Evaluating the Effectiveness of Forensic Psychiatric Prevention

1516

Abstract

We discuss the quantitative indicators, the analysis of which gives an idea of the strengths and means at the disposal of forensic health care. We discuss the possibility of using the existing statistical monitoring system for a dynamic assessment of the quality of the measures for primary prevention of socially dangerous acts and implementation of compulsory medical measures at the regional and federal levels. We emphasize the quality indicators of the process for specialized assistance: security environment, organizational culture, training and upgrading the skills of staff, completeness and quality of psychosocial interventions, the degree of profiling the psycho-educational work, the quality of psychotherapeutic contact and its dynamics. We discuss the problem of the validity of the criteria of rehabilitation interventions success by compliance with the methodological principles for the evaluation of their effectiveness. We suggest ways to improve the effectiveness of regional mental health services for the prevention of socially dangerous acts, approaches to peer review and monitoring of the work.

General Information

Keywords: people with mental disorders, public danger, system of forensic psychiatric prevention, indicators to measure performance

Journal rubric: Juridical Psychology

Article type: scientific article

DOI: https://doi.org/10.17759/psyedu.2014060304

For citation: Makushkina O., Bulygina V.G. Evaluating the Effectiveness of Forensic Psychiatric Prevention [Elektronnyi resurs]. Psikhologicheskaya nauka i obrazovanie psyedu.ru [Psychological Science and Education psyedu.ru], 2014. Vol. 6, no. 3, pp. 31–40. DOI: 10.17759/psyedu.2014060304. (In Russ., аbstr. in Engl.)

References

  1. Al'farnes S.A., Bulygina V.G. Strukturno-dinamicheskie protsedury otsenki riska nasiliya s pomoshch'yu HCR-20 i V-RISK-10 [Structural and dynamic risk assessment procedures violence through HCR-20 and V-RISK-10]. Rossiiskii psikhi-atricheskii zhurnal [Russian Journal of Psychiatry], 2009, no. 9, pp. 12–18.
  2. Bulygina V.G. Izmerenie riskov nasiliya v sudebnoi psikhiatrii [Elektronnyi resurs] [Measuring risks of violence in forensic psychiatry]. Psikhologicheskaya nauka i obrazovanie PSYEDU.ru. [Psychological Science and Education PSYEDU.ru], 2011. no. 1. Available at:http://www.psyedu.ru/journal/2011/1/2051.phtml (Accessed 08.09.2014). (In Russ., Abstr. in Engl.).
  3. Bulygina V.G., Kuznecov D.A. Uchet gendernoi spetsifiki kriminal'-nogo povedeniya v sudebno-psikhiatricheskoi profilaktike [Elektronnyi resurs] [Gender-specific criminal behavior in forensic psychiatric prevention]. Psikhologicheskaya nauka i obrazovanie PSYEDU.ru. [Psychological Science and Education PSYEDU.ru], 2012, no. 2. Available at:http://www.psyedu.ru/journal/2012/2/2901.phtml (Accessed 25.11.2011). (In Russ., Abstr. in Engl.).
  4. Bulygina V.G., Shul'ga A.G., Kabanova T.N. Metodologiya i praktika upravleniya konfliktami v otnoshenii patsientov v psikhiatricheskom statsi-onare [Methodology and practice of conflict management for patients in the hospital]. Psikhicheskoe zdorov'e [Mental Health], 2010, no. 8, pp. 50–55.
  5. Goldobina O.A., Treshutin V.A. Sistema okhrany psikhicheskogo zdoro-v'ya i povysheniya effektivnosti psikhiatricheskoi sluzhby na regional'nom urovne. [Mental health system and improve the effectiveness of psychiatric services at the regional level]. Novosibirsk: Nauka, 2005. 260 p.
  6. Goldobina O.A., Treshutin V.A., Yastrebov V.S. Sistema upravleniya psikhiatricheskoi sluzhboi, povysheniya ee effektivnosti na regional'nom urovne [Psychiatric service management system, improve the performance at the regional level]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova [Neurology and Psychiatry. Korsakoff's], 2005. Vol. 105, no. 10, pp. 46–49.
  7. Makushkina O.A. Effektivnost' deyatel'nosti uchrezhdenii, osu-shchestvlyayushchikh ispolnenie prinuditel'nykh mer meditsinskogo kharaktera [Effectiveness of the institutions engaged in the execution of compulsory medical measures]. In Vandysh V.V. (ed.) Sudebnaya psikhiatriya. Aktual'nye problemy [Forensic psychiatry. Actual problems]. Moscow.: FGBU “GNTs SSP im. V.P. Serbskogo” Minzdrava Rossii, 2014, pp.138–147.
  8. Makushkina O.A., Golland V.B., Yakhimovich L.A. Monitoring i znachimye pokazateli vnebol'nichnoi profilaktiki obshchestvenno opasnykh deistvii psikhicheski bol'nykh v Rossiiskoi Federatsii [Monitoring and meaningful indicators of community prevention of socially dangerous actions of the mentally ill in the Russian Federation]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry], 2011, no. 5, pp. 4–10.
  9. Makushkina O.A., Kazakovtsev B.A. Otsenka effektivnosti profilak-tiki obshchestvenno opasnykh deistvii psikhicheski bol'nykh [Evaluating the effectiveness of prevention of socially dangerous actions of the mentally ill]. Psikhicheskoe zdorov'e [Mental Health], 2012, no. 4, pp. 3–11.
  10. Bubnova I.V. (eds.) Otsenka kachestva psikhoterapevticheskogo kontakta v protsesse psikho-terapii nevroticheskikh rasstroistv [Evaluation of the quality of psychotherapeutic contact during psy-chotherapy neurotic disorders]: Metodicheskie rekomendatsii. Sankt-Peterburg, 2009 g. Psikhicheskoe zdorov'e [Mental health], 2012, no. 6, pp. 13–18.
  11. Kotov V.P. (ed.) Prinuditel'noe lechenie v psikhiatricheskom statsionare: Rukovod-stvo dlya vrachei. [Compulsory treatment in a psychiatric hospital]. Moscow: FGU “GNTs SSP Roszdrava”, 2009. 380 p.
  12. Solokhina T.A. Podkhody k obespecheniyu i otsenke kachestva psikhiat-richeskoi pomoshchi [Approaches to quality assurance and evaluation of the quality of mental health care]. Vtoroi S"ezd psikhiatrov Rossii (1–4 noyabrya 1995 g.): Materialy s"ezda (Moscow, 1- 4 noyabria 1995g.) [Proceedings of the Second Congress of Russian Psychiatrists]. Moscow, 1995, pp. 117–118.
  13. Kazakovtsev B.A. (eds.) Sudebno-psikhiatricheskaya profilaktika v Rossiiskoi Federatsii: Analiticheskii obzor [Forensic Psychiatric prevention in the Russian Federation: Analytical Review]. Moscow: FGBU “GNTs SSP im. V.P. Serbskogo”, 2012, 356 p.
  14. Bulygina V.G. (eds.) Faktory, sderzhivayushchie risk nasiliya. Sub"ektivnye otsenki i re-abilitatsionnyi potentsial [Constraints on the risk of violence. Subjective evaluation and rehabilitation potential]: Metodicheskie rekomendatsii. Moscow: FGBU “GNTs SSP im. V.P. Serbskogo”, 2013, 24 p.
  15. Yastrebov V.S., Solokhina T.A. Osnovnye polozheniya kontseptsii obespecheniya kachestva psikhiatricheskoi pomoshchi [Basic concept of providing quality mental health care]. Zhurnal nevrologii i psi-khiatrii im. S.S. Korsakova [Journal of Neurology and Psychiatry. SS Korsakov], 2003. Vol. 103, no. 5, pp. 4–10.
  16. Donabedian A. The Seven Pillars of Quality. Arch Pathol. Lab. Med., 1990. Vol.114, pp. 115–119.

Information About the Authors

Oksana Makushkina, Doctor of Medicine, Doctor of Medical Sciences, Head of the Department of Forensic Psychiatric Prevention, Fgbu "SSC SSP them. VP Serbian" Ministry Of Health Of Russia, Moscow, Russia, e-mail: makushkina@serbsky.ru

Vera G. Bulygina, Doctor of Psychology, Professor, Head of Laboratory of Psychohygiene and Psychoprophylaxis, V.P. Serbsky National Medical Research Center of Psychiatry and Narcology of the Ministry of Health of Russian Federation, Professor, Department of Clinical and Forensic Psychology, Faculty of Legal Psychology, Moscow State University of Psychology & Education, Moscow, Russia, ORCID: https://orcid.org/0000-0001-5584-1251, e-mail: ver210@yandex.ru

Metrics

Views

Total: 2360
Previous month: 12
Current month: 0

Downloads

Total: 1516
Previous month: 0
Current month: 1