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

Published online by Cambridge University Press:  24 March 2015

Robert J. Schaufenbil ,
Rebecca Kornbluh ,
Stephen M. Stahl  and
Katherine D. Warburton
Robert J. Schaufenbil*
Affiliation:
California Department of State Hospitals, Sacramento, California, USA
Rebecca Kornbluh
Affiliation:
California Department of State Hospitals, Sacramento, California, USA
Stephen M. Stahl
Affiliation:
California Department of State Hospitals, Sacramento, California, USA Department of Psychiatry, University of California–San Diego, San Diego, California, USA Department of Psychiatry, University of Cambridge, Cambridge, UK Neuroscience Education Institute, Carlsbad, California, USA
Katherine D. Warburton
Affiliation:
California Department of State Hospitals, Sacramento, California, USA
*
*Address for correspondence: Robert Schaufenbil, California Department of State Hospitals, 1600 9th St., Room 400, Sacramento, CA 95814, USA. (Email: [email protected])
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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

forensicmental health systemrecovery-oriented treatment planningtreatment plantreatment planning
Type
Review Articles
Information
CNS Spectrums , Volume 20 , Special Issue 3: Violence in the Psychiatric Setting , June 2015 , pp. 250 - 253
Copyright
© Cambridge University Press 2015 

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