[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 23, Issue 4 (Winter 2018) ::
Ir J Forensic Med 2018, 23(4): 261-270 Back to browse issues page
Study of the Process of Diagnostic Assessment, Treatment and Rehabilitation of Criminal Inpatients of Razi Psychiatric Hospital
Mansoureh Khalili , Mohammad Reza Khodaei Ardakani Dr, Armand Dokht Ahmadi , Sara Hashempoor Dr, Mehdi Saberi Dr *
Associate Professor of Psychiatry, Forensic Research Center, Forensic Medicine Organization, Tehran, Iran , saberi_md@yahoo.com
Abstract:   (697 Views)
Background: Razi Psychiatric Hospital is one of the most important mental hospitals in Iran. The majority of the patients who have committed crime are treated in this hospital. This study surveys the process of diagnostic assessment, care and rehabilitation of criminal inpatients of Razi hospital. 
Materials and Methods: This is a descriptive-analytic study. The statistical population of this research incudes all of the patients of the hospital during winter 2015. The population was chosen using a non-random sampling method. The data was collected using a researcher-made form that included characteristics such as demographic, social-economic situation, diagnosis, the treatment they get and the type of the crime they had committed. In addition, the diagnosis and treatment information that was collected in patients’ cases using DSM-IV-TR, was also used. The HCR-20 checklist was piloted to assess the risk level. The collected data was checked using SPSS. 
Findings: During three months of winter in 2015, the number of criminal inpatients in Razi Hospital was 153 (17 females and 136 males). The findings showed that the treatment that was served for them wasn’t different from the non-criminal patients’ treatment. The only treatment they received was regular doctor visits and drugs. No organized psychiatric, rehabilitation and educational service was provided. Also there is no follow-up program defined for these patients. Although the 
forensic medicine doesn’t send these patients to this center to only treat them but to assess their risk level, for which there is no organized program.
Conclusion: Criminal patients need practices more functional than what is currently being provided. This study shows that the level of the Razi Hospital’s service needs improvement and needs its special high secured section to assess and treat the criminal psychiatric patients. 
Keywords: Criminal Psychiatric Patients, Assessment, Care, Treatment, Razi Hospital
Full-Text [PDF 315 kb]   (158 Downloads)    
Type of Study: Research | Subject: Forensic Medicine
Received: 2018/03/3 | Accepted: 2018/03/3 | Published: 2018/03/3
* Corresponding Author Address: Associate Professor of Psychiatry, Forensic Research Center, Forensic Medicine Organization, Tehran, Iran
References
1. Florez A. forensic psychiatry: contemporary scope, challenges and controversies. World psychiatry.2006;5(2):87-91.
2. Mullen P. forensic mental health. The British journal of psychiatry. 2000;176(4):307-11. [DOI] [PubMed]
3. Saberi M, Mohammadi M. A new attitude on Forensic Psychiatry. 2nd ed. Tehran: Teimourzadeh; 2012: 11-21.[Persian].
4. Abolhasani s. Iranian Islamic penal code. Tehran: Ala ghalam; 2013:130. [Persian]
5. Saberi S M, Dehghani zade N, Tofighi Zavare H, Mehr pishe S, Memarian A. A Comparison of Committed Crimes Between Patients Suffering From Bipolar Mood Disorder and Schizophrenia Referred to Forensic Psychiatry Department in Tehran. Forensic Medicine. 2012;18(1):39-45 [Persian].
6. Razi educational and therapeutic psychiatric center. Available by: http://psychiatry.uswr.ac.ir/
7. Konrad N, Welke J, Opitz-Welke. Forensic psychiatric expert witnessing within the criminal justice system in Germany. International Journal of Law and Psychiatry. 2014;37:149–54. [DOI] [PubMed]
8. Kramer G, Bernstein D, Phares V. Introduction to Clinical Psychology (7th Edition). Prentice Hall; 2009:550-2.
9. Konrad N, Völlm B. Forensic psychiatric expert witnessing within the criminal justice system in Germany. Int J Law Psychiatry. 2014;37(2):149–54. [DOI] [PubMed]
10. Jamshidpour M, Izadi N, Najafi F, Khamoshi, F, Roustaei Shirdel A, Jalili K. Maternal mortality rate and causes in Kermanshah province (2001-2012). J Kermanshah Univ Med Sci. 2014;18(7):409-15
11. Kringlen E, Torgersen S, Cramer V. A Norwegian psychiatric epidemiological study. Am J Psychiatry. 2001;158(7):1091-8. [DOI] [PubMed]
12. Müller-Isberner R, Freese R, Jöckel D, Cabeza SG. Forensic psychiatric assessment and treatment in Germany: Legal framework, recent developments, and current practice. Int J Law Psychiatry. 2000;23(5-6):467-80. [DOI]
13. Ruchkin VV. The forensic psychiatric system of Russia. Int J Law Psychiatry. 2000; 23(5-6):555-65. [DOI]
14. Dickens GL, O’Shea LE. Use of the HCR-20 for violence risk assessment: views of clinicians working in a secure inpatient mental health setting. Journal of Forensic Practice. 2017;19(2):130-8. [DOI]
15. Müller-Isberner R, Freese R, Jöckel D, Gonzalez Cabeza S. Insane offender treatment in Germany: Legislation, organization, and treatment programs. Int J Law Psychiatry. 2000; 23(5-6):467-80. [DOI]
16. Müller-Isberner R. Forensic Psychiatric Assessment and Treatment in Germany. International Journal of Law and Psychiatry. 1997;6:23.
17. Kaplan HI, Sadock BJ. Synopsis of psychiatry: Behavioral sciences clinical psychiatry: Williams & Wilkins Co; 1988.
18. Chudzik L, Aschieri F. Clinical Relationships with Forensic Clients: A Three-Dimensional Model. Aggression and Violent Behavior. 2013;18(6):722-31 [DOI]
19. McCann R. A, Ball E.M. DBT With an Inpatient Forensic Population: The CMHIP Forensic Model. Cognitive and Behavioral Practice. 2000;7:447-56 [DOI]
20. Müller-Isberner R, Webster CD, Gretenkord L. Measuring progress in hospital order treatment: relationship between levels of security and C and R scores of the HCR-20. International Journal of Forensic Mental Health. 2007;6(2):113-21. [DOI]
21. Norcross JC, Wampold BE. Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy. 2011;48(1):98. [DOI] [PubMed]
Add your comments about this article
Your username or Email:

CAPTCHA code



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Khalili M, Khodaei Ardakani M R, Ahmadi A D, Hashempoor S, Saberi M. Study of the Process of Diagnostic Assessment, Treatment and Rehabilitation of Criminal Inpatients of Razi Psychiatric Hospital . Ir J Forensic Med. 2018; 23 (4) :261-270
URL: http://sjfm.ir/article-1-933-en.html


Volume 23, Issue 4 (Winter 2018) Back to browse issues page
مجله پزشکی قانونی ایران Iranian Journal of Forensic Medicine
Persian site map - English site map - Created in 0.07 seconds with 31 queries by YEKTAWEB 3731