Counselling In Forensic Nursing

Research indicates that forensic nursing evolve around helping and providing health care for individuals who are regarded to be the victims of criminal case in the existing prison systems. This field of forensic nursing requires the nurses to work hand in hand with law institutions and the society at large in order to detect criminal cases in the society which may include domestic violence, substance and drug abuse, gun crimes among others, which enables them to come up with the method of treatment to deliver to such criminal (Brenneman, 1997).

In many cases we find that the forensic nursing practitioner carryout different nursing practices while working in the same prison. Over the past years crime has increased due to various reasons that include poverty, misuse of drugs, and fighting for power among others. Many countries have come up with laws that enable the treatment of criminals without harsh conditionality.

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Since the society has developed a growing concern over the criminal behavior which is ever increasing, the justice system is urged to provide a delinquent preventive measure that will be aimed at preventing the young from indulging in criminal activities.Due to growing concerns over the increased number of criminals, countries have formulated laws that ensure that the criminals involved are restored back to being good people in the society and they have identified rehabilitation as the best way to nature them, as a result such laws we find that forensic nursing plays a major role in ensuring that these individual will afterwards change and become productive members of the society. (Brenneman, 1997) Counseling is regarded as an essential factor in dealing with criminals who have been affected psychologically.This practice is usually used in helping this people to handle issues which are found to be causing factors of the psychological disorders.

Occasionally, this practice requires skilled professionals who can deal with issues ranging from education, marriage, individuals and families. To do this the forensic nurses are therefore required to have the following in their practices in order to understand the person’s problems. The forensic nurse counselor should have good listening skills, empathy, and be genuine which will require the practitioner to tell the truth even if the subject matter is not that good to the patient.Therefore one is required to bring out the truth in a way that the patient will be able to handle and understand his situation; the counselor should give unconditional positive regard and also should have concreteness in providing any information about the problem (McCracken, 2002). In this case of criminal cases, we find that many forensic nurse counselors indulge in a number of activities that usually assist the crime victims to come back to their normal status.The following are the methods that are used by the forensic nurse counselors in order to resolve such issues; Therapeutic relationship; under this we find that a better relationship between the criminal and the counselor is established. The criminal is therefore required to build trust and safety on the counselor although sometimes it is argued that the victims finds it hard to build trust on the counselor thus they end up not giving full information about the causative factor of the crime.

According to the counseling practices safety is considered as a leading factor to a safety therapeutic trauma work.In this case the victim may be found to be having a number of characteristics that may hinder him from building trust and safety on the forensic nurse counselor. These factors may include personality temperament. We may also find that when the victim is found to have undergone a number of traumas, the chances of him or her building his trust on the counselor are always high (Eysenck and Hans, 1996). The other method used in counseling by the forensic nurse is the Dialectical Behavior Therapy which has an objective of dealing with individuals who are known to be suffering from the personality disorders.This therapy indicates that individuals are always found to be responding to the emotional stimulation not normally; this may come up as a result of biological factors and also the way the victim was brought up. This therapy is usually carried out in two forms; that is the weekly psychotherapist that involves the addressing issues that are said to have affected the individual during the week and also coming up with the best resolutions for such factors leading to the victims indulging in crimes. (Gask and Usherwood, 2005)The second form is the group therapy which is directed towards the handling of the interpersonal skills, the regulation of emotions and also enabling the individual to accept and also tolerate the disorder.

The importance of the Dialectical Behavior Therapy is that it helps the individuals found to be suffering from the personality disorders to response to such conditions positively and also bringing up a number of characteristics including that of self-esteem, having and looking for more goals in life and also learning of new methods of behaving (Raine, 1993).Cognitive way of therapy can also be used whereby it gives the criminal an opportunity to be optimistic and create reality in his prospects and thus reduction of depression. Cognitive therapy aid the dejected individual to be acquainted with life tribulations which are decisive and those that are of no importance which help him to come up with positive life objectives. Also problem solving therapy technique can be applied whereby the cause of depression is identified then it is solved to avoid further damage to the individual attacked. (Regoli and Hewitt, 2006)For the forensic nurses to be successful in their willingness to help these criminals, we find that they carry out rehabilitation as one way of helping these victims, research indicates that rehabilitation normally involves the teaching and training the criminals who are addicted to a particular behavior to stop the defective behavior and try to become acceptable members of the society.

Therefore under this, the forensic nurses are given the responsibility of assisting these addicts or criminals by helping them to get hope through various programs that they will be educated thus helping them to heal their bodies and mind.The strengths associated with these forensic rehabilitation policies are that the criminal will achieve through these Programs education which allows the offender an opportunity to re-enter into the society as a responsible and productive citizen. For example, the criminals who undergo forensic rehabilitation programs are normally allowed to receive counseling and guidance.

For example a rehabilitation program may involve the offenders in doing community work, such as cleaning the environment and activities that they think suits to the foundation of their interests.This will make them appreciate who they are and accept their presence and roles in the particular society (McCracken, 2002) The Strength for rehabilitating criminals through forensic nursing is that there is always a collective supervision that will be able to provide an environment favorable enough to meet the special needs of the offenders which will help them to join the society newly as responsible and respected persons. However, rehabilitation is prone to some weaknesses which hinder the process of trying to help the offenders to be good and reliable people in the society.For example, the criminals or offenders subjected to rehabilitation programs feel isolated in the society and thus will not corporate during the entire process. They view themselves as rejected people in the society who are treated cruelly.

These aspects make them to feel unworthy in the society and hence after the rehabilitation programs they don’t change but instead continue with bad behavior that they used to engage themselves in.Also another weakness is lack of government support in supporting rehabilitation programs, for example laxity in funding the programs thus few drug addicts and criminal offenders are subjected to such programs. This has resulted to seeking donors who can fund the programs, an activity which is difficult because it’s very hard to find willing donors. (James and Richard, 2003) Reference Brenneman, K (1997) Forensic Nursing Teaches Nurses To Preserve Evidence. Boston Business Journal Eysenck and Hans J (1996)-Personality and Crime- Where do we stand Psychology, Crime and Law 2 pg123-134Gask L and Usherwood T (2005) medical & psychiatric issues for counselors London James Q and Richard J. (2003) Crime and Human Nature New York Simon and Schuster pg 65-76 McCracken, L. (2002).

Forensic health care, Retrieved from www. 4n6links. com/forensichealthcare. htm Accessed on July 9, 2008 Regoli R & Hewitt J (2006) -Delinquency in Society, 6th edition pg 45-67 Raine A.

(1993): The Psychopathology of Crime- Criminal Behavior as a Clinical Disorder, San Diego Calif-Academic Press pg 34-45