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Record W4410706103 · doi:10.12927/hcq.2025.27586

Rehabilitating the Forensic Psychiatric System: What’s Really Broken?

2025· article· en· W4410706103 on OpenAlexaffvenue
Anita Szigeti

Bibliographic record

VenueHealthcare Quarterly · 2025
Typearticle
Languageen
FieldPsychology
TopicHealthcare Decision-Making and Restraints
Canadian institutionsOntario Centre of Excellence for Child and Youth Mental Health
Fundersnot available
KeywordsPunitive damagesCriminal justiceMental healthStigma (botany)CriminologyEconomic JusticePublic relationsPerceptionPsychologyPsychiatryPolitical scienceMedicineLaw

Abstract

fetched live from OpenAlex

The forensic psychiatric system is often criticized for being either too lenient or overly punitive, revealing deep-seated misconceptions about its operations and outcomes. This paper explores the systemic challenges faced by individuals with serious mental health conditions who intersect with the criminal justice system, focusing on the pervasive stigma, systemic biases and resource shortages that define their experiences. While the public frequently perceives forensic detention as lenient or preferential, the reality is starkly different, with individuals facing prolonged detentions and significant barriers to reintegration. Moreover, systemic issues such as racial discrimination, inadequate access to culturally appropriate care and a lack of supported housing exacerbate these challenges. Contrary to popular belief, the flaws in the system stem not from inadequacies in the law but from chronic under-resourcing of both forensic and civil mental health services. The paper concludes by advocating for improved inter-system collaboration, increased resource allocation and a shift in societal perceptions to address these entrenched issues effectively.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.019
metaresearch head score (Gemma)0.044
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.019
Threshold uncertainty score0.101

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0190.044
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0150.022
Scholarly communication0.0170.035
Open science0.0030.010
Research integrity0.0160.027
Insufficient payload (model declined to judge)0.0100.003

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.019
GPT teacher head0.363
Teacher spread0.344 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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