1. 2011-08-24 The Swedish National Forensic Psychiatric Register Margareta Lagerkvist Senior Psychiatrist margareta.lagerkvist@vgregion.se Sweden

2. The Swedish National Forensic Psychiatric Register 2 Background  The register started 2008  Approximately 80% of the forensic patients are included  Follow-up once a year

3. The Swedish National Forensic Psychiatric Register 3 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

4. The Swedish National Forensic Psychiatric Register 4 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

5. The Swedish National Forensic Psychiatric Register 5 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

6. The Swedish National Forensic Psychiatric Register 6 Chosen indicators  Treatment with medicine  Treatment of abuse/dependence  Risk analysis  Measures related to risk analysis  Coersive measures  Housing

7. The Swedish National Forensic Psychiatric Register 7 Chosen indicators  Restrictions  Patient assessment of quality of life, health and risk of relapse in crime  Relapse in crime

8. The Swedish National Forensic Psychiatric Register 8 Demographic characters 2010  85% men  Mean age 42 (16-79)  40% homeless  27% ordinary housing  5% living with spouse/partner

9. The Swedish National Forensic Psychiatric Register 9 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%

10. The Swedish National Forensic Psychiatric Register 10 Patient assessments  Mean Life quality 66  Mean Health 72  Risk of relapse in crime 10%

11. The Swedish National Forensic Psychiatric Register 11 Outcome measures  Relapse in crime 23 %  Global assessment functioning mean 42  Moderate to very severe symptoms 60%  Disease awareness full 10%, none 55%