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Psychiatric monitoring of not guilty by reason of insanity outpatients
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Orientador(es)
Resumo(s)
Individuals deemed Not Guilty by Reason of Insanity (NGRI) by the courts, under Article 20 of the Portuguese
Criminal Code, have often committed very serious crimes. It is unreasonable to consider that
these patients were usually kept without adequate supervision after the security measure had been
declared extinct. They often decompensated after leaving the institution where they complied with the
security measure, and/or relapsed to alcohol and drug abuse. Very often, severe repeated crime erupted
again. Considering this, there was an urgent need to keep a follow-up assessment of these patients in
order to prevent them from relapsing in crime. This work presents the results of a psychiatric follow-up
project with NGRI outpatients. The main goals of the project were: ensuring follow-up and appropriate
therapeutic responses for these patients, maintaining all individuals in a care network, and preventing
them from decompensating. The team consisted of a psychiatrist, a nurse, and a psychologist. Seventytwo
patients were monitored during two years. Results demonstrated the unequivocal need to follow up
decompensated patients after the court order is extinguished. Suggestions are presented for a better
framing and psychiatric follow-up of these patients.
Descrição
Palavras-chave
NGRI Treatment Outpatient Psychosis
Contexto Educativo
Citação
Editora
Elsevier