Mentally disordered offenders with a history of previous head injury : are they more difficult to discharge?
Hawley, Carol and Maden, Anthony. (2003) Mentally disordered offenders with a history of previous head injury : are they more difficult to discharge? Brain Injury, Vol.17 (No.9). pp. 743-758. ISSN 0269-9052
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Official URL: http://dx.doi.org/10.1080/0269905031000089341
Primary objectives: To identify the incidence of head injury (HI) amongst mentally disordered offenders (MDOs) in UK medium secure units (MSUs), and test the hypothesis that patients with a history of HI are more difficult to discharge than patients without HI.
Design, methods and procedures: 113 MDOs being discharged to community settings from five MSUs in England were recruited consecutively between 1/4/99 and 31/12/00. Data on previous HI, offending history, and discharge planning were collected from clinical casenotes, structured questionnaires, and interviews with clinical staff.
Main outcomes and results: More HI patients (57.4%) than non-HI patients (47%) had a violent index offence. Risk assessments carried out prior to discharge showed HI patients to be at greater risk of violence to others and of self-harm than non-HI patients (p ≤ 0.05). All but two HI patients were difficult to discharge (43, 95.6%), compared to 52 (82.5%) non-HI patients.
Conclusions: Information on previous HI should be collected on admission to MSUs and considered when planning for discharge.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry|
|Divisions:||Faculty of Medicine > Warwick Medical School|
|Library of Congress Subject Headings (LCSH):||Mentally ill offenders, Head -- Wounds and injuries, Criminals, People with mental disabilities|
|Journal or Publication Title:||Brain Injury|
|Publisher:||Taylor and Francis|
|Page Range:||pp. 743-758|
|Access rights to Published version:||Open Access|
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