2011-08-24

The Swedish National Forensic Psychiatric Register

Margareta Lagerkvist

Senior Psychiatrist

margareta.lagerkvist@vgregion.se

Sweden

The Swedish National Forensic Psychiatric Register2

Background

The register started 2008 Approximately 80% of the forensic patients

are included Follow-up once a year

The Swedish National Forensic Psychiatric Register3

Purpose

Monitoring the effects of treatment on individual level and group level

To compare given care and outcome between different units and hopefully contribute to better and more equal care

The Swedish National Forensic Psychiatric Register4

Chosen indicators Age, gender, place of birth Date of sentencing and of admittance Type of crime Crime committed under the influence of

alcohol/drugs Earlier convictions History of abuse/dependence History of psychiatric care

The Swedish National Forensic Psychiatric Register5

Chosen indicators Diagnoses Global assessment of functioning Assessment of need of help with daily functioning Assessment of need of help with economic

administration Severity of symptoms Disease awareness Body mass index

The Swedish National Forensic Psychiatric Register6

Chosen indicators

Treatment with medicine Treatment of abuse/dependence Risk analysis Measures related to risk analysis Coersive measures Housing

The Swedish National Forensic Psychiatric Register7

Chosen indicators

Restrictions Patient assessment of quality of life, health

and risk of relapse in crime Relapse in crime

The Swedish National Forensic Psychiatric Register8

Demographic characters 2010

85% men Mean age 42 (16-79) 40% homeless 27% ordinary housing 5% living with spouse/partner

The Swedish National Forensic Psychiatric Register9

Main diagnosis

Schizophrenia, schizotypal and delusional disorders (F20-F29) 60%

Personality disorders (F60-F69) 10% Disorders of psychological development

(F80-F89) 10 % Mood disorders (F30-F39) 5%

The Swedish National Forensic Psychiatric Register10

Patient assessments

Mean Life quality 66 Mean Health 72 Risk of relapse in crime 10%

The Swedish National Forensic Psychiatric Register11

Outcome measures

Relapse in crime 23 % Global assessment functioning mean 42 Moderate to very severe symptoms 60% Disease awareness full 10%, none 55%