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The demographic profile, substance use, competence to stand trial and criminal responsibility among “ Observation Patients” admitted for forensic psychiatric evaluation at Sterkfontein Hospital, Gauteng, South Africa.

A review of the literature indicates that young males, who are unemployed with low
levels of education, predominate in populations of pre-trial criminal offenders
suspected of having a psychiatric illness, also known as “Observation Patients”
according to the Criminal Procedures Act of 1977 in South Africa. Other contributory
factors include a history of mental illness and non-compliance on psychiatric
medication, a previous forensic history, co-morbid substance abuse and being
intoxicated at the time of the offence. Dual diagnosis is considered a key contributor
to criminal behaviour in this group of patients. The review of the literature also shows
a significant proportion of co-morbid intellectual disability among offenders found to
be psychiatrically ill at the time of the criminal event. A previous study conducted 20
years earlier, in 1986 at the Sterkfontein Forensic Psychiatric Unit by Vorster (1986)
showed that the typical profile was a single, unemployed, poorly educated male in his
twenties, usually with a history of psychiatric treatment. This typical profile
confirmed the evidence in the literatures at the time of the study.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/10574
Date19 October 2011
CreatorsPillay, Anben
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Formatapplication/pdf

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