Psychosocial approaches for individuals with schizophrenia in correctional and forensic psychiatric settings: a rapid review

Pages152-166
DOIhttps://doi.org/10.1108/JFP-11-2017-0049
Date13 August 2018
Published date13 August 2018
AuthorMathieu Dumont,Joanie Thériault,Catherine Briand,Alexandre Dumais,Stéphane Potvin
Subject MatterHealth & social care,Criminology & forensic psychology,Forensic practice,Sociology,Sociology of crime & law,Law enforcement/correctional,Public policy & environmental management,Policing,Criminal justice
Psychosocial approaches for individuals
with schizophrenia in correctional
and forensic psychiatric settings:
a rapid review
Mathieu Dumont, Joanie Thériault, Catherine Briand, Alexandre Dumais and Stéphane Potvin
Abstract
Purpose The purpose of this paper i s to identify the psychosocial approaches that have been studied
and for which positive outcomes have been reported for individuals with schizophrenia in correctional and
forensic psychiatric settings.
Design/methodology/approach A rapid review of the literature was undertaken. A search was
conducted on MEDLINE and PsycNET electronic databases. Each identified approach was analyzed to
define their types and components.
Findings In total, 24 studies per taining to 18 differen t psychosocial approa ches were identified.
Half of the studies used a q uasi-experimental design with control group. Most frequent outco mes reported
were improvements in knowledge about illness and problem solving. Seven studies reported positive
outcomes related to issu es more specific to this popu lation (violence, aggr ession, and recidivism ).
Approaches associated with these studies used mainly traditional cognitive behavior therapy and cognitive
remediation. The focus was on neurocognition, social cognition, social skills, emotion management and
problem solving.
Practical implications This rapid review may enlighten clinical settings on psychosocial approaches for
which positive outcomes have been reported with individuals with schizophreniain correctional and forensic
psychiatric settings. The picture obtained supports the idea of using integrated rehabilitation approaches that
cover the aforementioned intervention focuses with this population.
Originality/value A significant contribution of the rapid review is based on the analysis of the psychosocial
approaches identified. This process offers a closer look at the nature and content of the approaches used
according to the outcomes reported.
Keywords Rehabilitation, Recovery, Prison, Forensic psychiatry, Mentally disordered offenders,
Schizophrenia, Psychosocial approaches
Paper type Literature review
Introduction
For individuals wi th schizophrenia , various evidence -based psychosoc ial approaches hav e
been identified in the literature to alleviate incapacities experienced in daily life as well as
support the process of recovery (Dixon et al., 2010; Mueser et al., 2013). These approaches
include recovery -oriented models ; psychoeducatio n and self-manageme nt; coordinated
support in the commu nity and family intervention; sup ported education and employment; and
interventions to c ope with illness and ac quire skills for life i n society (cognitiv e behavioral
therapy, social skills training, and cognitive remediation) (Dixon et al., 2010; Mueser et al.,
2013). These different approaches are part of a philosophy that fosters social integration and
recovery of individ uals with serious me ntal illness. Mod els of care and interv ention have long
been supporting community-based services with, if necessary, short-term hospitalizations
(Tansella et al., 2006).
Received 8 November 2017
Revised 1 February 2018
Accepted 7 March 2018
The authors would like to thank
Myrian Grondin, Research
Librarian, for her help in the
refinement of the search strategy.
The first author would also like to
thank the Fonds de recherche du
Quebec for a training award that
allowed the completion of this
review.
Mathieu Dumont and Joanie
Thériault are Occupational
Therapists and PhD Students,
both at the Center for Studies
on Rehabilitation, Recovery
and Social Inclusion (CÉRRIS),
Institut universitaire en santé
mentale de Montréal Research
Center (CRIUSMM), Montreal,
Canada.
Catherine Briand is the Founder
at the CÉRRIS, Research
Center, Montreal, Canada and
a Researcher at the CRIUSMM,
Montreal, Canada.
Alexandre Dumais and
Stéphane Potvin are
Researchers, both at the
CRIUSMM, Montreal, Canada.
PAGE152
j
JOURNAL OF FORENSIC PRACTICE
j
VOL. 20 NO. 3 2018, pp. 152-166, © Emerald Publishing Limited, ISSN 2050-8794 DOI 10.1108/JFP-11-2017-0049

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