Kilbane, Sarah and Zamorano, Maria and Romero, Alison and Jordan, Mel and Turner, Shelley and Tomlin, Jack (2025) Systematic review of forensic mental health patients on conditional discharge: part one - quantitative findings, methodology, limitations and future research. International Journal of Offender Therapy and Comparative Criminology, Early online, 306624X251357615. https://doi.org/10.1177/0306624X251357615.
External website: https://journals.sagepub.com/doi/10.1177/0306624X2...
This paper describes the quantitative findings of a systematic literature review of research on patients on conditional discharge from forensic mental health services in England and Wales (part one of two). Conditional discharge is a frequently used discharge option which allows forensic patients to receive care within the community, while subject to certain restrictions. In total, 23 quantitative and five mixed-methods studies were included. A synthesis of the quantitative findings identified factors associated with recall and recidivism, as well as positive outcomes for patients. Patients on conditional discharge showed lower violence and recidivism rates compared to those on absolute discharge. We develop hypothesized causal links between predictors and patient outcomes using a novel method of directed acyclic graphs (DAGs). The methods of this review, implications of findings, and directions for further research are discussed.
B Substances > Substances in general
G Health and disease > State of health > Mental health
G Health and disease > Behavioural and mental health disorder (Psychosis / mood)
J Health care, prevention, harm reduction and treatment > Type of care > Mental health care (Psychiatry / Psychology)
L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support
T Demographic characteristics > Person who commits a criminal offence (offender)
VA Geographic area > International
VA Geographic area > Europe > United Kingdom > Wales
VA Geographic area > Europe > United Kingdom > England
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