Search results for ‘Subject term:"mental health problems"’ Sort:
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Description and evaluation of a novel service for "difficult to manage" psychiatric in-patients
- Authors:
- HAYES Adrian J., PRATT Daniel, SHAW Jenny
- Journal article citation:
- Journal of Forensic Practice, 17(1), 2015, pp.69-78.
- Publisher:
- Emerald
Purpose: A new service was developed to provide transitional care between acute and secure services for people with serious mental illness who are considered "difficult to manage" The purpose of this paper is to evaluate the work of the service by examining referrals made, strategies employed for each referral, and patient outcomes, as well as investigating issues in the service's development and implementation. Design/methodology/approach: A retrospective descriptive study by review of 38 case notes, and qualitative interviews of 47 staff within the service and those referring to the service. Findings: In the first eight months, 38 patients were referred due to violence, aggression and management problems. Most interventions provided by the service involved working with referring staff, rather than direct patient contact. Subsequently, 16 per cent required referral to higher levels of security. Interviews showed the team's aims needed to be more clearly established, but that ward staff found the service to be a useful and productive resource. Research limitations/implications: The study is descriptive and retrospective, but showed that the service provided appropriate interventions for managing patients with serious mental illness and challenging behaviour. Practical implications: A transitional service may have value in keeping patients in the least restrictive setting. Careful planning is needed in designing novel interventions, ensuring clear aims and effective management. Originality/value: The service under study was novel, and may be useful in facilitating successful transfer from, or preventing admission to, secure services. (Publisher abstract)
Treating dangerous and severe personality disorder in high security: lessons from the Regional Psychiatric Centre, Saskatoon, Canada
- Authors:
- MADEN A., et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 15(3), September 2004, pp.375-390.
- Publisher:
- Taylor and Francis
Describes the approach to risk reduction at the Centre, making legal and institutional comparisons with the new Dangerous and Severe Personality Disorder (DSPD) Service to be established in high security hospitals in England and Wales. The Centre applies cognitive behavioural techniques to reduce recidivism, and current evidence suggests the same approach should form the core of the treatment regime in DSPD units. The key to success is the strict management of programme integrity, to deliver intensive treatment tailored to the individual's abilities and readiness to accept change. The Stages of Change model, derived from addictions, allows planning, monitoring and evaluation. It plays an important role in maintaining staff morale by providing an objective measure of success within a reasonable time frame. The service will require effective management and sophisticated information systems to support these developments. The Centre has the advantage of clear pathways through the service. Patients are able to return to an ordinary prison whenever they wish, and the average length of stay is about 2 years. The service will have to guard against beds becoming blocked by long-stay patients with no way out of the service. Long term hospital incarceration is an expensive and inefficient way of protecting the public, and a unit with a high proportion of long-stay patients would find it hard to sustain a therapeutic ethos, with a consequent threat to staff morale.
Psychiatry in Britain one hundred years ago
- Author:
- ROLLIN Henry R.
- Journal article citation:
- British Journal of Psychiatry, 183(10), October 2003, pp.292-298.
- Publisher:
- Cambridge University Press
The items to be included in this paper, fall into the following, not necessarily mutually exclusive, categories: overcrowding in asylums; classification of lunatics; professional status of psychiatry; staffing and training in mental asylums; diagnoses ; treatment; the management of lunacy in general ; doctors v. lawyers; and the Medico-Psychological Association (MPA).
Consultation on the implementation of the remaining national standards for the provision of social care services in the high security hospitals
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 2003
- Pagination:
- 5p.
- Place of publication:
- London
Twenty key standards were identified for implementation from April 2002 to March 2003. These were the standards that were most directly concerned with the delivery of a social care service to patients.These standards have been taken from the document National Standards for the Provision of Social Care Services in the High Security Hospitals, August 2001.
Scare in the community
- Author:
- SIMPSON Alan
- Journal article citation:
- Nursing Times, 98(39), September 2002, pp.12-13.
- Publisher:
- Nursing Times
This article looks at the reaction to the government's draft mental health Bill. It considers whether a patient would be comfortable telling his/her GP about any mental health problem if compulsory detention becomes more widespread.
Inpatients formally detained in hospitals under the Mental Health Act 1983 and other legislation: NHS trusts, high security psychiatric hospitals and private facilities: 2000-01
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 160p.
- Place of publication:
- London
There are three parts of the Act under which patents may be detained: civil detentions; court disposals and prison transfers; and place of safety orders. The booklet's purpose is to present data provided by the individual Trusts and Health Authorities.
Outcome of psychiatric admission through the courts
- Authors:
- JAMES David, et al
- Publisher:
- GREAT BRITAIN. Home Office. Research, Development and Statistics Directorate
- Publication year:
- 2002
- Pagination:
- 130p.,bibliog.
- Place of publication:
- London
This study examined, in detail, what happened to people admitted to psychiatric hospitals through court diversion schemes. It examined what effect the patients had on the receiving hospitals; what health benefit they achieved from admission; whether they remained in care; and whether admission through the courts appeared to have any effect upon readmission and reconviction rates. In particular, the study examined whether those admitted from the courts fared any better or worse than those admitted from the community. Without such a comparison, there would have been no context in which to set the findings in admissions from court, and no framework within which to reach meaningful conclusions.
Sex offenders in high-security care in Scotland
- Authors:
- BAKER Melanie, WHITE Tom
- Journal article citation:
- Journal of Forensic Psychiatry, 13(2), September 2002, pp.285-295.
- Publisher:
- Routledge
This article examines the characteristics of 53 sex offenders detained in maximum security at the State Hospital, Carstairs, in Scotland. Patients were categorized by diagnosis and four main groups were found: mental handicap, mental illness, mental illness with co-morbid personality disorder and personality disorder alone. As a whole, the patients had experienced multiple areas of deprivation and many had been subject to sexual abuse themselves. Our findings are consonant with other work in this area in noting the importance of deviant fantasy and positive psychotic symptoms. Detailed assessment of mentally disordered sex offenders is recommended, with consequent treatment including pharmacotherapy and a modified cognitive behavioural approach.