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Quality of Life, Risk and Recovery in a National Forensic Mental Health Service: A D-FOREST study from DUNDRUM Hospital

Published online by Cambridge University Press:  01 September 2022

H. Amin ,
I. Edet ,
N. Basrak ,
G. Crudden ,
H. Kennedy  and
M. Davoren
H. Amin*
Affiliation:
National Forensic Mental Health Service, Ireland, Research, Dublin, Ireland
I. Edet
Affiliation:
Health Service Executive, Psychiatry, Dublin, Ireland
N. Basrak
Affiliation:
National Forensic Mental Health Service, Ireland, Research, Dublin, Ireland
G. Crudden
Affiliation:
Health Service Executive, Psychiatry, Galway, Ireland
H. Kennedy
Affiliation:
Central Mental Hospital and Trinity College Dublin, Dundrum Centre For Forensic Excellence, Dublin, Ireland Department of Psychiatry, Trinity College Dublin, Dublin, Ireland
M. Davoren
Affiliation:
Central Mental Hospital and Trinity College Dublin, Dundrum Centre For Forensic Excellence, Dublin, Ireland Department of Psychiatry, Trinity College Dublin, Dublin, Ireland National Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin, Ireland Central Mental Hospital, National Forensic Mental Health Service, Dundrum, Dublin, Ireland
*
*Corresponding author.

Abstract

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Introduction

Secure forensic mental health services have a dual role, to treat mental disorder and reduce violent recidivism. Quality of life is a method of assessing an individual patients’ perception of their own life and is linked to personal recovery. Placement in secure forensic hospital settings should not be a barrier to achieving meaningful quality of life. The WHO-QuOL measure is a self-rated tool, internationally validated used to measure patients own perception of their quality of life.

Objectives

This aim of this study was to assess self-reported quality of life in a complete National cohort of forensic in-patients, and ascertain the associations between quality of life and measures of violence risk, recovery and functioning.

Methods

This is a cross sectional study, set in Dundrum Hospital, the site of Ireland’s National Forensic Mental Health Service. It therefore includes a complete national cohort of forensic in-patients. The WHO-QuOL was offered to all 95 in-patients in Dundrum Hospital during December 2020 – January 2021, as was PANSS (Positive and Negative Symptoms for Schizophrenia Scale). During the study period the researchers collated the scores from HCR-20 (violence risk), therapeutic programme completion (DUNDRUM-3) and recovery (DUNDRUM-4). Data was gathered as part of the Dundrum Forensic Redevelopment Evaluation Study (D-FOREST).

Results

Lower scores on dynamic violence risk, better recovery and functioning scores were associated with higher self-rated quality of life.

Conclusions

The quality of life scale was meaningful in a secure forensic hospital setting. Further analysis will test relationships between symptoms, risk and protective factors and global function.

Disclosure

No significant relationships.

Keywords

Forensic in-patientsQuality of LifeRiskRecovery
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S603
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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