Civil and Forensic Patients: Comparing Demographics, Risk Factors, and Negative Life Events

Julie Anne Laser-Maira, Granger Petersen, Haily Stephens, Donna Michelle Peach

Medailon autorů:

Dr. Julie Anne Laser-Maira is an Associate Professor at the Graduate School of Social Work at the University of Denver, USA.

Dr. Granger Petersen is a Statistician II at the Colorado Mental Health Institutes, USA.

Haily Stephens is an undergraduate student in Bio-Chemistry at the University of Denver, USA.

Dr. Donna Peach is a Lecturer in Social Work at the University of Salford, UK.


OBJECTIVES: This investigation centres on how the mentally ill with a forensic admission compare to the mentally ill with a civil admission, and investigates who inpatients with a forensic and civil admission are, and how the risk factors and negative historical events they have experienced compare or differ. THEORETICAL BASE: Using a risk and resilience framework, risk factors that are deleterious to healthy development are used as variables. METHODS: The records of all adult inpatients both forensic and civil, aged 18 to 89 at admission in two U.S. mountain region public psychiatric hospitals were included in the sample (n=1768). All patients are assessed using the Colorado Clinical Assessment Record (CCAR) which, measures a diverse set of variables including Current Issues, History of Issues, Demographics, and Disabilities. OUTCOMES: Civil and forensic patients have more in common than differences. Both samples compare more closely to risk factors and negative historical events than they do to the general population. However, this begins to break down once the sample is separated by gender. SOCIAL WORK IMPLICATIONS: Social Workers who work in prison systems need to become more familiar with mental illness interventions. Additionally, social workers should both educate law enforcement about de-escalation tactics with the mentally ill and intervene on mental health related police calls. On the macro level, social workers should advocate for the mentally ill to be housed in psychiatric hospitals rather than be imprisoned where they will often not receive inpatient psychiatric care.

Klíčová slova:

civil, forensic, inpatient psychiatric hospitals, gender, risk factors

s. 76–86