Integrated substance use rehabilitation in a secure forensic facility

Kerri Eagle (University of New South Wales, Sydney, Australia)
Trevor Ma (Forensic Hospital, Justice and Forensic Mental Health Network, Malabar, Australia)
Barbara Sinclair (Forensic Hospital, Justice and Forensic Mental Health Network, Malabar, Australia)

The Journal of Forensic Practice

ISSN: 2050-8794

Publication date: 31 January 2019

Abstract

Purpose

The purpose of this paper is to inform the development of an evidence-based and effective rehabilitation programme to address substance use disorders in a population of patients with severe mental illness and mental disorders detained in a secure forensic psychiatric facility. A clinical review identified a high prevalence of substance use disorders in the patient population at a secure forensic facility in Sydney, Australia with only a limited number of patients being assessed and offered interventions for substance use problems.

Design/methodology/approach

A literature review was undertaken specifically looking at articles between 2009 and 2017 that considered models of care or approaches to substance use rehabilitation in patients with co-morbid psychiatric disorders. Articles were considered based on their relevance to the purpose and the environment of a secure forensic facility.

Findings

The literature review emphasised the need for a cohesive model of care integrating substance use rehabilitation with mental health care. Comprehensive assessment and individualised approaches that incorporated patient choice and stages of change were considered essential components to any dual diagnosis rehabilitation programme.

Practical implications

The literature regarding rehabilitation approaches for those with severe mental illness and co-morbid substance use disorders was reasonably consistent with the models of care used in relation to criminal offenders and mental illness generally. Integrated and individualised rehabilitation approaches for dual diagnosis patients could play a significant role in forensic settings.

Originality/value

Limited robust evidence for substance use rehabilitation has been published. The authors consider the existing evidence base and the underlying theory behind substance use rehabilitation to propose a model for rehabilitation in secure forensic settings. This is the first known review of substance use rehabilitation involving mentally ill offenders with dual diagnoses in secure forensic settings. This paper is the original work of the authors.

Keywords

Acknowledgements

The authors wish to acknowledge Justice Health and Forensic Mental Health Network for their support in the conduct of this research.

Citation

Eagle, K., Ma, T. and Sinclair, B. (2019), "Integrated substance use rehabilitation in a secure forensic facility", The Journal of Forensic Practice, Vol. 21 No. 1, pp. 50-60. https://doi.org/10.1108/JFP-09-2018-0037

Download as .RIS

Publisher

:

Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited

Please note you might not have access to this content

You may be able to access this content by login via Shibboleth, Open Athens or with your Emerald account.
If you would like to contact us about accessing this content, click the button and fill out the form.
To rent this content from Deepdyve, please click the button.