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Criminal Justice and Behavior, Vol. 34, No. 2, 211-228 (2007)
DOI: 10.1177/0093854806291248

A Multisite Study of Community Treatment Programs for Mentally Ill Offenders With Major Mental Disorders

Design, Measures, and the Forensic Sample

Sheilagh Hodgins

Institute of Psychiatry, King’s College, London

Anders Tengström

Maria-Ungdom Research Centre, Karolinska Institute, Stockholm, Sweden

Asa Eriksson

Maria-Ungdom Research Centre, Karolinska Institute, Stockholm, Sweden

Reidar Österman

Stockholm University, Sweden

Robert Kronstrand

Rättsmedicinalverket and Linköping University, Linköping, Sweden

Derek Eaves

Vancouver, Canada

Stephen Hart

Simon Fraser University, Burnaby, Canada

Christopher Webster

Simon Fraser University, Burnaby, Canada

Deborah Ross

Riverview Hospital, Coquitlam, Canada

Alexander Levin

Vancouver General Hospital, Vancouver, Canada

Sten Levander

University Hospital, MAS, Malmö, Sweden

Eva Tuninger

University Hospital, MAS, Malmö, Sweden

Rüdiger Müller-Isberner

Klinik für forensische Psychiatrie Haina, Haina (Kloster), Germany

Roland Freese

Klinik für forensische Psychiatrie Haina, Haina (Kloster), Germany

Jari Tiihonen

University of Kuopio, Kuopio, Finland

Irma Kotilainen

University of Kuopio, Kuopio, Finland

Eila Repo-Tiihonen

Niuvanniemi Hospital, Kuopio, Finland

Kirsi Väänänen

Niuvanniemi Hospital, Kuopio, Finland

Markku Eronen

Vanha Vaasa Hospital, Vaasa and Niuvanniemi Hospital, Kuopio, Finland

Aila Vokkolainen

Vanha Vaasa Hospital, Vaasa and Niuvanniemi Hospital, Kuopio, Finland

Heikki Vartiainen

Helsinki Central University Hospital, Helsinki, Finland

This article presents reasons for undertaking "The Comparative Study of the Prevention of Crime and Violence by Mentally Ill Persons" and reasons for decisions regarding the study design and choice of measures. A brief portrait of the forensic patients that have been recruited is also presented. Community treatment programs could offer long-term cost-effective care for offenders with major mental disorders (MMDs). The study aims to identify the necessary ingredients of an effective program. Sites are selected in four countries where identification of most, if not all, persons with MMD who commit crimes within the catchment area was possible. Within each site, two samples of patients with MMD are recruited, one from a forensic hospital and one from a general psychiatric hospital. Assessments are completed prior to discharge. Participants are followed during a 5-year period. Comparisons of the forensic patients recruited in the four sites indicate many more similarities than differences.

Key Words: mentally ill offenders • community treatment • violent offenders • major mental disorders


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