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A retrospective record review of mental health care users who abscond from a psychiatric hospitalArbee, Feroza 27 August 2014 (has links)
Thesis (M.Med.(Psychiatry))--University of the Witwatersrand, Faculty of Health Sciences, 2014. / Introduction Absconding from psychiatric facilities has socioeconomic implications. The aetiology is multifactorial. Absconding patients are at higher risk of self-harm, violence, non-adherence, relapses, substance use and negative media attention. Identification of potential absconders would assist with risk assessment and prevention. Methods A retrospective record review was conducted of all absconds from a tertiary psychiatric hospital over one year. An abscond rate and a profile were formulated. In addition, trends were identified since the inception of democracy and deinstitutionalization. Results 97 patients absconded 108 times during the study period, 7 having absconded more than once. The absconding rate was 7.83%. The typical absconder is: single, unemployed male, in his early 30’s, known to psychiatric services, diagnosed with schizophrenia and co-morbid substance use. The typical absconder is more likely to be a forensic patient not returning from an official leave of absence. Conclusion
The study defines the profile of the typical absconder. The abscond rate has decreased to half that of a previous study by Siwinska (1993). Mental health care users are being treated in a less restrictive manner and this results in less absconds and a change in the method of absconds. This has implications for clinical practice.
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Forensic state patients at Sterkfontein Psychiatric Hospital: a 3-year follow-up of state patients admitted in 2004 and 2005Marais, Belinda Sue 10 February 2014 (has links)
Forensic psychiatry in South Africa came to be in
the 1970’s following the introduction of the Mental Health Act of
1973 and the Criminal Procedures Act of 1977. Forensic
psychiatric units offer psychiatric observation for defendants
referred from the courts, as well as providing indefinite
detention, for the purpose of treatment and rehabilitation, of
those who have been declared unfit to stand trial and/or not
criminally responsible due to a mental illness or defect. State
patients are mentally ill offenders whose charges involved
serious violence. Ultimately these state patients are released
back into the community. There is a paucity of South African
literature regarding the outcome of state patients.
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