Long-Term Forensic Psychiatric Care: Clinical, Ethical and Legal Challenges
暫譯: 長期法醫精神科護理：臨床、倫理與法律挑戰

本書提供了法醫精神醫學的概述，重點關注歐洲的護理提供以及長期住院於法醫環境所帶來的法律和倫理挑戰。法醫精神醫療服務為精神障礙罪犯（MDOs）提供護理和治療，這些服務在安全的住院設施以及社區中進行。這些服務屬於高成本/低量的服務，對患者施加了重大限制，因此引發了相當大的倫理挑戰。對於在安全環境中的住院時間（LoS）並沒有公認的標準，患者的拘留時間在不同國家之間甚至在同一司法管轄區內差異很大。迄今為止，針對與住院時間相關的因素進行的研究仍然很少；因此，如何配置服務以滿足這一患者群體的需求仍然不清楚。本卷填補了這些空白。此外，本書呈現了與住院時間相關的因素的新研究，包括與患者和組織相關的因素。探討了不同國家對長期患者提供護理的各種方法，包括在這一特定精神醫學領域的一些最佳實踐範例。本書還通過回顧生活質量研究和與患者的訪談，探討了從事法醫護理工作者的觀點。本卷的作者來自多個專業背景，確保了主題討論的廣度和深度，甚至包括患者本人作為（共同）作者。

Birgit Völlm has been the Medical Director of the Forensic psychiatric hospital and Professor in Forensic Psychiatry at the University of Rostock since 2018. Before that she was a Professor of Forensic Psychiatry at the University of Nottingham and an Honorary Consultant Forensic Psychiatrist in the Enhanced Service for Personality Disorders (previously Dangerous & Severe Personality Disorders) at Rampton high secure hospital in the UK. Prof Völlm is a member (previously Chair) of the Board of the Forensic Section of the European Psychiatric Association and the Vice-Chair of the Forensic Section of the World Psychiatric Association. She was one of the experts on the NICE guidance group on the management of violence. Her main research interests include the neurobiology of antisocial personality disorders and social cognition, treatment of personality disorders, service development, comparisons between service delivery in different European countries and ethical issues in forensic psychiatry. She has held national and European grants on long-stay in forensic settings, the effectiveness of Individual Placement Support for forensic patients and on Circles of Support and Accountability for the reintegration of sex offenders into the community. She has published over 100 scientific papers and book chapters.

Peter Braun is a psychologist and psychotherapist of the Pompe Foundation which is the forensic service of the Mental Health Organization Pro Persona in the Netherlands. He is also member of the Netherlands Register of Court Experts, member of the Dutch Institution for Psychologists (N.I.P.) and E.M.D.R. trained therapist. He was Chair of the European COST Action IS 1302 concerning a European Research Framework for (longterm) Forensic Psychiatry. He is member of the International Association for Forensic Mental Health Services and Chair of the Special Interest Group of that organization on Longterm Forensic Psychiatry. He is the Head of the Longterm Forensic Psychiatric Services in the Netherlands. He is interested in longterm forensic care and the effects of treatment atmosphere and nursing environment on quality of life and treatment results. He has cooperated in some studies concerning Quality of Life. He wrote a few chapters and articles on longterm forensic care

Birgit Völlm 自 2018 年以來擔任法醫精神病院的醫療主任及羅斯托克大學法醫精神病學教授。在此之前，她曾是諾丁漢大學的法醫精神病學教授，以及英國 Rampton 高度安全醫院增強型人格障礙服務（之前為危險與嚴重人格障礙）的榮譽顧問法醫精神科醫生。Völlm 教授是歐洲精神病學協會法醫部門董事會的成員（曾任主席），並且是世界精神病學協會法醫部門的副主席。她曾是 NICE 指導小組中有關暴力管理的專家之一。她的主要研究興趣包括反社會人格障礙的神經生物學和社會認知、人格障礙的治療、服務發展、不同歐洲國家之間的服務交付比較以及法醫精神病學中的倫理問題。她曾獲得有關法醫環境中長期住院的國家和歐洲資助、針對法醫病人的個別安置支持的有效性以及對性犯罪者社區再融入的支持與負責任圈的研究資助。她已發表超過 100 篇科學論文和書籍章節。

彼得·布勞恩是荷蘭普羅·佩爾索納心理健康組織的法醫服務——龐佩基金會的心理學家和心理治療師。他也是荷蘭法院專家登記的成員、荷蘭心理學會（N.I.P.）的成員以及 E.M.D.R. 訓練的治療師。他曾擔任歐洲 COST 行動 IS 1302 的主席，該行動關於法醫精神病學的歐洲研究框架（長期）。他是國際法醫心理健康服務協會的成員，並且是該組織長期法醫精神病學特別興趣小組的主席。他是荷蘭長期法醫精神病服務的負責人。他對長期法醫護理以及治療氛圍和護理環境對生活質量和治療結果的影響感興趣。他參與了一些有關生活質量的研究，並撰寫了幾個有關長期法醫護理的章節和文章。