title: Rehabilitation between institutional and non-institutional forensic psychiatric care: important influences on the transition process.
abstract: All patients cared for in forensic psychiatric care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. One part of the patient's rehabilitation is the transition from institutional to non-institutional FPC, but a number of patients do not succeed. The aim of this study was to elucidate different caregivers' experiences of aspects that influence the patients' ability to manage this rehabilitation. A qualitative approach was chosen. Data were collected by interviews in two focus groups, each group comprising of six caregivers representing both institutional and non-institutional FPC. The transcribed interviews were analysed using a qualitative content analysis. Important aspects influencing the patients' transition described were a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person/advocate. A major barrier to a successful transition was whether the patients managed their own finances or not. It was stated that it is important that the patients participate in the care and that different authorities create individual conditions and flexible solutions. All of these factors are important to focus on when caring for patients during their stay in the institutional FPC.
authors.affiliation: Department of Institutional Forensic Psychiatric Care, NU Hospital Group, Vänersborg, Sweden.
authors.forename: E
authors.initials: E
authors.lastname: Gustafsson
authors.forename: M
authors.initials: M
authors.lastname: Holm
authors.forename: G
authors.initials: G
authors.lastname: Flensner
mesh_terms: D017028:Caregivers; D003299:Cooperative Behavior; D057237:Criminals / Q000523:psychology*; D003688:Deinstitutionalization; D004651:Employment; D005260:Female; D017144:Focus Groups; D005555:Forensic Psychiatry / Q000379:methods*; D006801:Humans; D007326:Institutionalization; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000523:psychology / Q000534:rehabilitation*; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D026684:Personal Autonomy; D012944:Social Support; D019966:Substance-Related Disorders / Q000150:complications; D013548:Sweden