Where mental health and probation collide: optimizing forensic mental health services for persons on probation order in British Columbia

Using Practice Audit methodology this study identifies and compares best practices for mental health services for persons on Probation Order with care provided through the British Columbia Forensic Psychiatric Services Commission (FPSC). Currently, due to an increase in referrals, unclear referrals, and a lack of coordination with BC Community Corrections, it is unknown whether clients are receiving optimal care to reduce risks, improve health, and ensure the safety of the broader public. Current services are identified through FPSC policies and procedures, survey data, an interactive staff forum, and a review of recent referrals. Deficiencies indicated through the practice audit include: a collaborative assessment process and the need to provide assertive community treatment for all clients. Policy options to address deficiencies were subsequently evaluated using selected criteria. Outcomes indicate that deficiencies may be addressed through improved assessment procedures.