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Mentally disordered offenders’ daily occupations after one year of forensic care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Disability and Habilitation)
2011 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 18, no 4, 302-311 p.Article in journal (Refereed) Published
Abstract [en]

Persons detained as mentally disordered offenders need support for transition from care to community life. Few systematic studies have been completed on the outcomes of standard forensic care. The aim was to investigate the target group's life conditions and daily occupations one year after care. In a follow-up design occupational performance (OP) and social participation (SP) were investigated at two time points. After informed consent 36 consecutively recruited participants reported OP using the Capability to Perform Daily Occupations, Self-Efficacy Scale, Importance scale, and Allen Cognitive Level Screen. SP was measured with the Manchester Short Assessment of Quality of Life, and Interview Schedule for Social Interaction. After one year 24 participants were still incarcerated, 11 were conditionally released, and one participant was discharged. The group were generally more satisfied and engaged in daily occupations than at admission. The study's attrition rate, 51%, is discussed. The conclusion and the clinical implications indicate that the target group need early, goal directed interventions in OP and SP for alterations in daily occupations. Furthermore, to increase the knowledge base concerning mentally disordered offenders, studies with research designs that have the potential to uncover changes in daily occupation and other measures for this target group are necessary.

Place, publisher, year, edition, pages
2011. Vol. 18, no 4, 302-311 p.
Keyword [en]
disability, follow-up, forensic, mental health, occupational therapy
National Category
Occupational Therapy
Research subject
Caring Sciences
URN: urn:nbn:se:uu:diva-93860DOI: 10.3109/11038128.2010.525720ISI: 000296886300006OAI: oai:DiVA.org:uu-93860DiVA: diva2:167481
Available from: 2013-04-15 Created: 2005-12-16 Last updated: 2013-04-15Bibliographically 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.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 93
Caring sciences, forensic psychiatry, offender, occupational therapy, treatment planning, longitudinal, Vårdvetenskap
National Category
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
Available from: 2005-12-16 Created: 2005-12-16 Last updated: 2010-11-25Bibliographically approved

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Lindstedt, Helena
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