CANFOR Portuguese version: validation study

BMC Psychiatry

Miguel Xavier²  Jose M Caldas de Almeida²  Pedro Aguiar¹  Ana Cardoso²  Stuart Thomas³  Miguel Talina² 

[1]Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisbon, Portugal

[2]CEDOC, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Campo Mártires da Pátria, Lisbon 1169-056, Portugal

[3]School of Psychology & Psychiatry, Monash University, and Victorian Institute of Forensic Mental Health, Melbourne, VIC, Australia

关键词: Prison;    Prisoners;    Mentally disordered offenders;    Mental disorders;    Needs assessment;    Forensic psychiatry;   

Others  :  1124036
DOI  :  10.1186/1471-244X-13-157

 received in 2012-05-28, accepted in 2013-04-09,  发布年份 2013

【 摘 要 】

Background

The increase in prisoner population is a troublesome reality in several regions of the world. Along with this growth there is increasing evidence that prisoners have a higher proportion of mental illnesses and suicide than the general population. In order to implement strategies that address criminal recidivism and the health and social status of prisoners, particularly in mental disordered offenders, it is necessary to assess their care needs in a comprehensive, but individual perspective. This assessment must include potential harmful areas like comorbid personality disorder, substance misuse and offending behaviours. The Camberwell Assessment of Need – Forensic Version (CANFOR) has proved to be a reliable tool designed to accomplish such aims. The present study aimed to validate the CANFOR Portuguese version.

Methods

The translation, adaptation to the Portuguese context, back-translation and revision followed the usual procedures. The sample comprised all detainees receiving psychiatric care in four forensic facilities, over a one year period. A total of 143 subjects, and respective case manager, were selected. The forensic facilities were chosen by convenience: one prison hospital psychiatric ward (n=68; 47.6%), one male (n=24; 16.8%) and one female (n=22; 15.4%) psychiatric clinic and one civil security ward (n=29; 20.3%), all located nearby Lisbon. Basic descriptive statistics and Kappa weighted coefficients were calculated for the inter-rater and the test-retest reliability studies. The convergent validity was evaluated using the Global Assessment of Functioning and the Brief Psychiatric Rating Scale scores.

Results

The majority of the participants were male and single, with short school attendance, and accused of a crime involving violence against persons. The most frequent diagnosis was major depression (56.1%) and almost half presented positive suicide risk. The reliability study showed average Kappa weighted coefficients of 0.884 and 0.445 for inter-rater and test-retest agreement, respectively. The convergent validity study presented highly significant correlations between unmet needs scores, GAF and BPRS scores.

Conclusions

The CANFOR Portuguese version revealed similar psychometric properties to the original English version. Moreover, the results of the reliability and validity studies indicate that the tool is appropriate for individual care needs assessment and as a guide for the mental health and social interventions in forensic psychiatric services.

【 授权许可】

   
2013 Talina et al.; licensee BioMed Central Ltd.

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