An empirical approach to the classification and treatment of maximum security psychiatric patients

Abstract

AbstractTreatment approaches with forensic patients have traditionally been nonspecific and have been based primarily on legal or diagnostic categories. The current study, stimulated by the need to reorganize treatment and assessment services, examined the incidence among 189 maximum security psychiatric patients of 70 problems commonly exhibited either in the community prior to admission or within the institution. Through a series of factor and cluster analyses, a model for the placement and treatment of these patients was developed that included assaultiveness, level of functioning, social withdrawal, and active psychotic symptoms.