Literature DB >> 24142741

A 21-year retrospective outcome study of New South Wales forensic patients granted conditional and unconditional release.

Heather Hayes1, Richard I Kemp, Matthew M Large, Olav B Nielssen.   

Abstract

AIM: To retrospectively examine the outcomes of forensic patients found not guilty by reason of mental illness (NGMI) in New South Wales (NSW) and subsequently released into the community, as measured by reoffending, conditional release revocation and psychiatric hospital readmission.
METHOD: Data were collected from the NSW Mental Health Review Tribunal (MHRT) files for all patients who received an NGMI verdict between January 1990 and December 2010, and who were released into the community during this period. The outcome measures of conditional release revocation and psychiatric hospital readmission were extracted from these files. Information about subsequent criminal charges, convictions and penalties were obtained from the Bureau of Crime Statistics and Research's reoffending database.
RESULTS: During the 21-year period studied, 364 offenders received an NGMI verdict and were placed under the supervision of the MHRT. Of these, 197 were released into the community, including 85 who were granted unconditional release. Over a follow-up period averaging 8.4 years, 18% of conditionally released patients reoffended, 11.8% were convicted of a further offence, 8.7% were charged with a violent offence, 3.1% were convicted of a violent offence and 3.7% were sentenced to a term of imprisonment. Five (3.1%) conditionally released forensic patients received a further NGMI verdict. One-quarter of the conditionally released patients had their conditional release revoked and half were readmitted to hospital. Of the forensic patients granted unconditional release, 12.5% were charged with an offence, 9.4% received convictions for an offence, 6.3% were charged with a violent offence and 4.7% were convicted of a violent offence, in a mean follow-up period of 7.6 years. None committed a further serious offence resulting in a term of imprisonment, nor a second NGMI verdict.
CONCLUSIONS: The results of this study suggest that the treatment and rehabilitation of forensic patients in NSW, together with the decision-making procedures of the MHRT, is effective in protecting the community from further offending by forensic patients.

Entities:  

Keywords:  Conditional release; Mental Health Review Tribunal; forensic patients; mental illness; not guilty; reoffending

Mesh:

Year:  2013        PMID: 24142741     DOI: 10.1177/0004867413507610

Source DB:  PubMed          Journal:  Aust N Z J Psychiatry        ISSN: 0004-8674            Impact factor:   5.744


  4 in total

1.  Characteristics and re-offending outcomes of 'limiting-term' forensic patients found unfit to stand trial in New South Wales, Australia.

Authors:  Timothy Wu; Sara Singh; Georgia Lyons; Olav Nielssen; Richard Kemp; Anina Johnson; Kimberlie Dean
Journal:  Psychiatr Psychol Law       Date:  2021-01-19

2.  Web-Based Violence Risk Monitoring Tool in Psychoses: Pilot Study in Community Forensic Patients.

Authors:  Gautam Gulati; Robert Cornish; Hasanen Al-Taiar; Christopher Miller; Vivek Khosla; Christopher Hinds; Jonathan Price; John Geddes; Seena Fazel
Journal:  J Forensic Psychol Pract       Date:  2016-01-29

Review 3.  Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis.

Authors:  Seena Fazel; Zuzanna Fimińska; Christopher Cocks; Jeremy Coid
Journal:  Br J Psychiatry       Date:  2016-01       Impact factor: 9.319

4.  Violence after discharge from forensic units in the safe pilot study: a prospective study with matched pair design.

Authors:  Stål Bjørkly; Jon Magnus Wærstad; Lars Erik Selmer; Johnny Wærp; Martin Bjørnstad; John Vegard Leinslie; Gunnar Eidhammer; Kevin S Douglas
Journal:  Psychol Res Behav Manag       Date:  2019-08-28
  4 in total

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