Ethics, Risk and Recovery

Challenges in Forensic Practice

Authors

  • Joseph Ferencz St Joseph's Healthcare Hamilton & McMaster University

DOI:

https://doi.org/10.15173/ijrr.v4i1.4823

Keywords:

Forensic psychiatry, Forensic mental health, Forensic care, Psychiatric care, Ethics, Ethical challenges, Risk, Recovery, Autonomy, Confidentiality, Conflicting role, Dual role

Abstract

The practice of recovery-oriented care with individuals who have been found unfit to stand trial or not criminally responsible, and who are subject to review board dispositions, presents a variety of ethical tensions. The assessment and management of risk in a rehabilitative context raises issues related to autonomy, confidentiality and conflicting roles. Awareness of and, where possible, resolution of these conflicts is necessary for the success of the recovery paradigm in this context.

References

Appelbaum PS. Ethics and forensic psychiatry: translating principles into practice. J Am Acad Psychiatry Law. 2008;36(2):195-200.

Adshead G. Care or custody? Ethical dilemmas in forensic psychiatry. J Med Ethics. 2000 Oct;26(5):302-4. https://doi.org/10.1136/jme.26.5.302.

Robertson MD, Walter G. Many faces of the dual-role dilemma in psychiatric ethics. Aust N Z J Psychiatry. 2008 Mar;42(3):228-5.

Munetz MR. Black robe/white coat: Mental health providers must reclaim the role of caring clinician. Psychiatr Serv. 2020 Apr;71(4):403-4.

Anthony WA. Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial

Rehabilitation Journal. 1993;16(4):11-23. https://doi.org/10.1037/h0095655.

Simpson AI, Penney SR. The recovery paradigm in forensic mental health services. (Editorial). Crim Behav Ment Health. 2011 Dec;21(5): 299-306. https://doi.org/10.1002/cbm.823.

Kaliski SZ, de Clercg HG. When coercion meets hope: Can forensic psychiatry adopt the recovery model? Afr J Psychiatry (Johannesbg). 2012 May;15(3):162-6. 166. https://doi.org/10.4314/ajpsy.v15i3.20.

Nilsson T, Munthe C, Gustavson C, Forsman A, Anckaräter H. The precarious practice of forensic psychiatric risk assessments. Int J Law Psychiatry. 2009 Nov-Dec;32(6):400-7. https://doi.org/10.1016/j.ijlp.2009.09.010.

Mann B, Matias A, Allen J. Recovery in forensic services: Facing the challenge. Advances in Psychiatric Treatment. Cambridge University Press; 2014;20(2):125-31.

Dorkins E, Adshead G. Working with

offenders: Challenges to the recovery agenda. Advances in Psychiatric Treatment. Cambridge University Press; 2011;17 (3):178-87.

Papapietro DJ. Involving forensic patients in treatment planning increases cooperation and may reduce violence risk. J Am Acad

Psychiatry Law. 2019 Mar;47(1):35-41. http://jaapl.org/content/47/1/35.

Ray I, Simpson AIF. Shared risk formulation in forensic psychiatry. J Am Acad Psychiatry Law. 2019 Mar;47(1):22-8. http://jaapl.org/content/47/1/22.long.

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Published

2021-09-05

How to Cite

Ferencz, J. (2021). Ethics, Risk and Recovery: Challenges in Forensic Practice. International Journal of Risk and Recovery, 4(1), 1–2. https://doi.org/10.15173/ijrr.v4i1.4823

Issue

Section

Editorial