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Geographic Risk Management: A Spatial Study of Mentally Disordered Offenders Discharged from Forensic Psychiatric Care

We investigated the impact of neighborhood and community factors on the reintegration of forensic patients leaving custodial care in British Columbia, Canada. Using geographic information systems (GIS) techniques, the residential locations of a sample of forensic patients were tracked over time and mapped in relation to each other. The frequency of a patient's return to hospital was monitored and the reasons for these returns were recorded after each unsuccessful community placement. The analysis of the findings suggested that patients who were released to certain, socially disorganized neighborhoods returned to inpatient care at a higher frequency. These neighborhoods exhibited many destabilizing features that may have significant influence on the long-term success or failure of discharge patients, such as low income, high unemployment, poor educational achievement, and concentrated rental accommodation. Further research is needed in order to explore not only the influence of neighbourhood destabilizers on the length of community placements for forensic mental health patients, but also the underlying rationale for locating patient services in socially disorganized areas.