Care of the Mentally Disordered Offender in the Community / Edition 1

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This book discusses the theory and practice of the treatment in the community of people who suffer from mental disorders and who break the law. It addresses the tension created by the need to serve the diverse goals of improving health and protecting the public.

The book is divided into three sections. The first describes the social, administrative and legal context in which care is provided. This care is influenced by the degree to which mentally disordered offenders are perceived as dangerous. The second section describes clinical aspects. Offending by patients affects the models of care offered by community mental health teams and correctly assessing the risk of violence on the community has come to be seen as a key task of these services. The third and final section discusses the interactions between different aspects of the psychiatric services and between the psychiatric services and other related agencies.

Care of the Mentally Disordered Offender in the Community provides an international review of the field, for a multidisciplinary audience, balancing theoretical with practical considerations. It should be read by all those involved in providing care and support to mentally disordered offenders.

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Editorial Reviews

Doody's Review Service
Reviewer: John Claro Onate, BS, MD (Rush University Medical Center)
Description: This book on the theory and practice of the treatment, in the community, of people who suffer from mental illness and who break the law also highlights the conflict between serving the patient and protecting the community.
Purpose: The purpose is to describe the current emphasis on treating people with psychiatric problems and reducing the chance of a violent acts in the community. This is a very relevant subject in psychiatry and law today. The author is successful in describing the current theory, practice, and ethics of outpatient forensic psychiatry in the U.K.
Audience: The book is intended for psychologists, psychiatrists, lawyers, residents, or fellows, but it is written on a level which undergraduate or graduate students can understand. The book is easy to read, although some of the authors write more clearly than others. The author is a professor of forensic psychiatry at the Institute of Psychiatry in London and is well suited to the topic.
Features: The book is divided into three parts. Essays and discussions on society and the mentally ill with a focus on violent crime perpetrated by the mentally ill make up chapter one. The development and understanding of risk assessment and predicting violent outbursts bridge into part two. Part two covers the specifics of treating the mentally ill from a forensic stance, including assessing risk of violence, compliance, psychotherapy, and psychopharmacology. The organization and role of the mental health team and, finally, the involuntary outpatient treatment policies and laws in the United States rounds out part two. Part three covers the integration of general psychiatric and forensic psychiatric practitioners and the demands of divergent forces on the psychiatrist taking care of mentally ill offenders. The most helpful sections are on risk assessment from a clinical, medical-legal, and theory standpoint. The only drawback is the fact that the book is written about British practice and law save for the chapter on involuntary outpatient treatment in the United States.
Assessment: This book is helpful in understanding the complex relationship between the law and psychiatry which is invoked in treating medically ill offenders. It is mostly an overview of policy and practice with a focus on areas of controversy and ambiguity. It attempts and succeeds in showing an organized and evidence-based approach to outpatient forensic psychiatry.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780192630582
  • Publisher: Oxford University Press, USA
  • Publication date: 3/28/2002
  • Series: Oxford Medical Publications
  • Edition description: Subsequent
  • Edition number: 1
  • Pages: 358
  • Product dimensions: 9.40 (w) x 6.60 (h) x 0.80 (d)

Meet the Author

Institute of Psychiatry, London
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Table of Contents

Section One: The social, administrative and clinical context inwhich mentally disordered offenders are cared for in the community
1. Society, madness and control, Rose
2. The level of risk posed, Tidmarsh
3. Mental health policy with respect to mentally disordered offenders, Jewesbury
4. Psychiatric disorder and individual violence: imagined death, risk and mental health policy, Busfield
Section Two: Clinical aspects of care of the mentally disordered offender in the community
5. Models of community care provision and the mentally disordered offender, Tighe, Henderson & Thornicroft
6. Assessing the risk of violence posed by mentally disordered offenders being treated in the community, Skeem & Mulvey
7. Drug treatment, compliance and risk, Travis
8. Out-patient psychotherapy with mentally disordered offenders, Norton & Vince
9. Involuntary outpatient commitment in the United States: practice and controversy, Swartz & Swanson
10. Mentally disordered offenders and the community mental health team, Holloway
Section Three: The relationship between psychiatric services for mentally disordered offenders and other agencies
11. Who does what? The relationships between generic and forensic psychiatric services, Buchanan
12. Multiple agencies with diverse goals, McGuire
13. To serve which master? Criminal justice policy, community care and the mentally disordered offender, Fennell & Yeates

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