Search results for ‘Subject term:"mental health problems"’ Sort:
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Keys to diversion: best practice for offenders with multiple needs
- Author:
- DURCAN Graham
- Publisher:
- Centre for Mental Health
- Publication year:
- 2014
- Pagination:
- 28
- Place of publication:
- London
Liaison and diversion services aim to identify and support people with mental health problems, learning difficulties and other vulnerable people in police stations and courts. This report identifies the key elements of successful liaison and diversion services in six services based in Lewisham, Manchester, Portsmouth and in Plymouth, Bodmin and Truro. The findings are based on visits to sites, interviews with staff, service users, and partners. It finds that the most successful teams offer support for a wide range of a person’s needs, they build packages of support from a range of local agencies, and they stay in touch with people after they have been referred to other services. The report then makes recommendations for NHS commissioners and liaison and diversion services. (Edited publisher abstract)
Childhood sexual abuse, adult psychiatric morbidity, and criminal outcomes in women assessed by medium secure forensic service
- Authors:
- DOLAN Mairead, WHITWORTH Helen
- Journal article citation:
- Journal of Child Sexual Abuse, 22(2), 2013, pp.191-208.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There is extensive literature linking childhood sexual abuse (CSA) with adult psychopathology, interpersonal dysfunction, and criminality. The purpose of this study was to look at the associations between contact CSA and psychosocial function in women referred to a medium secure forensic service. The study was conducted at Edenfield Adult Forensic Service Manchester, UK. The case files of all 225 women (aged 18 and older) assessed by the service between 1991 and 1999 were examined, and childhood sexual abuse and non–childhood sexual abuse cases were compared. Over half the sample had a history of childhood sexual abuse, and 5.6% of this group were victims of a subsequent sexual assault in adulthood. The perpetrators were all male. The majority of intrafamilial cases resulted in victims being raised in environments outside the family home. CSA was associated with later relationship, educational, and occupational difficulties. Significant associations were also seen with personality disorder, self-harm, and substance misuse. The findings suggest that treating services need to recognise the potential importance of CSA in their models of care.
Independent inquiry into the care and treatment of Peter Bryan
- Authors:
- MISHCON Jane, (chair)
- Publisher:
- NHS London
- Publication year:
- 2009
- Pagination:
- 691p., 2 vols.
- Place of publication:
- London
In February 2004, Peter Bryan killed Brian Cherry shortly after leaving the acute psychiatric ward at Newham Centre for Mental Health where he had been a voluntary patient. This inquiry was undertaken following completion of Peter Bryan's trial in 2005 and deals with his care and treatment up to the time of the homicide of Brian Cherry. The report describes the background and events leading to the investigation and provides commentary and analysis. It covers an earlier homicide, treatment at Rampton Hospital, the John Howard Centre medium secure unit, the Riverside House forensic hostel, and the acute adult general psychiatric ward at Newham Hospital, and the homicide of Brian Cherry. It sets out detailed findings about the care and treatment provided with the aim of identifying lessons to be learned, and presents recommendations based on the findings.
Citizenship: a response to the marginalization of people with mental illnesses
- Authors:
- ROWE Michael, PELLETIER Jean-Francois
- Journal article citation:
- Journal of Forensic Psychology Practice, 12(4), July 2012, pp.366-381.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
In the mental health arena, the juncture of citizenship and marginalised groups is particularly dramatic when those groups include people who are doubly or triply challenged by homelessness and criminal justice histories. This article examines core themes in the literature on citizenship followed by an exploration of two citizenship research projects in the United States – a randomised controlled trial that tested intervention and a community-based participatory research study to develop an individual outcome measurement of citizenship. It then discusses lessons learned from previous research. Finally, implications for theory and practice on citizenship in regard to marginalised groups are examined.
Is adult general psychiatry a pathway to the prison back door?
- Author:
- NEILL Stephen
- Journal article citation:
- Mental Health Today, May 2012, pp.24-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
There is concern about the high percentage of psychiatrically ill people in prison. Before psychiatric patients have been incarcerated for serious crime in secure units or prison, they have often been assessed for mental illness in general adult acute psychiatric wards. The aim of this study was to investigate whether adult general psychiatry and forensic psychiatry should work together for the better treatment of offenders with mental health problems. The study used anonymised in-depth information derived from electronic records at the South London and Maudsley NHS Foundation Trust. A sample of 542 patients’ files in the adult general psychiatry male ward was examined. The findings showed that 33.8% of these patients were subject to a legal event, from investigation and arrest to imprisonment, during the course of their latest admission. An even larger unspecified number of patients were engaged within the criminal justice system, but their status did not change during the course of admission. Violent conduct in clinical settings, absconding, and the misuse of substances in the course of admission were all linked to criminal conduct. The article concludes that general psychiatry and forensic psychiatry should work together for the better treatment of mentally disordered offenders.
Targeting criminal recidivism in mentally ill offenders: structured clinical approaches
- Authors:
- ROTTER Merrill, CARR Amory
- Journal article citation:
- Community Mental Health Journal, 47(6), December 2011, pp.723-726.
- Publisher:
- Springer
In order to address recidivism in offenders with mental illness, this article looks at structured clinical interventions created or adapted to target the thoughts and behaviours associated with criminal justice contact and behaviour.
Diverson tactics
- Author:
- SAMUEL Mithran
- Journal article citation:
- Community Care, 4.8.11, 2011, pp.26-27.
- Publisher:
- Reed Business Information
Manchester Offenders: Diversion Engagement Liaison (MO:DEL) service is working to reduce reoffending among offenders with mental health problems who have additional needs. The services helps them engage with mental health and substance misuse services. Staff involved in the project include one social worker, one probation officer, four nurses and a consultant nurse. Two short case studies show how the project has changed the lives of two offenders.
Mental illness, crime, and violence: risk, context, and social control
- Author:
- MARKOWITZ Fred E.
- Journal article citation:
- Aggression and Violent Behavior, 16(1), January 2011, pp.36-44.
- Publisher:
- Elsevier
This article reviews perceptions, realities and processes relating to the relationship between mental illness, crime, and violence. It begins by discussing how deinstitutionalisation has led to an overrepresentation of persons with mental illness in the criminal justice system, with persons being retained in jails and prisons rather than hospitals. The article then compares public perceptions of dangerousness associated with mental illness with individual-level studies that assess the risk of violence and criminal behaviour among those with mental illness. Public perceptions of the risk of violence associated with mental illness are shown to be overstated but not unfounded. The article then reviews key findings as to the role of certain psychotic symptoms, social demographic characteristics, and the context in which violence unfolds. Finally, the article discusses recent legal and social policy initiatives related to managing persons with mental illness who violate the law. High quality, well-coordinated community mental health services that focus on both symptom reduction and socioeconomic well-being may reduce the number of mentally ill person who end up in jails and prisons. However, the article argues that such efforts are likely to be limited in their scope and effectiveness relative to the scale of the problem.
The development and initial validation of a service-user led measure for recovery of mentally disordered offenders
- Authors:
- GREEN Timothy, BATSON Amy, GUDJONSSON Gisli
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 22(2), April 2011, pp.252-265.
- Publisher:
- Taylor and Francis
Systematic and reliable attempts to measure the recovery experience of forensic mental health users have been restricted by the lack of reliable measuring tools. The aim of this study was to develop a measure of recovery within forensic mental health services that had been led by service users understanding of the concept. This article describes the development of this measure, referred to as the 'Recovery Journey Questionnaire' (RJQ), using focus groups and in-depth service user interviews within a medium secure unit in south-east England. Once developed, the RJQ was administered to 69 service users and was shown to demonstrate good psychometric properties in terms of reliability and construct validity. No gender or ethnic differences emerged with regard to the questionnaire, but as expected, service users with a primary or co-morbid diagnosis of personality disorder had significantly lower scores than service users with mental illness only, indicating that the RJQ reflects a theoretical basis of recovery. The article concludes that the RJQ offers a swift, repeatable, reliable and meaningful measure of forensic mental health service user recovery.
The assessment of imminent inpatient aggression: a validation study of the DASA-IV in Scotland
- Authors:
- VOJT Gabriele, MARSHALL Lisa A., THOMSON Lindsay D. G.
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 21(5), October 2010, pp.789-800.
- Publisher:
- Taylor and Francis
Inpatient aggression in psychiatric settings poses a serious management problem. This study reports the findings of a prospective pilot study on the Dynamic Appraisal of Situational Aggression - Inpatient Version (DASA-IV). The DASA-IV is a 7-item structured risk assessment tool for assessing imminent inpatient aggression. The study was conducted in the State Hospital, the high secure psychiatric hospital for Scotland and Northern Ireland. Data collection took place between May 2007 and November 2007. The outcome data were aggressive incidents recorded on the Staff Observation Aggression Scale - Revised (SOAS-R) and incidents noted on the hospital's online recording tool. All measures were completed by nursing staff as part of their daily clinical routine to ensure ecological validity. The DASA-IV was found to be of moderate to good predictive power. Staff found the DASA-IV quick and easy to complete. The potential for implementation of the tool is discussed.