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Medium secure forensic psychiatry services: comparison of seven English health regions
- Authors:
- COID Jeremy, et al
- Journal article citation:
- British Journal of Psychiatry, 178, January 2001, pp.55-61.
- Publisher:
- Cambridge University Press
Regional medium secure developments have proceeded unevenly, with wide variations in resources to deliver services. This study compares patients admitted to seven (pre-reorganisation) regional services and styles of serve delivery. It was discovered that un-coordinated development led to under-provision despite high demand. Certain regions prioritised offender patients and did not support local psychiatric services. New standards are required for service specification and resource allocation to redress inequality. Traditional performance measures were of limited usefulness in comparing services.
Women admitted to secure forensic psychiatry services: I. Comparison of women and men
- Authors:
- COID Jeremy, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.275-295.
- Publisher:
- Routledge
This study compared the demographic and diagnostic characteristics, psychiatric histories and criminal records of female and male patients from a complete sample of special (high-security) hospital admissions from all health regions, and medium- security admissions from seven of fourteen regions, in England and Wales from 1988 to 1994. The annual rate of male admissions to the secure specialist services was 5.6 times that for females. The findings suggest that new specialist therapeutic regimes for women are needed. Future research should examine their needs for internal and perimeter security and compare their needs with those of men.
Women admitted to secure forensic psychiatry services: II. Identification of categories using cluster analysis
- Authors:
- COID Jeremy, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.296-315.
- Publisher:
- Routledge
It has been recommended that there should be new therapeutic regimes for women who need secure inpatient services. Cluster analysis was applied to the diagnoses of 471 women admitted to Special Hospitals and medium secure units over a 7-year period from a geographically representative area of seven health regions in the UK. The aim was to identify categories that may facilitate the development of new specialist services. A seven-cluster solution revealed three subgroups of women with personality disorder as their primary psychopathology, three with major mental illness, and one with organic brain syndrome. Each may require different therapeutic regimes and levels of inpatient security. Further research is necessary to determine whether any single category could be managed in specialist facilities without recourse to high perimeter security.