To quantify outcomes for patients of forensic psychiatric rehabilitation in NSW.
Methods
Data on 245 conditionally released forensic patients was extracted from the Mental Health Review Tribunal (MHRT) files and matched to several state-wide datasets. Descriptive statistics were generated to establish the cohort characteristics, rates of reoffending and social and clinical outcomes.
Results
At conditional release, social circumstances for the majority of patients were improved. Clinically, the cohort was more stable, though many did not remain stable over time. Only one-fifth of the sample received a further criminal charge.
Conclusion
Preliminary evidence suggests that forensic rehabilitation services in NSW are effective.
ØrjasæterKAlmvikA. Challenges in adopting recovery-oriented practices in specialized mental health care: “how far should self-determination go; should one be allowed to perish?”. J Psychosoc Rehabil Ment Health2022; 9: 395–407.
3.
SimpsonAPenneyS. The recovery paradigm in forensic mental health services. Crim Behav Ment Health2011; 21(5): 299–306.
4.
SennesethMPollakCUrheimR, et al.Personal recovery and its challenges in forensic mental health: systematic review and thematic synthesis of the qualitative literature. BJPsych Open2022; 8(8): 1–15.
5.
Justice Health and Forensic Mental Health Network. Forensic mental health patient survey report. Sydney, Australia: Justice Health and Forensic Mental Health Network, 2016.
6.
BarnaoMWardTRobertsonP. The good lives model: a new paradigm for forensic mental health. Psychiatry, Psychology and Law2016; 23(2): 288–301.
7.
Good Lives Model. The good lives model of offender rehabilitation: a strengths-based approach for lives in transitionn.d.[accessed 31 March 2023]. Available from:https://www.goodlivesmodel.com/
8.
MallionJWoodJMallionA. Systematic review of ‘Good Lives’ assumptions and interventions. Aggress Violent Behav2020; 55: 101510–101517.
9.
ZeccolaJKeltyFBoerD. Does the good lives model work? A systematic review of the recidivism evidence. Journal of Forensic Practice2021; 23(3): 285–300.
10.
FortuneCWardTLL PolaschekD. The good lives model and therapeutic environments in forensic settings. Therapeutic Communities2014; 35(3): 95–104.
11.
RobertsonPBarnaoMWardT, et al.Clinicians' perspectives of forensic rehabilitation. Psychiatr Psychol Law2020; 27(1): 138–154.
12.
DeanKSinghSKempR, et al.Characteristics and re-offending rates amongst individuals found not guilty by reason of mental illness (NGMI): a comparison of men and women in a 25-year Australian cohort. International Journal of Forensic Mental Health2021; 20(1): 17–30.
13.
FazelSFimińskaZCocksC, et al.Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis. Br J Psychiatry2016; 208: 17–25.
14.
BoumanYScheneAde RuiterC. Subjective well-being and recidivism in forensic psychiatric outpatients. International Journal of Forensic Mental Health2009; 8: 225–234.
15.
SalemLCrockerACharetteY, et al.Supportive housing and forensic patient outcomes. Law Hum Behav2015; 39(3): 311–320.
16.
TakedaKSugawaraNYamadaY, et al.Employment-related factors of forensic psychiatric outpatients with psychotic disorders. Neuropsychiatr Dis Treat2019; 15: 3341–3350.
17.
LyonsGSinghSJohnsonA, et al.Rates and predictors of breach, revocation and hospital readmission of conditionally released forensic patients in New South Wales, Australia. J Forens Psychiatry Psychol2022; 33(4): 491–507.
18.
NSW Bureau of Crime Statistics and Research (BOCSAR). Re-offending statistics for NSW. Sydney: BOCSAR, 2022.
19.
KillaspyHZisP. Predictors of outcomes for users of mental health rehabilitation services: a 5-year retrospective cohort study in inner London, UK. Soc Psychiatry Psychiatr Epidemiol2013; 48(6): 1005–1012.
