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Abstract：
The purpose of this study was to increase the understanding of the Canadian forensic psychiatry system by providing a population-based overview of the Ontario forensic mental health system.
Data were collected on 1,240 accused adults who were subject to the jurisdiction of the Ontario Review Board (ORB) between 2014 and 2015. Archival data were retrieved from annual ORB hearing hospital reports for accused supervised by all nine adult forensic psychiatry facilities across Ontario.
The sample included not criminally responsible (NCR; 91.6%) and unfit to stand trial (UST; 8.4%) accused. The majority of the sample was male (85.7%), single (70.1%), unemployed (63.6%), with a high school education (48.8%). Most were on a detention order (78.5%) and almost half were living in the community at the time of the report (48.8%). The majority had prior contact with psychiatric services (83.1%) and/or the criminal justice system (70.6%) before entering the forensic system. A history of elopement (31.5%) and inpatient aggression was high (60.6%). Most had a psychotic spectrum disorder (81.6%) and over half had a substance use disorder (57.2%) in the reporting year. A range of index offences was observed (69.9% violent, 20.3% general, 9.8% sexual), and the majority of the sample (61.0%) had an index offence that resulted in no injury or a minor injury to the victim.
The Canadian forensic psychiatry system is comprised of a unique subset of justice-involved individuals. This study provides a detailed examination of accused who are subject to the jurisdiction of the ORB and provides key insight into risk factors associated with offending behaviour in this population. The results of this study will provide a framework for future studies examining the association between mental disorder and violence and the treatment trajectories for those in the forensic psychiatry system.
Data were collected on 1,240 accused adults who were subject to the jurisdiction of the Ontario Review Board (ORB) between 2014 and 2015. Archival data were retrieved from annual ORB hearing hospital reports for accused supervised by all nine adult forensic psychiatry facilities across Ontario.
The sample included not criminally responsible (NCR; 91.6%) and unfit to stand trial (UST; 8.4%) accused. The majority of the sample was male (85.7%), single (70.1%), unemployed (63.6%), with a high school education (48.8%). Most were on a detention order (78.5%) and almost half were living in the community at the time of the report (48.8%). The majority had prior contact with psychiatric services (83.1%) and/or the criminal justice system (70.6%) before entering the forensic system. A history of elopement (31.5%) and inpatient aggression was high (60.6%). Most had a psychotic spectrum disorder (81.6%) and over half had a substance use disorder (57.2%) in the reporting year. A range of index offences was observed (69.9% violent, 20.3% general, 9.8% sexual), and the majority of the sample (61.0%) had an index offence that resulted in no injury or a minor injury to the victim.
The Canadian forensic psychiatry system is comprised of a unique subset of justice-involved individuals. This study provides a detailed examination of accused who are subject to the jurisdiction of the ORB and provides key insight into risk factors associated with offending behaviour in this population. The results of this study will provide a framework for future studies examining the association between mental disorder and violence and the treatment trajectories for those in the forensic psychiatry system.
摘要：
这项研究的目的是通过提供安大略省法医精神卫生系统的基于人群的概述来增加对加拿大法医精神病学系统的了解。
收集了2014年至2015年间受安大略省审查委员会（ORB）管辖的1,240名被告成年人的数据。档案数据是从每年的ORB听证会医院报告中检索的，这些报告由安大略省所有9个成人法医精神病学机构监督。
样本包括不承担刑事责任（NCR；91.6％）和不适合受审（UST；8.4％）。大多数样本是男性（85.7％），单（70.1%），失业者(63.6%),高中学历(48.8%)。报告时，大多数人被拘留（78.5％），几乎一半人居住在社区（48.8％）。大多数人在进入法医系统之前曾与精神病服务部门（83.1％）和/或刑事司法系统（70.6％）有过接触。私奔史（31.5％）和住院侵略史很高（60.6％）。在报告年度，大多数人患有精神病谱系障碍（81.6％），超过一半的人患有药物使用障碍（57.2％）。观察到一系列指数犯罪(69.9%暴力，一般20.3%,9.8%性)，大多数样本(61.0%)的指数犯罪没有导致受害者受伤或受到轻伤。
加拿大法医精神病学系统由一个独特的涉及司法的个体子集组成。这项研究提供了对受ORB管辖的被告的详细检查，并提供了对该人群中与犯罪行为相关的风险因素的关键见解。这项研究的结果将为将来的研究提供一个框架，以检查精神障碍与暴力之间的关联以及法医精神病学系统中那些人的治疗轨迹。
收集了2014年至2015年间受安大略省审查委员会（ORB）管辖的1,240名被告成年人的数据。档案数据是从每年的ORB听证会医院报告中检索的，这些报告由安大略省所有9个成人法医精神病学机构监督。
样本包括不承担刑事责任（NCR；91.6％）和不适合受审（UST；8.4％）。大多数样本是男性（85.7％），单（70.1%），失业者(63.6%),高中学历(48.8%)。报告时，大多数人被拘留（78.5％），几乎一半人居住在社区（48.8％）。大多数人在进入法医系统之前曾与精神病服务部门（83.1％）和/或刑事司法系统（70.6％）有过接触。私奔史（31.5％）和住院侵略史很高（60.6％）。在报告年度，大多数人患有精神病谱系障碍（81.6％），超过一半的人患有药物使用障碍（57.2％）。观察到一系列指数犯罪(69.9%暴力，一般20.3%,9.8%性)，大多数样本(61.0%)的指数犯罪没有导致受害者受伤或受到轻伤。
加拿大法医精神病学系统由一个独特的涉及司法的个体子集组成。这项研究提供了对受ORB管辖的被告的详细检查，并提供了对该人群中与犯罪行为相关的风险因素的关键见解。这项研究的结果将为将来的研究提供一个框架，以检查精神障碍与暴力之间的关联以及法医精神病学系统中那些人的治疗轨迹。
