Ms. Irene Boldt
Irene is a second year doctoral student at the Bloomberg Faculty of Nursing at the University of Toronto. The focus of her thesis research is the ethical dimensions of the well-being of forensic mental health patients living in the community. Irene has practiced clinically in forensic mental health and is presently working at the Centre for Addiction and Mental Health of a study examining the risk and recovery experiences of forensic mental health patients under the authority of the Ontario Review Board.
This paper will present the background, literature review and the ethical implications of my developing doctoral research. The study proposed will use Powers and Faden's (2006) theory of social justice to explore the well-being of forensic mental health (FMH) patients living in the community under the authority of the Ontario Review Board, and will consider whether their well-being is sufficient to promote their successful progression through, and out of, the FMH system. A review of the extant scholarly literature suggests that FMH patients experience a number of challenges while living in the community, challenges that may increase the likelihood they will reoffend or require readmission to hospital. An argument can be made, because the FMH system restricts the liberty of FMH patients in an effort to protect the interests of the wider society, that communities have a reciprocal moral obligation to ensure that FMH patients have a level of well-being that is sufficient to support their recovery. The implications of the literature findings related to social determinants of health, well-being and rehabilitation of community-residing patients will be discussed within the context of the FMH system and the responsibility clients and clinicians have to reduce risk and ensure the safety of the public.
Seminar: "The Well-Being of Community Residing FMH Patients: Recognizing Ethical Dimensions"