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Mapping rehabilitative needs among patients in forensic psychiatric care - Validation and application of the CANFOR-SR.

Poster (konferens)
Författare Sven H. Pedersen
Thomas Nilsson
Publicerad i 13th Nordic Symposium on Forensic Psychiatry
Publiceringsår 2019
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi
Centrum för etik, juridik och mental hälsa
Språk en
Länkar https://gup.ub.gu.se/file/208016
Ämnesord Rättspsykiatri Psykiatrisk rehabilitering
Ämneskategorier Psykiatri

Sammanfattning

Swedish forensic psychiatric care (FPC) has a rehabilitation objective, but lacks a comprehensive rehabilitative framework to guide the formulation of goals and interventions. In order to adequately ground the development of a comprehensive rehabilitative framework for Swedish FPC, this project aims to chart the rehabilitative needs of all patients within Region Västra Götaland, Sweden. In the first and ongoing phase, the short version of the forensic Camberwell Assessment of Needs-Revised (CANFOR-SR) – a well-established instrument for the assessment of rehabilitative needs in FPC patients – has been translated to Swedish in collaboration with Stuart Thomas, author of CANFOR-SR. In the second phase, the Swedish CANFOR-SR’s psychometric properties will be established, both with regard to reliability and validity, where the latter is tested against other well-established instruments assessing the domains covered by CANFOR-SR: World Health Organization Disability Assessment Schedule; Global Assessment of Function; and Clinician Rated Dimensions of Psychosis Symptom Severity DSM-5. Staff interviews will be conducted at one of Region Västra Götaland’s forensic psychiatric clinics and include up to 84 cases. In the final phase, CANFOR-SR staff and patient interviews will be sought for the full cohort of FPC patients (n=290) and their care teams in Region Västra Götaland. Interviews will be conducted with individual patients, individual members of the care teams, and with complete care teams. Differences in needs assessments depending on category of informant will be analyzed. CANFOR-SR ratings will also be compared to Historical Clinical Risk Management-20 ratings and to clinical care plans. This comparison will provide information regarding the foundations for the treatment plans that guide rehabilitation. This project serves to provide Swedish FPC with an overview of patients’ rehabilitative needs, as well as a clinically useful tool for rehabilitation planning.

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