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A Thorn in the Flesh? Forensic Inpatients in General Psychiatry

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@article{6f5a968a45804e47b6b3792d79773572,
title = "A Thorn in the Flesh?: Forensic Inpatients in General Psychiatry",
abstract = "PURPOSE: To illuminate whether and how taking care of forensic inpatients is experienced as a burden among staff and managers in general psychiatry.DESIGN AND METHODS: Qualitative analytical strategies based on interviews and questionnaires.FINDINGS: The interplay between physical environment, bottlenecks, poor information exchange, lack of knowledge and competences, complex psychopathology, and a vague and therefore uncomfortable task of nursing leads to a focus on criminal offenses rather than mental disorders and an increased risk of brutalization and stigmatization in nursing practices. Members of staff identify the care of mentally disordered offenders in general psychiatric units as either {"}a parking space{"} or a very difficult or frightening course, where staff members tend to behave like pleasers in order to avoid risks of conflict or physical violence. Either way, it seems hard to provide sufficient mental health care.PRACTICE IMPLICATIONS: Nationwide training and teaching as well as knowledge exchange between specialized forensic psychiatry and general psychiatry are recommended. Further exploration is needed on patient perspectives and on avenues to increase efficiency and decrease bottlenecks throughout the clinical pathways. Furthermore, we need additional knowledge of the impact on general patient populations' resources for treatment and their safety.",
author = "Jette M{\o}llerh{\o}j and St{\o}lan, {Liv Os} and Brandt-Christensen, {Anne Mette}",
note = "{\textcopyright} 2015 Wiley Periodicals, Inc.",
year = "2016",
month = jan,
doi = "10.1111/ppc.12099",
language = "English",
volume = "52",
pages = "32--39",
journal = "Perspectives in Psychiatric Care",
issn = "0031-5990",
publisher = "Wiley-Blackwell Publishing, Inc",
number = "1",

}

RIS

TY - JOUR

T1 - A Thorn in the Flesh?

T2 - Forensic Inpatients in General Psychiatry

AU - Møllerhøj, Jette

AU - Stølan, Liv Os

AU - Brandt-Christensen, Anne Mette

N1 - © 2015 Wiley Periodicals, Inc.

PY - 2016/1

Y1 - 2016/1

N2 - PURPOSE: To illuminate whether and how taking care of forensic inpatients is experienced as a burden among staff and managers in general psychiatry.DESIGN AND METHODS: Qualitative analytical strategies based on interviews and questionnaires.FINDINGS: The interplay between physical environment, bottlenecks, poor information exchange, lack of knowledge and competences, complex psychopathology, and a vague and therefore uncomfortable task of nursing leads to a focus on criminal offenses rather than mental disorders and an increased risk of brutalization and stigmatization in nursing practices. Members of staff identify the care of mentally disordered offenders in general psychiatric units as either "a parking space" or a very difficult or frightening course, where staff members tend to behave like pleasers in order to avoid risks of conflict or physical violence. Either way, it seems hard to provide sufficient mental health care.PRACTICE IMPLICATIONS: Nationwide training and teaching as well as knowledge exchange between specialized forensic psychiatry and general psychiatry are recommended. Further exploration is needed on patient perspectives and on avenues to increase efficiency and decrease bottlenecks throughout the clinical pathways. Furthermore, we need additional knowledge of the impact on general patient populations' resources for treatment and their safety.

AB - PURPOSE: To illuminate whether and how taking care of forensic inpatients is experienced as a burden among staff and managers in general psychiatry.DESIGN AND METHODS: Qualitative analytical strategies based on interviews and questionnaires.FINDINGS: The interplay between physical environment, bottlenecks, poor information exchange, lack of knowledge and competences, complex psychopathology, and a vague and therefore uncomfortable task of nursing leads to a focus on criminal offenses rather than mental disorders and an increased risk of brutalization and stigmatization in nursing practices. Members of staff identify the care of mentally disordered offenders in general psychiatric units as either "a parking space" or a very difficult or frightening course, where staff members tend to behave like pleasers in order to avoid risks of conflict or physical violence. Either way, it seems hard to provide sufficient mental health care.PRACTICE IMPLICATIONS: Nationwide training and teaching as well as knowledge exchange between specialized forensic psychiatry and general psychiatry are recommended. Further exploration is needed on patient perspectives and on avenues to increase efficiency and decrease bottlenecks throughout the clinical pathways. Furthermore, we need additional knowledge of the impact on general patient populations' resources for treatment and their safety.

U2 - 10.1111/ppc.12099

DO - 10.1111/ppc.12099

M3 - Journal article

C2 - 25624050

VL - 52

SP - 32

EP - 39

JO - Perspectives in Psychiatric Care

JF - Perspectives in Psychiatric Care

SN - 0031-5990

IS - 1

ER -

ID: 44963704