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Is a Forensic Cohabitation Program Recovery-Oriented? A Logic Model Analysis.

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Summary
This summary is machine-generated.

Forensic psychiatric systems can implement recovery-oriented care, even with legal mandates. A cohabitation program for a mother and infant in a secure unit demonstrated successful integration of recovery principles.

Keywords:
inpatientprogram evaluationrisk managementtensionvalue-based practice

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Area of Science:

  • Mental Health Services Research
  • Forensic Psychiatry
  • Program Evaluation

Background:

  • Recovery orientation is advancing in mental health, but forensic systems face challenges balancing recovery with legal duties.
  • Reconciling recovery principles with legal mandates in forensic settings is complex.
  • This paper presents a cohabitation program in a secure forensic unit as a case study.

Purpose of the Study:

  • To demonstrate a recovery-oriented cohabitation program for a woman and her infant in a secure forensic rehabilitation unit.
  • To analyze the underlying recovery assumptions of the program using a logic model framework.
  • To evaluate the implementation of recovery principles within a forensic context.

Main Methods:

  • A qualitative program evaluation was conducted.
  • Data were collected through interviews with the woman, infant's father, healthcare providers, system administrators, and focus groups with staff and patients.
  • Content analysis guided data analysis and logic model development.

Main Results:

  • A logic model was developed with input, output, and outcome components.
  • Key components included team building, risk management, mental healthcare, and support systems.
  • Outcomes were categorized at individual, provider, system, and societal levels.

Conclusions:

  • The study demonstrates a feasible recovery-oriented program in a secure forensic setting.
  • The logic model effectively illustrated the implementation of recovery principles like shared decision-making and positive risk-taking.
  • The program highlights successful integration of recovery into forensic mental health care.