Evaluation and treatment of insanity acquittees in the community

This paper describes the monitored outpatient treatment program for Psychiatry Security Review Board (PSRB) clients in the largest single community treatment agency in the Oregon system. We describe 161 persons referred to this agency for evaluation and treatment. Ninety-one PSRB clients received treatment and of this group 51% had their conditional release revoked by the PSRB. The most frequent cause of revocation was noncompliance with treatment. There were only 11 crimes committed during the study period, four of which were in the felony range. The majority of PSRB clients are chronically mentally ill persons. We discuss both the treatment approach and our results in light of a recently published research agenda for insanity acquittees.     

New Zealand's special treatment units: the development and implementation of intensive treatment for high-risk male prisoners

In the late 1980s, New Zealand developed two highly innovative residential treatment programmes for serious offenders that blended together the strengths of structured cognitive behavioural group programmes and therapeutic community approaches. Since the mid-1990s this hybrid model – recently advocated as a fruitful direction for future offender programme development – was adopted and further refined for use in New Zealand's four high-risk special treatment units (HRSTUs). We outline the HRSTU model, noting the challenges and potential benefits of providing an intervention that integrates therapy, resocialisation and reintegration experiences for high-risk, high need, low responsivity clients: many with significant psychopathic features. On average, the majority of those referred to HRSTUs complete the programme and make small but significant amounts of change on important treatment goals. But most changes remain tentative, suggesting the importance of more supportive aftercare. Although an earlier evaluation of the first unit to open found the programme to be modestly effective in reducing recidivism, an outcome evaluation currently underway will help establish whether improvements since that time are associated with reductions in disciplinary infractions and recidivism.     

The use and abuse of the rape treatment center.

The author acknowledges the fact that the new system of managing alleged rape victims via the RTC is superior to the former method. The RTC has performed very well, giving aid and succor to rape victims. However, it appears that the unit has attracted some individuals who are not completely truthful and have given fraudulent accounts to investigators. Methods have been suggested to screen out these persons.     

关于医疗纠纷概念与处理的两点法律思考

改革开放以来，我国医疗纠纷呈逐年上升的趋势。一般认为，医疗纠纷是指医患双方对诊疗护理后果及其原因的认定存在分歧，当事人提出追究责任或赔偿损失，须经行政的或法律的调解或裁决才可了结的医患纠葛。长期以来，国务院、卫生部就此问题颁布的行政法规、规章广受指摘，正面临大的修改和变动；从实践来看，最高人民法院相继做出的几个司法解释也未达到其澄清法律关系与司法程序的初衷，相反造成了一些不必要的误解和歧义，有待进一步明确。此外，学术界还有专家呼吁从立法的层次上解决问题，提请人大常委会就医患关系进行特别立法加以规范。本文仅从医疗纠纷中选取若干问题，尝试从法律视角予以讨论，求教于方家。     

关于医疗纠纷概念与处理的两点法律思考

改革开放以来 ,我国医疗纠纷呈逐年上升的趋势。一般认为 ,医疗纠纷是指医患双方对诊疗护理后果及其原因的认定存在分歧 ,当事人提出追究责任或赔偿损失 ,须经行政的或法律的调解或裁决才可了结的医患纠葛。① 长期以来 ,国务院、卫生部就此问题颁布的行政法规、规章广受指摘 ,正面临大的修改和变动 ;从实践来看 ,最高人民法院相继做出的几个司法解释也未达到其澄清法律关系与司法程序的初衷 ,相反造成了一些不必要的误解和歧义 ,有待进一步明确。② 此外 ,学术界还有专家呼吁从立法的层次上解决问题 ,提请人大常委会就医患关系进行特别立法…