Forensic focused treatment planning: a new standard for forensic mental health systems

CNS Spectr. 2015 Jun;20(3):250-3. doi: 10.1017/S1092852915000152. Epub 2015 Mar 24.

Abstract

Almost no literature addresses treatment planning for the forensic psychiatric patient. In the absence of such guidance, recovery-oriented multifocal treatment planning has been imported into forensic mental health systems from community psychiatric settings, despite the fact that conditions of admission and discharge are vastly different for forensic psychiatry inpatients. We propose that instead of focusing on recovery, forensic treatment planning should prioritize forensic outcomes, such as restoration of trial competence or mitigation of violence risk, as the first steps in a continuum of care that eventually leads to the patient's ability to resolve forensic issues and return to the community for recovery-oriented care. Here we offer a model for treatment planning in the forensic setting.

Keywords: forensic; mental health system; recovery-oriented treatment planning; treatment plan; treatment planning.

Publication types

  • Review

MeSH terms

  • Forensic Psychiatry / standards*
  • Humans
  • Mental Health Services / standards*
  • Patient Care Planning
  • Patient Discharge
  • Violence / prevention & control
  • Violence / psychology