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Seattle University Collaborative Projects - International Academy of ...

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chance <strong>of</strong> another timely release, especially if they have re-<strong>of</strong>fended. As a matter <strong>of</strong> fact, allpatients discharged from forensic psychiatric hospitals had, at the time, been considered fit forconditional release. From a risk assessment point <strong>of</strong> view, those who did not do well may beconsidered false negatives.Objectives: 1. To investigate two sub-groups <strong>of</strong> patients released from German forensicpsychiatric hospitals: 1.a) patients who have done well under the legal requirements <strong>of</strong>conditional release and 1.b) those who did not, i.e. the patients whose conditional release waslegally withdrawn within a relatively short time at risk. 2. To investigate the reasons forwithdrawal <strong>of</strong> conditional release in group 1b). 3. To identify a set <strong>of</strong> legal and psychosocialperson-related variables associated with the odds <strong>of</strong> withdrawal <strong>of</strong> conditional release fromGerman forensic psychiatric hospitals.Method: Several German forensic psychiatric hospitals were asked to provide data on legal andpsychosocial person-related variables that might distinguish between the subgroups describedabove. The cut-<strong>of</strong>f for group assignment was the legal status at thirty months at risk, i.e. thepatients whose conditional releases were not withdrawn within thirty months from dischargewere considered “to do well”. Assessments <strong>of</strong> over 800 patients discharged from 2009 to 2011are analysed and compared with respect to their legal background, type <strong>of</strong> <strong>of</strong>fence, psychiatricdiagnoses, prior psychiatric treatments, and variables tapping psychosocial adaptation prior toadmission.Results and Discussion: Preliminary results will be presented and implications discussed.133. Problem-Solving CourtsImproving the Criminal Justice Response to Offenders with Mental Illness inRemote Northern CommunitiesPriscilla Ferrazzi, Queen’s <strong>University</strong> (priscilla.ferrazzi@queensu.ca)Tery Krupa, Queen’s <strong>University</strong> (terry.krupa@queensu.ca)In remote communities in the Far North, the capacity <strong>of</strong> criminal justice systems to deal with<strong>of</strong>fenders with mental illness is taxed by limited available resources and the absence <strong>of</strong>specialized "mental health courts" and related "diversion programs" used in the south. Thisresearch explores the ability to incorporate principles <strong>of</strong> problem-solving courts that guidemental health courts and diversion programs into the criminal court structure and practice <strong>of</strong>remote communities. The application <strong>of</strong> problem-solving principles results in people with mentalillness accessing community treatment rather than facing prosecution or incarceration whenmental illness is seen as the main cause <strong>of</strong> criminal behaviour and the approach is appropriate tothe nature and circumstances <strong>of</strong> the <strong>of</strong>fence and the background <strong>of</strong> the <strong>of</strong>fender. Exploration <strong>of</strong>the viability <strong>of</strong> this approach in northern communities is undertaken through a) an exploration <strong>of</strong>the essential principles <strong>of</strong> problem-solving courts and b) mental health support systems thatinclude a community-based rehabilitation model and/or the use <strong>of</strong> remote technologies. This315

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