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Background factors related to and/or influencing occupation in mentally disordered offenders
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
2006 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 3, 331-338 p.Article in journal (Refereed) Published
Abstract [en]

Objective: Knowledge of background and occupational related factors of mentally disordered offenders are missing. It is essential to understand these issues when planning discharge from forensic psychiatric hospital care to enable community dwelling.

Aims: One aim was to investigate mentally disordered offenders' background factors, confidence in and how they value occupations. Another aim was to investigate MDOs background factors' in relation to and the influences on Occupational Performance and Social Participation.

Method: Data was collected with an explorative, correlative design after informed consent, from 74 mentally disordered offenders (mean age 34,2) cared for in forensic psychiatric hospitals. Assessments were Allen Cognitive Level Screen, Capability to Perform Daily Occupations, Interview Schedule of Social Interaction, Manchester Short Assessment of Quality of Life, Self-efficacy Scale and Importance scale. Eight background factors were assembled from the individual forensic psychiatric investigation.

Findings: Most of the investigated background factors relate to and half of them influence occupational performance, particular the cognitive aspect of occupational performance. The influences on occupation originate from adulthood, such as suffering from schizophrenia, psycho/social problems, and having performed violent crimes. These findings indicate that staff in forensic hospital care should initiate rehabilitation with knowledge about MDOs' complex daily occupations. For avoiding information bias, information gathering preceding treatment planning should be performed in collaboration between caring staff and mentally disordered offenders.

Place, publisher, year, edition, pages
2006. Vol. 20, no 3, 331-338 p.
Keyword [en]
mentally disordered offenders, forensic psychiatric care, occupation, background factors, occupational performance, social participation, correlation, prediction
National Category
Psychiatry Nursing
Identifiers
URN: urn:nbn:se:uu:diva-93859DOI: 10.1111/j.1471-6712.2006.00412.xISI: 000239865900013PubMedID: 16922988OAI: oai:DiVA.org:uu-93859DiVA: diva2:167480
Available from: 2005-12-16 Created: 2005-12-16 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Daily Occupations in Mentally Disordered Offenders in Sweden: Exploring Occupational Performance and Social Participating
Open this publication in new window or tab >>Daily Occupations in Mentally Disordered Offenders in Sweden: Exploring Occupational Performance and Social Participating
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The major aim was to explore perceived daily occupations in mentally disordered offenders (MDO) through occupational performance (OP) and social participation (SP) with descriptive, comparative and longitudinal designs. The 74 consecutively included MDOs were visited onsite for data collection. The following assessments were used: Capability to Perform Daily Occupation, Self-efficacy Scale, Importance scale, Allen Cognitive Level Screen, Interview Schedule for Social Interaction, Manchester Short Assessment of Quality of Life, Psycho/social and Environmental Problems, Global Assessment of Functioning Scale, assessment of Support and Service for Persons with Certain Functional Impairments and Karolinska Scales of Personality. Background factors were assembled from the individual forensic psychiatric investigation. The results indicate that MDOs had contradictive problems in OP, SP and lack of disability awareness. The MDOs and professionals had different appraisals of the MDOs’ OP and SP. Schizophrenic MDOs need substantial support for community dwelling. MDOs with psychopathic personality traits had more problems during upbringing, however, no perceived problems in OP and SP compared to the remaining group. Low Socialization, high Anxiety and psychopathy personality traits partially influenced perceived OP and SP. After one year of forensic psychiatric care, 60 % were still hospitalized and 32 % were community dwelling. Changes after one year of care consisted of higher satisfaction of OP and SP, 1/36 subject valued daily occupations higher and 5/36 subjects reported better social interaction. Although, there are some methodological weaknesses in this thesis (e.g. high attrition rate), the unique results should be taken into consideration. It is concluded that MDOs’ appraisal of their own capability has to be taken seriously in treatment and care. Also long treatment periods, targeting daily occupations from start and providing substantial individual support are necessary for successful transition into community dwelling for MDOs. This thesis contributes to extended knowledge of the MDOs’ daily occupations.

Place, publisher, year, edition, pages
Uppsala: Institutionen för folkhälso- och vårdvetenskap, 2006. 68 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 93
Keyword
Caring sciences, forensic psychiatry, offender, occupational therapy, treatment planning, longitudinal, Vårdvetenskap
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-6231 (URN)91-554-6423-8 (ISBN)
Public defence
2006-01-13, Auditorium Minus, Gustavianum, Akademigatan 3, Uppsala, 09:15
Opponent
Supervisors
Available from: 2005-12-16 Created: 2005-12-16 Last updated: 2010-11-25Bibliographically approved

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