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Mapping Systematic Reviews on Forensic Psychiatric Care: A Systematic Review Identifying Knowledge Gaps
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- Howner, K. (författare)
- Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden; Natl Board Forens Med, Div Forens Psychiat Stockholm, Dept Forens Psychiat, Stockholm, Sweden
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- Andiné, Peter (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Centrum för etik, juridik och mental hälsa,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Centre for Ethics, Law, and Mental Health,Sahlgrenska Academy,Natl Board Forens Med, Div Forens Psychiat Gothenburg, Dept Forens Psychiat, Gothenburg, Sweden; Univ Gothenburg, Dept Psychiat & Neurochem, Inst Neurosci & Physiol, Sahlgrenska Acad,Ctr Eth Law & Mental Hlth, Gothenburg, Sweden; Sahlgrens Univ Hosp, Forens Psychiat Clin, Gothenburg, Sweden
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- Bertilsson, G. (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services,Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden
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- Hultcrantz, M. (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services,Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden
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- Lindström, Eva (författare)
- Uppsala universitet,Uppsala University,Psykiatri, Akademiska sjukhuset
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- Mowafi, F. (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services,Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden
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- Snellman, A. (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services,Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden
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- Hofvander, Björn (författare)
- Lund University,Lunds universitet,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Enheten för klinisk forskning om utagerande beteenden och utvecklingsrelaterad psykopatologi,Forskargrupper vid Lunds universitet,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Clinical Research on Externalizing and Developmental psychopathology (LU-CRED),Lund University Research Groups,Lund Univ, Dept Clin Sci Lund Child & Adolescent Psychiat, Lund, Sweden
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(creator_code:org_t)
- 2018-09-25
- 2018
- Engelska.
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Ingår i: Frontiers in Psychiatry. - : Frontiers Media SA. - 1664-0640. ; 9
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Abstract
Ämnesord
Stäng
- Background: Forensic psychiatric care treats mentally disordered offenders who suffer mainly from psychotic disorders, although comorbidities such as personality disorders, neurodevelopmental disorders, and substance abuse are common. A large proportion of these patients have committed violent crimes. Their care is involuntary, and their caregivers' mission is complex: not only to rehabilitate the patient, but also to consider their risk for reoffending and their risk to society. The objective of this overview of systematic reviews is to identify, appraise, and summarize the existing knowledge in forensic psychiatric care and identify knowledge gaps that require further research. Methods: We undertook a systematic literature search for systematic reviews in five defined domains considered important in daily clinical practice within the forensic psychiatric care: (1) diagnostic assessment and risk assessments; (2) pharmacological treatment; (3) psychological interventions; (4) psychosocial interventions, rehabilitation, and habilitation; and (5) restraint interventions. The target population was mentally disordered offenders (forensic psychiatric patients aged >15 years). Each abstract and full text review was assessed by two of the authors. Relevant reviews then were assessed for bias, and those with moderate or low risk of bias were included. Results: Of 38 systematic reviews meeting the inclusion criteria, only four had a moderate risk of bias. Two aimed to incorporate as many aspects of forensic psychiatric care as possible, one investigated non-pharmacological interventions to reduce aggression in forensic psychiatric care, and one focused on women with intellectual disabilities in forensic care. However, most of the primary studies included in these reviews had high risks of bias, and therefore, no conclusions could be drawn. All of our identified domains must be considered knowledge gaps. Conclusion: We could not answer any of our research questions within the five domains because of the high risk of bias in the primary studies in the included systematic reviews. There is an urgent need for more research on forensic psychiatric care since all of our studied domains were considered knowledge gaps.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- forensic psychiatric care
- mentally disordered offenders
- risk assessments
- pharmacological
- interventions
- violence
- risk
- Psychiatry
- Mentally disordered offenders
- risk assessment
- pharmalogical treatment
- psychological interventions
- psychosocial interventions
- restraint interventions
- forensic psychiatric care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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