Forensic mental health in Europe : some key figures

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dc.contributor.authorTomlin, Jack
dc.contributor.authorthe experts of COST Action IS1302
dc.contributor.authorTaube, Maris
dc.date.accessioned2021-11-01T07:10:01Z
dc.date.available2021-11-01T07:10:01Z
dc.date.issued2021-01
dc.descriptionFunding Information: This project was supported financially by the COST ACTION [IS1302] Long-Term Forensic Psychiatric Care. Acknowledgements Publisher Copyright: © 2020, The Author(s).
dc.description.abstractPurpose: 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.en
dc.description.statusPeer reviewed
dc.format.extent9
dc.format.extent584973
dc.identifier.citationTomlin, J, the experts of COST Action IS1302 & Taube, M 2021, 'Forensic mental health in Europe : some key figures', Social Psychiatry and Psychiatric Epidemiology, vol. 56, no. 1, pp. 109-117. https://doi.org/10.1007/s00127-020-01909-6
dc.identifier.doi10.1007/s00127-020-01909-6
dc.identifier.issn0933-7954
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/6774
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85087684858&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofSocial Psychiatry and Psychiatric Epidemiology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBeds
dc.subjectDeinstitutionalization
dc.subjectEurope
dc.subjectForensic mental health
dc.subjectPrevalence
dc.subject3.3 Health sciences
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectEpidemiology
dc.subjectSocial Psychology
dc.subjectHealth(social science)
dc.subjectPsychiatry and Mental health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleForensic mental health in Europe : some key figuresen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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