Forensic Mental Health
Concepts, systems, and practice
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Product details:
- Publisher OUP Oxford
- Date of Publication 1 October 2009
- ISBN 9780198566854
- Binding Paperback
- No. of pages448 pages
- Size 246x173x26 mm
- Weight 733 g
- Language English
- Illustrations 2 line figures 0
Categories
Short description:
This book is a penetrating analysis of the forensic mental health system - how it operates, the people involved, the problems inherent in the system, and the huge ethical dilemmas. It brings together a range of specialists, who describe the processes involved in dealing with a mentally disordered offender - from their own unique perspective.
MoreLong description:
In the UK, we lock up more individuals per year than in any other part of Europe. Many of these are suffering from some form of treatable mental disorder, yet too often, prison is viewed as the only option. Part of the problem is the range of individuals and specialities involved in making these crucial judgements. Government departments, health and social care and voluntary sector organisations, and frontline criminal justice and penal institutions are all engaged in the definition, management, and processing of the mentally disordered offender (MDO), leaving the invidual in 'spiders web' of a system - often to their disadvantage.
This book presents a penetrating and thought provoking analysis of the forensic mental health system - how it operates, the people involved, the problems inherent in such a system, and the huge ethical dilemma of depriving an individual of their freedom. It brings together a range of specialists, each with considerable experience, who describe the processes involved in dealing with an MDO - from their own unique perspective.
The book starts with a section on violence and risk - covering a range of ideas from the disciplines of criminology, sociology, psychiatry and psychology that contribute to an understanding of these concepts.
The second section, on Forensic Psychotherapeutic Approaches to MDOs details the contributions of both cognitive and psychodynamic psychotherapies to understanding and managing the psychopathology, risk and interpersonal interactions of MDOs.
Legislation, both statutory and case law, has changed substantially in relation to MDOs over the last decade and the third section on Law discusses these changes as well as the fierce debate that has surrounded them.
The fourth section, on Ethics, develops some of these ideas on capacity, autonomy, vulnerability and responsibility. It describes common ethical dilemmas for professionals in forensic settings as it lays out the different duties involved in the different professional roles intrinsic to multi-agency working.
The fifth section on Social Policy discusses the development of the concept of the MDO and how penal, health and social care institutions are designed to meet their needs. It illustrates how much has changed, especially in the last fifteen years and how much of that change has been driven by the risk agenda.
The book concludes with an International Section - exploring how other countries think about anti-social and violent behaviour and how their circumstances and dilemmas have led to approaches to MDOs both similar to and different from those of England and Wales.
The book will be essential for both students and professionals in the complex and ethically challenging discipline of forensic mental health.
'...the book is both fresh and refreshing. It needs to be explored actively, otherwise one might miss something...The content is strong throughout...This is a book for Masters-level students or postgraduate trainees. It will also be of immense value to established practitioners. For interested undergraduates from all the allied disciplines it will only serve to fuel their enthusiasm'
Table of Contents:
Violence and dangerousness
Introduction
Medical models of mental disorder
Violence in a criminological context
Psychiatric disorder: frequency and mechanisms in understanding violence
Gender, crime and violence
Race and culture: the relationship of complex social variables to the understanding of violence
Domestic violence: genesis and perpetuation
Sexual offending: understanding motivations
Reponses to violence and trauma: the case of post-traumatic stress disorder
Forensic psychotherapy
Introduction
Introduction to psychotherapy and mentally disordered offenders
Psychodynamic approaches to working with mentally disordered offenders
Psychotherapeutic understanding and approach to psychosis in mentally disordered offenders
Caring for individuals with personality disorder in secure settings
Cognitive behavioural approaches to working with mentally disordered offenders
Treating high risk mentally disordered offenders; the dangerous and severe personality disorder initiative
Law
Introduction
Law and the mentally disordered offender: an overview of structures and statute
Insanity and homicide: 'new defences and old defences'
Mental health law and mentally disorder offender
Child care law and practice for mental health practitioners
Ethical aspects
Introduction
Principles of ethical reasoning in forensic psychiatry
Ethical issues in secure care
Ethical roles, relationships and duties of forensic mental health clinicians
Social policy
Introduction to social policy and the mentally disordered offender
Organizational and conceptual frameworks and the mentally disordered offender
Prison mental health care
Current service provision for mentally disordered offenders
International
Introduction
Forensic psychiatry in Australia
Forensic mental health care in New Zealand
Care and treatment of mentally disordered offenders in India
Reflections on the ethical complexities of medical life in apartheid South Africa
Scottish forensic psychiatry
Diminished responsibility as a cultural phenomenon (Netherlands)
Forensic mental health in (Switzerland)
Legal models and treatment approaches for the mentally disordered offender: United States of America
Appendix
Childcare law and practice
