End-of-life care for forensic psychiatric patients: Ethical, legal, and systemic challenges in integrating palliative approaches
Identification
- Public canonical key
- doi:10.1016/j.jflm.2026.103087
- Authors
- Titus Oloruntoba Ebo · Kemi Ipinmoye · Oluwatosin Timothy Taiwo · Dolapo Mary Ebo · Eghosasere Egbon · David B. Olawade
- Reported year
- 2026
- Reported language
- en
- Source type
- review
- First detected
- 2026-11-09T19:04:47.758829+00:00
- Last metadata observation
- 2026-11-09T19:04:47.758829+00:00
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- Not checked
Institutions reported by the source
Arden University · Leicestershire Partnership NHS Trust · Medway NHS Foundation Trust · Nottinghamshire Healthcare NHS Foundation Trust · University of Applied Sciences Technikum Wien · University of East London · York St John University
Reported affiliation countries
AT · GB
Documentary abstract — original language
End-of-life (EOL) care for patients with serious mental illness (SMI) in forensic mental health settings remains a critical yet underexplored area of healthcare. Individuals with SMI experience significant health disparities, including reduced life expectancy due to preventable chronic illnesses. These challenges are compounded in forensic settings by legal constraints, systemic neglect, and limited access to palliative care services. This narrative review examines the unique barriers to EOL care in forensic psychiatric institutions. Key issues explored include diagnostic overshadowing, restricted patient autonomy, and the absence of integrated palliative care models. Additionally, ethical and legal dilemmas, such as involuntary treatment and advance care planning (ACP), are analysed in the context of forensic mental health. Best practices for improving EOL care in forensic psychiatric settings include the integration of multidisciplinary palliative care teams, trauma-informed approaches, and the development of hospice and alternative care models. Policy and systemic recommendations highlight the need for early palliative care consultations, legal reforms that balance patient rights with public safety, and enhanced staff training in EOL care competencies. Despite these proposed interventions, significant gaps remain in research, particularly in evaluating the effectiveness of palliative interventions in forensic settings. Addressing these gaps is crucial to ensuring forensic psychiatric patients receive compassionate, dignified, and ethically sound EOL care. • Forensic psychiatric patients face major end-of-life (EOL) care barriers. • Legal and ethical constraints limit patient autonomy in EOL decisions. • Diagnostic overshadowing delays palliative care for patients with SMI. • Trauma-informed palliative care enhances patient dignity and trust. • Early palliative consultations improve forensic psychiatric patient outcomes.
Identifiers
- OPENALEX
- W7127340516
- DOI
- 10.1016/j.jflm.2026.103087
Documentary context
- Documentary family
- Scholarship
- Source-reported types
- review
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OpenAlex · Record 1 · Record 2
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Cite this reference
Titus Oloruntoba Ebo; Kemi Ipinmoye; Oluwatosin Timothy Taiwo; Dolapo Mary Ebo; Eghosasere Egbon; David B. Olawade. End-of-life care for forensic psychiatric patients: Ethical, legal, and systemic challenges in integrating palliative approaches. 2026. https://doi.org/10.1016/j.jflm.2026.103087
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- APA
- Titus Oloruntoba Ebo; Kemi Ipinmoye; Oluwatosin Timothy Taiwo; Dolapo Mary Ebo; Eghosasere Egbon; David B. Olawade. (2026). End-of-life care for forensic psychiatric patients: Ethical, legal, and systemic challenges in integrating palliative approaches. https://doi.org/10.1016/j.jflm.2026.103087
- Chicago
- Titus Oloruntoba Ebo; Kemi Ipinmoye; Oluwatosin Timothy Taiwo; Dolapo Mary Ebo; Eghosasere Egbon; David B. Olawade. End-of-life care for forensic psychiatric patients: Ethical, legal, and systemic challenges in integrating palliative approaches. 2026. https://doi.org/10.1016/j.jflm.2026.103087
- ISO 690
- Titus Oloruntoba Ebo; Kemi Ipinmoye; Oluwatosin Timothy Taiwo; Dolapo Mary Ebo; Eghosasere Egbon; David B. Olawade. End-of-life care for forensic psychiatric patients: Ethical, legal, and systemic challenges in integrating palliative approaches. 2026. https://doi.org/10.1016/j.jflm.2026.103087
UDTR Global Rights of Nature Legal Library. End-of-life care for forensic psychiatric patients: Ethical, legal, and systemic challenges in integrating palliative approaches. Documentary record: https://www.declarationuniverselledesdroitsdelarbre.org/global-rights-of-nature-radar/reference/r-11323d202c3afa7b06cf3d76afd9148f/ · Last HTTP verification: not performed
Field provenance and record version
Version 18867a9783cb7f6f · udtr-reference-1.1.2
- Title
- OpenAlex · source · 2026-11-09T19:04:47.758829+00:00
- Authors
- OpenAlex · source · 2026-11-09T19:04:47.758829+00:00
- Year
- OpenAlex · source · 2026-11-09T19:04:47.758829+00:00
- Identifiers
- OpenAlex · source · 2026-11-09T19:04:47.758829+00:00
- Source URL
- OpenAlex · source · 2026-11-09T19:04:47.758829+00:00
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cf46f9a86b1f47e2 · 2026-11-09T19:04:47.758829+00:00
b5dce917fb3435e4 · 2026-11-09T19:04:47.758829+00:00
5f4a6dbecfd896be · 2026-11-09T19:04:47.758829+00:00
18867a9783cb7f6f · 2026-11-09T19:04:47.758829+00:00
Research dossiers and documentary relations
Leicestershire Partnership NHS Trust
Nottinghamshire Healthcare NHS Foundation Trust
University of Applied Sciences Technikum Wien
Source roles
Discovery source · https://doi.org/10.1016/j.jflm.2026.103087
Discovery source · https://openalex.org/W7127340516
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