Forensic mental health in Europe: some key figures

Purpose!#!While the number of forensic beds and the duration of psychiatric forensic psychiatric treatment have increased in several European Union (EU) states, this is not observed in others. Patient demographics, average lengths of stay and legal frameworks also differ substantially. The lack of basic epidemiological information on forensic patients and of shared indicators on forensic care within Europe is an obstacle to comparative research. The reasons for such variation are not well understood.!##!Methods!#!Experts from seventeen EU states submitted data on forensic bed prevalence rates,... Mehr ...

Verfasser: Tomlin, Jack
Lega, Ilaria
Braun, Peter
Kennedy, Harry G.
Herrando, Vicente Tort
Barroso, Ricardo
Castelletti, Luca
Mirabella, Fiorino
Scarpa, Franco
Vollm, Birgit
Pham, Thierry
Müller-Isberner, Rüdiger
Taube, Maris
Rivellini, Gianfranco
Calevro, Valeria
Liardo, Raffaello
Pennino, Michele
Markiewicz, Inga
Barbosa, Fernando
Bulten, Erik
Thomson, Lindsay
Pustoslemšek, Miran
Arroyo, Jose Manuel
Seppänen, Allan
Thibaut, Florence
Kozaric-Kovacic, Dragica
Palijan, Tija Zarkovic
Markovska-Simoska, Silvana
Raleva, Marija
Šileikaitė, Aldona
Germanavicius, Arunas
Čėsnienė, Ilona
Dokumenttyp: Zeitschriftenartikel
Erscheinungsdatum: 2020
Schlagwörter: Beds / Female [MeSH] / Prevalence / England [MeSH] / Forensic mental health / Humans [MeSH] / Mental Health [MeSH] / Spain/epidemiology [MeSH] / Europe/epidemiology [MeSH] / Wales [MeSH] / Deinstitutionalization / Mental Disorders/epidemiology [MeSH] / Netherlands/epidemiology [MeSH] / Original Paper / Europe
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27233130
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://repository.publisso.de/resource/frl:6469030

Purpose!#!While the number of forensic beds and the duration of psychiatric forensic psychiatric treatment have increased in several European Union (EU) states, this is not observed in others. Patient demographics, average lengths of stay and legal frameworks also differ substantially. The lack of basic epidemiological information on forensic patients and of shared indicators on forensic care within Europe is an obstacle to comparative research. The reasons for such variation are not well understood.!##!Methods!#!Experts from seventeen EU states submitted data on forensic bed prevalence rates, gender distributions and average length of stay in forensic in-patient facilities. Average length of stay and bed prevalence rates were examined for associations with country-level variables including Gross Domestic Product (GDP), expenditure on healthcare, prison population, general psychiatric bed prevalence rates and democracy index scores.!##!Results!#!The data demonstrated substantial differences between states. Average length of stay was approximately ten times greater in the Netherlands than Slovenia. In England and Wales, 18% of patients were female compared to 5% in Slovenia. There was a 17-fold difference in forensic bed rates per 100,000 between the Netherlands and Spain. Exploratory analyses suggested average length of stay was associated with GDP, expenditure on healthcare and democracy index scores.!##!Conclusion!#!The data presented in this study represent the most recent overview of key epidemiological data in forensic services across seventeen EU states. However, systematically collected epidemiological data of good quality remain elusive in forensic psychiatry. States need to develop common definitions and recording practices and contribute to a publicly available database of such epidemiological indicators.