Search results for ‘Subject term:"mental health problems"’ Sort:
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Inspection of social care services in high security hospitals: Broadmoor Hospital; September 2003
- Authors:
- BISHOP Tim, ROMEO Lyn
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate. London Region
- Publication year:
- 2004
- Pagination:
- 67p.
- Place of publication:
- London
Mental health tragedies: investigating beyond human error
- Author:
- MUNRO Eileen
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 15(3), September 2004, pp.475-493.
- Publisher:
- Taylor and Francis
The Department of Health is introducing a mandatory reporting system to replace the statutory inquiries held when a mentally ill person commits homicide, as part of a radical transformation in the way errors and adverse outcomes are investigated and in the types of solutions that will be sought. Inquiries typically investigated whether there was a causally significant error or omission by professionals involved in the perpetrator's care. If human error is identified the inquiry tends to see it as sufficient explanation and the investigation ends. Experience in other fields has found that such limited investigations do not produce effective lessons for preventing future tragedies. It is necessary to regard human error as a symptom not a cause and ask why that person performed that action in those circumstances. In particular, one can examine the systemic factors acting on the professional and consider whether they made a mistake more likely. Shows how radically different this change is and contrasts it with the current inquiry procedure. It is argued that the new approach holds the promise of more effective learning but it requires major developments in research design and a fundamental cultural change in the NHS to a more open organisation where errors or mistakes (the raw data) can be reported without fear of retribution. Obstacles to achieving this are discussed.
Volunteering in a different dimension
- Author:
- FLEISCHMANN Pete
- Journal article citation:
- Volunteering, 101, September 2004, pp.10-11.
- Publisher:
- Volunteering England
Explains how the Revolving Doors Agency, the UK's leading charity concerned with mental health and the criminal justice system, has succeeded in involving its clients as volunteers. Clients could be described as the archetypal 'difficult to engage' group: all have been arrested or imprisoned and have some form of mental health problem, most have a drug or alcohol problem and many have had experience of sleeping rough. But concerted efforts have put users at the centre of the agency's work and all are reaping the benefits.
Assaultive behaviour in state psychiatric hospitals: differences between forensic and nonforensic patients
- Authors:
- LINHORST Donald M., SCOTT Lisa Parker
- Journal article citation:
- Journal of Interpersonal Violence, 19(8), August 2004, pp.857-874.
- Publisher:
- Sage
Forensic patients are occupying an increasingly large number of beds in state psychiatric hospitals. The presence of these mentally ill offenders has raised concerns about the risk they present to nonforensic patients. This study compared the rate of assaults and factors associated with assaultive behavior among 308 nonforensic patients and two groups of forensic patients including 469 patients found not guilty by reason of insanity and 76 pretrial patients. Consistent with other studies, nonforensic patients had higher rates of assaults than either group of forensic patients. However, being a forensic patient did not affect the odds of assault when controlling for the effects of demographic and clinical variables in a multivariate logistic regression analysis. Factors associated with assaults in each of the three patient groups were identified using multivariate analyses. Implications are presented for treatment of assaultive behavior, mixing of forensic and nonforensic patients within state hospitals, forensic release policies, and future research.
The link between mental health problems and violence behaviour
- Author:
- GREGORY Nathan
- Journal article citation:
- Nursing Times, 6.4.04, 2004, pp.34-36.
- Publisher:
- Nursing Times
Reviews literature on mental illness and violence with the aim of clarifying whether there is a link between the two. Concludes that while higher rates of violence have been found among people with mental illness, most studies have flaws and their results should be viewed with caution. Calls for the development of preventative strategies by providing appropriate support for people with mental health problems.