Askola Riitta, Soininen Päivi, Seppänen Allan
Division of Mood Disorders, Helsinki University Hospital, Helsinki, Finland.
Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Front Psychiatry. 2020 Jan 8;10:925. doi: 10.3389/fpsyt.2019.00925. eCollection 2019.
Characteristics unique to forensic psychiatric treatment include coming to terms with the offenses committed, the long duration of treatment and the assessment of the risk of repeat offending. This study describes the views of both patients and staff on the significance of the patient's offense as a part of forensic psychiatric rehabilitation. Eight forensic psychiatric patients and eight forensic psychiatric nurses from two forensic psychiatric hospitals in Finland participated in this study. Data were gathered by means of thematic interview and analyzed by means of thematic analysis. The findings suggest that patients and professionals alike concur that ascertaining the factors with a bearing on the offense, and working through the offense and the factors leading up to it, constitute an essential aspect of forensic treatment. This, in turn, has a bearing on the planning and administration of a treatment plan consisting of both medical and psychosocial support and interventions intended to enable patients to live independent, fulfilling lives, thus reducing the likelihood of reoffending. The findings of this study can be used as part of the development of international, standardized treatment models for clinical forensic psychiatric practices.
法医精神病治疗的独特特征包括正视所犯罪行、治疗时间长以及对再次犯罪风险的评估。本研究描述了患者和工作人员对患者犯罪行为作为法医精神病康复一部分的重要性的看法。来自芬兰两家法医精神病医院的八名法医精神病患者和八名法医精神病护士参与了本研究。通过主题访谈收集数据，并通过主题分析进行分析。研究结果表明，患者和专业人员一致认为，确定与犯罪行为相关的因素，并梳理犯罪行为及其引发因素，是法医治疗的一个重要方面。这反过来又关系到治疗计划的规划和实施，该治疗计划包括医疗和心理社会支持以及旨在使患者能够过上独立、充实生活从而降低再次犯罪可能性的干预措施。本研究结果可作为临床法医精神病实践国际标准化治疗模式发展的一部分。
