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Annual Report 2004-2005 - Forensicare

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Research<br />

Strategic objectives<br />

• Undertake and publish high quality,<br />

relevant and timely research.<br />

• Improve delivery and advance<br />

knowledge of specialist forensic mental<br />

health services.<br />

Challenges<br />

• Ensure that research contributes<br />

to clinical practice.<br />

• Successfully access research grants<br />

and funding.<br />

How we plan to succeed in <strong>2005</strong>-2006<br />

Under the auspice of the Research<br />

Committee, undertake research on –<br />

• the effectiveness and impact of the<br />

Crimes (Mental Impairment and<br />

Unfitness to be Tried) Act 1997<br />

PROFILE<br />

<strong>Forensicare</strong> has a sound research base<br />

and a strong commitment to supporting<br />

research throughout the organisation. The<br />

research program ensures that high quality<br />

research is undertaken to better inform<br />

clinical practice in the provision of public<br />

mental health services. <strong>Forensicare</strong> is also<br />

committed to disseminating research<br />

findings to area mental health services and<br />

other stakeholders. Responsibility for the<br />

research program rests with the Clinical<br />

Director, and all research projects are<br />

approved by the Research Committee,<br />

a sub-committee of the Council. All staff<br />

are encouraged to participate in the<br />

research program, and during <strong>2004</strong>-<strong>2005</strong><br />

10% of <strong>Forensicare</strong>’s clinical staff were<br />

actively involved in research projects.<br />

KEY OUTCOMES<br />

ANNUAL RESEARCH REPORT<br />

Full details of <strong>Forensicare</strong>’s research<br />

program in <strong>2004</strong>-<strong>2005</strong>, including featured<br />

published research, are provided in a<br />

separate publication, the <strong>Annual</strong> Research<br />

<strong>Report</strong> to Council. Copies of the Research<br />

<strong>Report</strong> are available from the Chief<br />

Executive Officer (Locked Bag 10, Fairfield,<br />

3078, or tel 9495 9143) or from the<br />

website – www.forensicare.vic.gov.au<br />

• risk management and risk management<br />

tools<br />

• stalkers and their victims<br />

• problem gambling<br />

• threats to kill<br />

• sex offending, including the use<br />

of child internet pornography<br />

• the role of nursing in improving mental<br />

health outcomes and evidence based<br />

psychiatric nursing practice<br />

• substance abuse and mental illness<br />

• inpatient aggression<br />

OUTCOMES OF RESEARCH CONDUCTED - DEVELOPMENTS IN CLINICAL<br />

PRACTICE<br />

RESEARCH CONDUCTED<br />

The epidemiology and phenomenology<br />

of uttering threats to harm others<br />

Evaluation of cognitive behavioural therapy<br />

with forensic patients.<br />

DEVELOPMENTS IN CLINICAL PRACTICE<br />

The ongoing development of the Problem<br />

Behaviour Program is guided by this<br />

research.<br />

Alongside the establishment of a specialist<br />

Cognitive Behaviour Therapy for Psychosis<br />

Clinic at the Thomas Embling Hospital,<br />

research is being conducted on the process<br />

and outcome of this treatment within the<br />

population of mentally disordered offenders.<br />

• cognitive behaviour therapy with<br />

forensic patients<br />

• prevalence of offenders with a mental<br />

illness re-entering prison in the context<br />

of a relapse of their mental illness<br />

• violence on the roads.<br />

Further pursue fee-for-service consultancies<br />

and develop a grant application capability<br />

to assist in underwriting our research and<br />

professional education programs.<br />

Research into inpatient aggression<br />

The systematic assessment of stalkers<br />

Substance use and personality<br />

characteristics of forensic outpatients<br />

with a mental illness.<br />

Findings from these research projects<br />

inform the Consolidating and Strengthening<br />

Clinical Programs project.<br />

As part of the research all clinical<br />

documentation has been reviewed and<br />

recommendations made for enhancement<br />

where required.<br />

Results from this study have important<br />

implications for clinicians planning<br />

treatment interventions for stalkers and<br />

have been adopted by the Problem<br />

Behaviour Program.<br />

Findings from this study have provided<br />

information on patients with dual diagnosis<br />

at risk of reoffending and the issues that<br />

need to be addressed in treatment programs.<br />

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