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The British Journal of Psychiatry (2000) 176: 320-323
© 2000 The Royal College of Psychiatrists

FORENSIC PSYCHIATRY PAPERS

Evidence-based rehabilitation in forensic psychiatry{dagger}

PER LINDQVIST, PhD

Örebro Forensic Psychiatry Service, Eken, Örebro, Sweden

JEREMY SKIPWORTH, FRANZCP

Regional Forensic Psychiatry Service, Auckland, New Zealand

Declaration of interest None.

{dagger} See editorial pp. 307–311, this issue.

Correspondence: Per Lindqvist, Director, Örebro Forensic Psychiatry Service, Eken, S-70185 Örebro, Sweden. e-mail: per.lindqvist{at}orebroll.se

Background The extent to which forensic psychiatric rehabilitation alters an individual's level of risk is unclear.

Aims To highlight some essential features of a forensic psychiatric rehabilitation system, and to discuss risk assessment in this context to create a conceptual framework for risk research and practice.

Method The applicability of risk assessment instruments to forensic psychiatric rehabilitation was examined. Core processes and elements considered essential in this type of rehabilitative work were reviewed.

Results Current risk research has limited application to rehabilitation. Future research aimed at analysing forensic psychiatric rehabilitation will be hampered by the complexity of the treatment systems and the number of methodological issues relevant to this type of research.

Conclusions Novel research approaches are suggested to analyse further the risk factors and processes important in forensic psychiatric rehabilitation.




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