts S. A latent class analysis of forensic psychiatric patients in relation to risk and protective factors. Front Psychol. 2021;12:695354–4.
doi: 10.3389/fpsyg.2021.695354
pubmed: 34354640
pmcid: 8329083
The Swedish Research Council.: Kartläggning av rättspsykiatrisk forskning [Mapping of forensic psychiatric research]. In. Stockholm: The Swedish Research Council; 2017.
van der Veeken FCA, Bogaerts S, Lucieer J. Patient profiles in Dutch forensic psychiatry based on risk factors, pathology, and offense. Int J Offender Ther Comp Criminol. 2017;61(12):1369–91.
doi: 10.1177/0306624X15619636
pubmed: 26721900
Fazel S, Fiminska Z, Cocks C, Cold J. Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis. Br J Psychiatry vol. 2016;208:17–25.
doi: 10.1192/bjp.bp.114.149997
Nilsson T, Wallinius M, Gustavson C, Anckarsäter H, Kerekes N, Scott JG. Violent recidivism: a long-time Follow-Up study of mentally disordered offenders. PLoS ONE 2011, 6(10).
Noland E, Strandh M. Historical, clinical and situational risk factors for post-discharge recidivism in forensic psychiatric patients – A Swedish registry study. Int J Law Psychiatry. 2021;79:101749.
doi: 10.1016/j.ijlp.2021.101749
pubmed: 34768026
Fazel S, Wolf A, Fiminska Z, Larsson H. Mortality, Rehospitalisation and Violent Crime in Forensic Psychiatric patients discharged from hospital: Rates and Risk factors.(Report). PLoS ONE 2016, 11(5).
Johansson S. Marknaden, politiken och privatsfären: Några teoriansatser för välfärdsforskningen [The market, the politics and the private: theoretical approaches for welfare research. ] Sociologisk Forskning. 1974;11(4):3–13.
Johansson S, Conceptualizing and Measuring Quality of Life for National Policy. From the Swedish Level of Living Survey to an epistemology of the Democratic process. Soc Indic Res. 2002;58(1/3):13–32.
doi: 10.1023/A:1015771430504
Jonsson JO, Östberg V. Studying Young people’s Level of living: the Swedish Child-LNU. Child Indic Res. 2009;3(1):47–64.
doi: 10.1007/s12187-009-9060-8
Nilsson A. Fånge i marginalen: uppväxtvillkor, levnadsförhållanden och återfall i brott bland fångar [Confined to the margins. The childhood, living conditions and recidivism of prison inmates]. Stockholm: Univ.; 2002.
Helset A. Elderly women in the nordic Countries; Level of Living and Situation in Life. Scand J Public Health. 1993;21(4):223–6.
Tahlin M. Politics, Dynamics and Individualism: the Swedish Approach to Level of Living Research. Soc Indic Res. 1990;22(2):155–80.
doi: 10.1007/BF00354838
Tham H. Hur Skall välfärd mätas? [How should welfare be measured?]. SOCIALT ARBETE 1984(10):21–5.
Nilsson A, Estrada F. Criminality and life-chances. A longitudinal study of crime, childhood circumstances and living conditions up to age 48. In., vol. 2009:3. Stockholm: Department of Criminology Stockholm University; 2009.
Hirschi T. Causes of delinquency. Berkeley: Unveristy of California Press; 1969.
Steiner B, Makarios MD, Travis LF. Examining the effects of residential situations and residential mobility on Offender Recidivism. Crime and Delinquency. 2015;61(3):375–401.
doi: 10.1177/0011128711399409
Larsen BK, Hean S, Ødegård A. A conceptual model on reintegration after prison in Norway. Int J Prison Health. 2019;15(3):282–92.
doi: 10.1108/IJPH-06-2018-0032
pubmed: 31329039
Dirkzwager AJE, Nieuwbeerta P, Beijersbergen KA, Bosma AQ, de Cuyper R, Doekhie J, Eichelsheim V, de Goede S, van der Laan PH, Lamet W, et al. Cohort Profile: the Prison Project—a study of criminal behavior and life circumstances before, during, and after imprisonment in the Netherlands. J Dev life-course Criminol. 2018;4(1):120–35.
doi: 10.1007/s40865-017-0077-2
Skarðhamar T. An International Crime decline: lessons for Social Welfare Crime Policy? Social Policy & Administration. 2012;46(4):359–76.
doi: 10.1111/j.1467-9515.2012.00838.x
Barrenger SL, Draine J, Angell B, Herman D. Reincarceration Risk among men with Mental illnesses leaving prison: a risk environment analysis. Commun Ment Health J. 2017;53(8):883–92.
doi: 10.1007/s10597-017-0113-z
Weijters G, More A. Comparing income and housing of former prisoners after Imprisonment with their Situation before Imprisonment. Eur J Criminal Policy Res. 2013;21(1):35–48.
doi: 10.1007/s10610-013-9225-3
Hancock N, Smith-Merry J, McKenzie K. Facilitating people living with severe and persistent mental Illness to transition from prison to community: a qualitative exploration of staff experiences. Int J Mental Health Syst. 2018;12(1):45–5.
doi: 10.1186/s13033-018-0225-z
Hakulinen C, Elovainio M, Arffman M, Lumme S, Pirkola S, Keskimäki I, Manderbacka K, Böckerman P. Mental disorders and long-term labour market outcomes: nationwide cohort study of 2 055 720 individuals. Acta Psychiatrica Scandinavica. 2019;140(4):371–81.
doi: 10.1111/acps.13067
pubmed: 31254386
National Council of Crime Prevention. Kriminalstatistik 2018 [Crime statistics 2018]. In.: National Council of Crime Prevention; 2018.
Swedish National Forensic Psychiatric Register.: Annual report 2021. In.: Swedish National Forensic Psychiatric Register; 2022.
Compulsory Psychiatric Care Act. https://www.riksdagen.se/sv/dokument-lagar/dokument/svensk-forfattningssamling/lag-19911129-om-rattspsykiatrisk-vard_sfs-1991-1129 .
Douglas KS, Hart SD, Webster CD, Belfrage H. HCR-20 V3. Assessing risk for Violence. Burnaby: Mental Health, Law, and Policy Institute, Simon Fraser University; 2013.
Joint Action for Mental Health Sweden. Psykiatrin i siffror. Rättspsykiatri. Kartläggning 2021. [The pychiatric care in numbers. Forensic psychiatry. Survey 2021.]. In. Stockholm: Swedish Association of Local Authorities and Regions; 2022.
Halvorsen R, Hvinden B, Schoyen MA. The Nordic Welfare Model in the twenty-First Century: the Bumble-Bee still flies. Social Policy and Society: A Journal of the Social Policy Association. 2016;15(1):57–73.
doi: 10.1017/S1474746415000135
Swedish National Forensic Psychiatric Register.: Annual report 2018. In. Gothenburg: Swedish National Forensic Psychiatric Register; 2018.
Yu R, Geddes JR, Fazel S. Personality disorders, Violence, and antisocial behavior: a systematic review and meta-regression analysis. J Personal Disord. 2012;26(5):775–92.
doi: 10.1521/pedi.2012.26.5.775
Fazel S, Yu R. Psychotic disorders and repeat Offending: systematic review and Meta-analysis. Schizophr Bull. 2011;37(4):800–10.
doi: 10.1093/schbul/sbp135
pubmed: 19959703
Weller BE, Bowen NK, Faubert SJ. Latent class analysis: a guide to best practice. J Black Psychol. 2020;46(4):287–311.
doi: 10.1177/0095798420930932
Porcu M, Giambona F. Introduction to latent class analysis with applications. J Early Adolescence. 2017;37(1):129–58.
doi: 10.1177/0272431616648452
Lanza ST, Rhoades BL. Latent class analysis: an alternative perspective on Subgroup Analysis in Prevention and Treatment. Prev Sci. 2011;14(2):157–68.
doi: 10.1007/s11121-011-0201-1
Chanyeong K, Clayton-Matthews A. Multinominal logistic regression. Nurs Res (New York). 2002;51(6):404.
Fazel S, Wolf A. A systematic review of criminal recidivism rates worldwide: current difficulties and recommendations for best practice. PLoS ONE. 2015;10(6):e0130390–0.
doi: 10.1371/journal.pone.0130390
pubmed: 26086423
pmcid: 4472929
Krona H, Nyman M, Andreasson H, Vicencio N, Anckarsäter H, Wallinius M, Nilsson T, Hofvander B. Mentally disordered offenders in Sweden: differentiating recidivists from non-recidivists in a 10-year follow-up study. Nord J Psychiatry. 2017;71(2):102–9.
doi: 10.1080/08039488.2016.1236400
pubmed: 27701993
Lund C, Hofvander B, Forsman A, Anckarsäter H, Nilsson T. Violent criminal recidivism in mentally disordered offenders: a follow-up study of 13–20 years through different sanctions. Int J Law Psychiatry. 2013;36(3–4):250–7.
doi: 10.1016/j.ijlp.2013.04.015
pubmed: 23672945
Bonta J, Blais J, Wilson HA. A theoretically informed meta-analysis of the risk for general and violent recidivism for mentally disordered offenders. Aggress Violent Beh. 2014;19(3):278–87.
doi: 10.1016/j.avb.2014.04.014
Noland E, Strandh M, Klötz Logan F. The reconvictions of mentally disordered offenders—how, when, and where? BMC Psychiatry. 2022;22(1):264.
doi: 10.1186/s12888-022-03912-4
pubmed: 35418045
pmcid: 9008909
The Swedish Act. (2003:460) concerning the ethical review of research involving humans https://www.riksdagen.se/sv/dokument-lagar/dokument/svensk-forfattningssamling/lag-2003460-om-etikprovning-av-forskning-som_sfs-2003-460 .
Ludvigsson JF, Håberg SE, Knudsen GP, Lafolie P, Zoega H, Sarkkola C, von Kraemer S, Weiderpass E, Nørgaard M. Ethical aspects of registry-based research in the nordic countries. Clin Epidemiol. 2015;7:491–508.
doi: 10.2147/CLEP.S90589
pubmed: 26648756
pmcid: 4664438