| 1. |
- Olsson, Helén, 1961-, et al.
(författare)
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Decreased risk for violence in patients admitted to forensic care, measured with the HCR-20
- 2013
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Ingår i: Archives of Psychiatric Nursing. - : Saunders Elsevier. - 0883-9417 .- 1532-8228. ; 27:4, s. 191-197
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The aim of this study was to explore if patients admitted to forensic psychiatric care decreased their assessed risk for violence over time, to identify patients who decreased their assessed risk for violence exceptionally well (30% or more) on the clinical (C) and risk management (R) scales in the (HCR-20), and to compare them in terms of demographic data.METHODS: The HCR-20 risk assessment instrument was used to assess the risk for violence in 267 patients admitted to a Swedish forensic psychiatric clinic between 1997 and 2010. Their assessments at admission were compared with a second, and most recent, risk assessment.RESULTS: The risk for violence decreased over time. Demographic criteria had no impact on differences on decreased risk. Only two factors, namely gender and psychopathy showed a difference. Risk factors associated with stress and lack of personal support were the items that turned out to be the most difficult to reduce.CONCLUSION: The results show that risk prevention in forensic care does work and it is important to continue to work with risk management. The study highlights the importance of a careful analysis of the patient's risk for violence in order to work with the patient's specific risk factors to reduce the risk.
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| 2. |
- Olsson, Helén, 1961-, et al.
(författare)
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Reducing or increasing violence in forensic care : A qualitative study of inpatient experiences
- 2015
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Ingår i: Archives of Psychiatric Nursing. - Maryland Heights, USA : Elsevier BV. - 0883-9417 .- 1532-8228. ; 29:6, s. 393-400
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Tidskriftsartikel (refereegranskat)abstract
- Semi-structured interviews with 13 forensic psychiatric inpatients that had decreased their assessed risk of violence were analyzed using interpretive description. The main contribution from this study is a detailed description of patients' own strategies to avoid violence. Participants described having an ongoing inner dialog in which they encouraged themselves, thereby increasing their self-esteem and trying to accept their current situation. An unsafe and overcrowded ward with uninterested and nonchalant staff increased the risk of aggressive behavior. In the process of decreasing violence, the patients and the forensic psychiatric nursing staff interacted to create and maintain a safe environment.
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| 3. |
- Olsson, Helén, 1961-, et al.
(författare)
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Reaching a turning point - how patients in forensic care describe trajectories of recovery
- 2014
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 28:3, s. 505-514
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, the duration of treatment is increasing for patients admitted to forensic psychiatric care. To reduce the length of stay, it is important for the forensic rehabilitation and recovery process to be effective and safe. Not much is known about how the process of recovery and transition begins and how it is described by the forensic patients. The purpose of this study was to explore how forensic patients with a history of high risk for violence experienced the turn towards recovery. A qualitative content analysis was used to analyse interviews with 10 patients who had decreased their assessed risk for violence on the risk assessment instrument HCR-20 and who were successfully managed a lower level of security. Three themes were identified: (i) the high-risk phase: facing intense negative emotions and feelings (ii) the turning point phase: reflecting on and approaching oneself and life in a new way (iii) the recovery phase: recognising, accepting and maturing. In the high-risk phase, chaotic and overwhelming feelings were experienced. The turning point phase was experienced as a sensitive stage, and it was marked by being forced to find a new, constructive way of being. The recovery phase was characterised by recognising personal circumstances in life, including accepting the need for structure, a feeling of maturity and a sense of responsibility for their own life. In order to ensure a successful recovery, the forensic nursing staff needs to recognise and support processes related to treatment motivation and turning points. Recommendations for best nursing practice are given accordingly.
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| 4. |
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| 5. |
- Belfrage, Henrik, et al.
(författare)
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Assessment and management of risk for intimate partner violence by police officers using the Spousal Assault Risk Assessment Guide
- 2012
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Ingår i: Law and human behavior. - : American Psychological Association (APA). - 0147-7307 .- 1573-661X. ; 36:1, s. 60-67
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Tidskriftsartikel (refereegranskat)abstract
- Intimate partner violence (IPV) is a crime that is present in all countries, seriously impacts victims, and demands a great deal of time and resources from the criminal justice system. The current study examined the use of the Spousal Assault Risk Assessment Guide, 2nd ed. (SARA; Kropp, Hart, Webster, & Eaves, 1995), a structured professional judgment risk assessment and management tool for IPV, by police officers in Sweden over a follow-up of 18 months. SARA risk assessments had significant predictive validity with respect to risk management recommendations made by police, as well as with recidivism as indexed by subsequent contacts with police. Risk management mediated the association between risk assessment and recidivism: High levels of intervention were associated with decreased recidivism in high risk cases, but with increased recidivism in low risk cases. The findings support the potential utility of police-based risk assessment and management of IPV, and in particular the belief that appropriately structured risk assessment and management decisions can prevent violence.
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| 6. |
- Belfrage, Henrik, et al.
(författare)
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Measuring the outcome of structured spousal violence risk assessments using the B-SAFER : risk in relation to recidivism and intervention
- 2012
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Ingår i: Behavioral sciences & the law (Print). - : Wiley-Blackwell. - 0735-3936 .- 1099-0798. ; 30:4, s. 420-430
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Tidskriftsartikel (refereegranskat)abstract
- In this study, 216 risk assessments conducted by law enforcement officers in a suburb of Stockholm using the Brief Spousal Assault Form for the Evaluation of Risk (B-SAFER) were followed up and correlated to both recidivism and type of protective actions implemented by the police. The results showed high recidivism rates across all risk categories, except in the highest risk group, where the recidivism rate was significantly lower. This finding suggests a poor, and even negative, predictive power of the police risk assessments: the higher the police-assessed risk, the lower the recidivism rate. However, it was clear that the police did very little, or nothing, in cases not assessed as high risk. All resources appear to have been directed to the high-risk cases, which seems to have had a preventive effect. Our results point to the importance of studying the nature and extent of protective actions taken in response to risk assessment, before drawing conclusions about the predictive validity of risk assessment instruments.
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| 7. |
- Kristiansen, Lisbeth, et al.
(författare)
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Rättspsykiatri
- 2010. - 1
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Ingår i: Omvårdnad vid psykisk ohälsa. - Lund : Studentlitteratur AB. - 9789144056463 ; , s. 279-303
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 8. |
- Olsson, Helén, 1961-, et al.
(författare)
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Social Workers' Experiences of Working with Partner Violence
- 2024
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Ingår i: British Journal of Social Work. - : Oxford University Press. - 0045-3102 .- 1468-263X. ; 54:2, s. 704-722
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Tidskriftsartikel (refereegranskat)abstract
- In this study, we investigated social workers' use of risk assessments and risk management in cases concerning intimate partner violence. The study examined social workers' experiences of work performance, organizational conditions, internal and external collaboration and challenges and opportunities at work. We interviewed twelve respondents in Swedish social work offices about what structures, supports and foundations they found essential for work sustainability and resilience. Support from colleagues and managers, experience, openness and trust were critical factors for work satisfaction. The study showed that work experience created trust and security, partly because the social worker became better at translating laws and regulations into practical work. Concerning the severity of the cases, collaboration was essential for building workplace confidence and well-being. A well-functioning internal and external collaboration was described as trust, reducing stress and access to open and straightforward communication with others. Sustainable routines and access to guidelines facilitated the work. An unsupportive work climate included a culture of silence, a lack of trust and generated feelings of stress. Feelings of vulnerability in the professional role arose when the workgroup and/or the management did not take a supportive approach to operational work. This study describes and discusses social workers' use of risk assessments and risk management and their experience working with challenging cases concerning intimate partner violence. Key factors that support the work were strongly linked to organizational factors, such as opportunities to work in pairs, have access to supervision or a mentor and receive support from a senior social worker colleague. Well-functioning internal and external collaboration was connected to trust, manageable stress levels and open and straightforward communication. An unsupportive work climate was linked to a culture of silence, lack of trust and high stress levels. When the team and the management did not take a supportive approach to operations, feelings of vulnerability in the professional role evolved.
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| 9. |
- Selenius, Heidi, et al.
(författare)
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Educational Needs among Women Admitted to High Secure Forensic Psychiatric Care
- 2022
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Ingår i: Journal of Forensic Psychology Research and Practice. - : Taylor & Francis Group. - 2473-2850 .- 2473-2842. ; 22:3, s. 269-284
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Tidskriftsartikel (refereegranskat)abstract
- Forensic psychiatric patients’ low educational attainment is a strong predictor for recidivism. However, there is a lack of studies on the educational background among women admitted to forensic psychiatric care. The study aimed to investigate the educational background among women within a high secure forensic psychiatric setting. A mixed-method design was applied. Data were collected from registers, including medical records, forensic psychiatric investigations, and verdicts (n = 93), and by conducting interviews (n = 61) with women admitted to forensic psychiatric care in Sweden. The women’s education length varied between 5 and 18 years. According to interviews and registers, more than 70% of the women were found to have some school-related problems. In the interviews, some women associated school with conflicts, loneliness, and learning difficulties. Others explained how their disadvantageous home environment and many school changes affected their learning and problems developing and maintaining social relationships. Women with a neurodevelopmental disorder were to a higher degree documented with school-related problems than women without such disorders (97% vs. 63%). The educational attainment varied among the women, and consequently, their educational needs were heterogeneous. Therefore, they should be offered tailored education and vocational support to have an increased prerequisite for adjusting to and participating in society.
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| 10. |
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