The national trajectory project of individuals found not criminally responsible on account of mental disorder. Part 5: how essential are gender-specific forensic psychiatric services?

TitleThe national trajectory project of individuals found not criminally responsible on account of mental disorder. Part 5: how essential are gender-specific forensic psychiatric services?
Publication TypeJournal Article
Year of Publication2015
AuthorsNicholls TL, Crocker AG, Seto MC, Wilson CM, Charette Y, Côté G
JournalCan J Psychiatry
Volume60
Issue3
Pagination135-45
Date Published2015 Mar
ISSN0706-7437
KeywordsAdult, British Columbia, Criminals, Female, Forensic Psychiatry, Humans, Male, Mental Disorders, Mentally Ill Persons, Middle Aged, Ontario, Quebec, Sex Factors
Abstract

OBJECTIVE: To state the sociodemographic characteristics, mental health histories, index offence characteristics, and criminal histories of male and female forensic psychiatric patients. Clinicians and researchers advocate that mental health and criminal justice organizations implement gender-specific services; however, few studies have sampled forensic patients to evaluate the extent to which men's and women's treatment and management needs are different.METHOD: Data were collected from Review Board files from May 2000 to April 2005 in the 3 largest Canadian provinces. Using official criminal records, participants were followed for 3 to 8 years, until December 2008. The final sample comprised 1800 individuals: 15.6% were women and 84.4% were men.RESULTS: There were few demographic differences, but women had higher psychosocial functioning than men. Both men and women had extensive mental health histories; women were more likely diagnosed with mood disorders and PDs and men were more likely diagnosed with schizophrenia spectrum disorders and SUDs. The nature of the index offence did not differ by gender, except women were more likely to have perpetrated murders and attempted murders. For offences against a person, women were more likely to offend against offspring and partners and less likely to offend against strangers, compared with men. Women had significantly less extensive criminal histories than men.CONCLUSIONS: Not criminally responsible on account of mental disorder-accused women have a distinct psychosocial, clinical, and criminological profile from their male counterparts, which may suggest gender-specific assessment, risk management, and treatment in forensic services could benefit patients. The findings are also consistent with traditional models (Risk-Need-Responsivity) and ultimately demonstrate the importance of individual assessment and client-centred services.

Alternate JournalCan J Psychiatry
PubMed ID25886689
PubMed Central IDPMC4394713
Grant List / / Canadian Institutes of Health Research / Canada

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