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Systematic Review of Forensic Mental Health Patients on Conditional Discharge: Part Two - Qualitative Findings Using
Jack Tomlin1, Alison Romero1, Maria Zamorano1
1University of Greenwich, London, UK.
Summary
This study explores how forensic mental health patients navigate conditional discharge. Findings highlight the importance of social bonds and addressing risk factors for successful recovery and desistance.
Area of Science:
- Forensic Mental Health Services
- Criminal Psychology
- Social Sciences
Background:
- Conditional discharge from forensic mental health services presents unique challenges for patient recovery and reintegration.
- Existing desistance literature provides a framework but may not fully capture the specific experiences of this patient group.
- Understanding patient perspectives is crucial for refining support strategies and theoretical models.
Purpose of the Study:
- To qualitatively synthesize research on the experiences of patients on conditional discharge from forensic mental health services in England and Wales.
- To identify key themes related to desistance, recovery, and the challenges faced by this population.
- To propose adaptations to desistance theories informed by the specific context of forensic mental health care.
Main Methods:
- Systematic literature review including 15 qualitative and 5 mixed-methods studies.
- Thematic synthesis of qualitative findings to identify recurring patterns and themes.
- Analysis informed by concepts of identity-desistance and relational-desistance.
Main Results:
- Identified common desistance themes: balancing personal agency with social structures, the role of social bonds and relationships, and managing criminogenic risk factors (substance use, peers, accommodation).
- Highlighted unique challenges for forensic mental health patients, including epistemic injustice, mental health stigma, and the need for shared decision-making.
- Findings suggest a need to adapt desistance theories to better encompass the complexities of forensic mental health recovery.
Conclusions:
- Desistance theories require modification to fully account for the experiences of forensic mental health patients, incorporating factors like stigma and shared decision-making.
- Insights from desistance research can inform practical interventions to support the recovery and successful reintegration of patients on conditional discharge.
- Further research should explore the application of adapted desistance models in forensic mental health settings.
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