Clinical Forensic Psychiatry and Legal Psychiatry


of mental disorder. Hence they often carry out risk assessments and oversee the psycho-educational programme for offenders, typically in prisons. Tey may or may not have any general mental health experience.


Forensic psychotherapists are trained psychotherapists who have specialised in working with mentally disordered offenders. Tey may or may not be medically qualified. Tey may work in specialist services or provide consultation and supervision for forensic multidisciplinary teams. Tey may deliver individual or group interventions.


Criminologists study crime and criminals, and do not, in the UK, have direct involvement in the care of mentally disordered offenders. Te impact of criminological research is, however, widespread and seen throughout this handbook, since many mentally disordered offenders are driven to offend not only in the context of their mental disorder but also by criminogenic factors.


Probation officers may be involved in supervision of mentally disordered offenders in the community, usually in collaboration with mental health professionals. Interventions may include measures aimed at risk reduction and rehabilitation. In the UK they also take on particular roles with sex offenders, and commonly co-ordinate sex offender interventions, sometimes with mental health service involvement. Tere may be interaction between probation officers and forensic psychiatrists in the production of reports used for sentencing convicted offenders, sometimes resulting in ‘joint working’ thereafter.


Clinical forensic services in less developed economies


Most health and related criminal justice services in less developed and particularly small economies cannot sustain the types of specialist forensic psychiatric services described above as available in the UK. Te challenge, therefore, is for generic services to be capable of dealing, on relatively infrequent occasions, with complex forensic cases, including through liaison with the justice system. Te purpose of this handbook is to enhance the training of such staff in order to assist in the provision of this capacity.


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