Forensic mental health orders: orders without borders

Australas Psychiatry. 2009 Feb;17(1):34-7. doi: 10.1080/10398560802311193.

Abstract

Objective: Persons subject to forensic mental health orders imposed by the courts form a small but politically salient group. Their management provides a number of challenges for mental health services and for governments throughout Australia. Although their overall management has been enhanced by recent developments in forensic services, there is a lack of consistent cross-border agreements between states and territories. This paper will discuss how this situation is not conducive to effective risk management and is a denial of patients' legitimate demands for freedom of movement. A proposal for the adoption of appropriate principles to improve the current state of affairs is outlined.

Conclusion: Legislative reform is required to ensure the safe and ethical management of mentally disordered offenders subject to forensic mental health orders in Australia.

MeSH terms

  • Adult
  • Australia
  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / psychology
  • Bipolar Disorder / therapy
  • Community Mental Health Services
  • Escape Reaction
  • Expert Testimony / legislation & jurisprudence
  • Female
  • Homicide / legislation & jurisprudence
  • Homicide / psychology
  • Hospitalization
  • Humans
  • Insanity Defense*
  • Male
  • Mental Competency / legislation & jurisprudence*
  • Mental Disorders / therapy*
  • Patient Compliance
  • Patient Transfer / legislation & jurisprudence
  • Schizophrenia, Paranoid / diagnosis
  • Schizophrenia, Paranoid / psychology
  • Schizophrenia, Paranoid / therapy