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Mentally disordered offenders with a history of previous head injury : are they more difficult to discharge?
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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. doi:10.1080/0269905031000089341 ISSN 0269-9052.
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Official URL: http://dx.doi.org/10.1080/0269905031000089341
Abstract
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 | ||||
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Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | ||||
Divisions: | Faculty of Science, Engineering and Medicine > 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 | ||||
ISSN: | 0269-9052 | ||||
Official Date: | 2003 | ||||
Dates: |
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Volume: | Vol.17 | ||||
Number: | No.9 | ||||
Page Range: | pp. 743-758 | ||||
DOI: | 10.1080/0269905031000089341 | ||||
Status: | Peer Reviewed | ||||
Access rights to Published version: | Open Access (Creative Commons) |
Data sourced from Thomson Reuters' Web of Knowledge
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