ABSTRACT Older forensic psychiatric patients (defined as aged 50 or over) have complex needs and require specialized treatment to enable recovery and reduce risk. Little is known about what service provision is available for this population, so a scoping literature review was undertaken to establish the extent of service provision and if services are specifically modified or designed for this population. The literature was searched through academic journal databases and Google Scholar, and outputs were screened for suitability and assessed for quality. Eight studies (four qualitative, four quantitative) were included in the review. Studies were mixed in terms of methodological quality, and with several limitations. Qualitative data provided perceptions regarding positive (e.g., sufficient types of therapy) and negative (e.g., lack of age-appropriate services) aspects of interventions. Quantitative data were descriptive, focusing mainly on identifying provision available (e.g., art therapy, violence reduction) and where needs were not being met (e.g., physical needs, education). Results indicate little provision in place adapted specifically for older forensic psychiatric patients. Findings highlight the need for further research to understand and effectively implement interventions and service provision for older forensic mental health patients to ensure practice is evidence based.

中文翻译：

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为老年法医精神健康患者提供服务：文献综述

摘要 老年法医精神病患者（定义为 50 岁或以上）有复杂的需求，需要专门的治疗才能康复并降低风险。对这一人群可获得哪些服务供应知之甚少，因此进行了范围界定文献审查，以确定服务供应的范围，以及服务是否专门针对这一人群进行了修改或设计。通过学术期刊数据库和谷歌学术搜索文献，并筛选输出的适用性和质量评估。八项研究（四项定性，四项定量）被纳入该评价。研究在方法学质量方面参差不齐，并存在一些局限性。定性数据提供了关于积极（例如，足够类型的治疗）和消极（例如，缺乏适合年龄的服务）方面的干预措施。定量数据是描述性的，主要侧重于确定可用的供应（例如，艺术治疗、减少暴力）以及哪些需求没有得到满足（例如，身体需求、教育）。结果表明，专门针对老年法医精神病患者的规定很少。调查结果强调需要进一步研究以了解和有效实施针对老年法医精神健康患者的干预措施和服务提供，以确保实践以证据为基础。结果表明，专门针对老年法医精神病患者的规定很少。调查结果强调需要进一步研究以了解和有效实施针对老年法医精神健康患者的干预措施和服务提供，以确保实践以证据为基础。结果表明，专门针对老年法医精神病患者的规定很少。调查结果强调需要进一步研究以了解和有效实施针对老年法医精神健康患者的干预措施和服务提供，以确保实践以证据为基础。