NURS6085: Forensic Mental Health
Question:
2. Demonstrate familiarity with current legislation in regard to forensic patients and mentally disordered offenders under the Mental Health Act and the practical application of this legislation at a systems level
3. Discuss the process of effective assessment and engagement of mentally disordered offenders in a range of settings including prison, community and forensic hospitals
4. Appraise current tools and strategies to assess and better manage risk of potential violence of mentally disordered offenders towards others
5. Reflect on personal values and attitudes arising when working with people whose behaviour and presentation is challenging and confronting and identify and resolve ethical dilemmas specifically arising with mentally disordered offenders
6. Examine and evaluate issues related to cultural safety and vulnerable populations (such as Indigenous Australians) relevant to the delivery of care in forensic settings
7. Critically examine current and developing theories (and related research) of personality development, psychopathy, ASPD and BPD and future directions in the provision of forensic mental health services.
Answer:
Introduction:
While working with psychiatric patients as well as other mentally ill offenders, the condition of discharge should include continuous monitoring or abstinence by the observers so that risk of violence could be avoided (Fazel et al., 2016). This write up would discuss about the factors which should be taken into account so that the potential risk of violence associated to the discharge of patients associated with schizophrenia and poly-substance abuse (Cook et al., 2016).
This is evident from the psychiatric literatures that less research findings are observed that cumulatively treats the mental illness and substance abuse as co morbidity. Therefore, while treating patients suffering from mental illness and co morbidity should be provided with psychiatric services (Fazel et al., 2016). Further, it was also mentioned that due to the absence of proper pharmacological intervention, patients with violent and malicious damage activities are forced to abstain. Hence, while working with one such patient, who is suffering from schizophrenia and convicted for malicious activities and assault in the past, long term hospital stay would be imposed so that with psychological treatment the patient could be provided with effective pharmacological interventions (Cook et al., 2016). Further, while working with such patients, forensic psychological team and mental health physicians would be included in the multidisciplinary team (MDT) of care.
This should be included in the global prospect of drug abused mentally ill convicted patients who require accurate mental and psychological treatment for their benefit. Further, inclusion of these specialists in the MDT would impact effective care, proper abstain and monitoring of medication and other interventions of the patients (Minero, Barker & Bedford, 2017).
References
Cook, A. N., Moulden, H. M., Mamak, M., Lalani, S., Messina, K., & Chaimowitz, G. (2018). Validating the Hamilton Anatomy of Risk Management–Forensic Version and the Aggressive Incidents Scale. Assessment, 25(4), 432-445.
Fazel, S., Chang, Z., Fanshawe, T., Långström, N., Lichtenstein, P., Larsson, H., & Mallett, S. (2016). Prediction of violent reoffending on release from prison: derivation and external validation of a scalable tool. The Lancet Psychiatry, 3(6), 535-543.
Minero, V. A., Barker, E., & Bedford, R. (2017). Method of homicide and severe mental illness: A systematic review. Aggression and violent behavior, 37, 52-62.
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