Search results for ‘Subject term:"mental health problems"’ Sort:
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Managing high security psychiatric care
- Editors:
- KAYE Charles, FRANEY Alan
- Publisher:
- Jessica Kingsley
- Publication year:
- 1998
- Pagination:
- 302p.,bibliog.
- Place of publication:
- London
Collection of papers examining the managing of secure psychiatric services. Includes chapters on: a brief history of the special hospitals; tackling the culture; security and therapy; the physical environment; industrial relations; describing the patients; learning disability in the special hospitals; patients as intimate partners - resolving a policy crisis; special hospitals and change; freedom from restraint; a doctor's view; research and development; the Mental Health Act Commission; inquiries and inspections; press and public relations; the criminal justice system; and achievements and the future.
Real lives
- Author:
- -
- Journal article citation:
- Viewpoint, 22, October 1997, pp.6-7.
- Publisher:
- Mencap/Gateway
Describes life inside Rampton Hospital which is the main secure unit for people with learning disabilities.
Report of the Working Group on High Security and Related Psychiatric Provision
- Authors:
- REED John, chair
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1994
- Pagination:
- 50p.
- Place of publication:
- London
Report from a working group with the remit to consider the most effective provision of services for patients requiring psychiatric treatment in conditions of high security in England and Wales, and the relationship between such services and the secure and related services provided within NHS regions and the Prison Service.
Promoting work-related activities in a high secure setting: exploration of staff and patients’ views
- Authors:
- VOLLM Birgit, PANESAR Kiran, CARLEY Kay
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 25(1), 2014, pp.26-43.
- Publisher:
- Taylor and Francis
Introduction: Adults diagnosed with mental disorders, in particular those who have a history of offending, have low employment rates. Here we explore staff and patients’ views on the importance of work and vocational activities offered at a high secure hospital. Method: Two hundred seventy-six patients and 106 staff were approached; 54.3% of the patients and 58% of staff completed the questionnaire. Results: Educational achievement in patients was low but nearly two-thirds of patients had been engaged in some form of work prior to admission. Staff and patients felt that vocational opportunities offered in the hospital should more closely resemble ‘real work’ and they broadly agreed on the areas of activities of potential benefit. Staff felt more strongly than patients that patients lose work-related skills during admission. Both groups recognised the importance of work for mental health and in preventing reoffending. Conclusion: Detention in such settings provides an opportunity for patients to maintain as well as expand on skills aiding their future reintegration into work settings. (Publisher abstract)
Hospitals or prisons?: fear and trust in high security care
- Author:
- KAYE Charles
- Journal article citation:
- Mental Health Review, 7(4), December 2002, pp.24-27.
- Publisher:
- Pier Professional
Argues that security cannot be an end in itself. The history of secure care clearly shows what can happen when the walls dominate. Patients may well be dangerous but hey are not demons. Hospitals must be secure but they are not fortresses. Compassionate caring remains the essence of therapeutic custody.
Mentally disordered parricide and strange killers admitted to high-security care 2: course after release
- Authors:
- MCCARTHY Lucy, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 12(3), December 2001, pp.501-514.
- Publisher:
- Routledge
When deciding to transfer a patient from a high-security care, the most important determinant will often be the likelihood of further violence. Despite this, there are surprisingly few data to inform the clinician on the risks posed by particular groups. This study compares the outcome of a group of mentally disordered offenders convicted of either parricide or the killing of a stranger after their release from high-security care. All the patients were released still subject to restriction orders under the Mental Health Act 1983. Results found none of the sample committed a further homicide during the follow-up and their history of further violence was also low. These data add further evidence to the widely held view that transfer from high-security care may be unduly restrictive.
About the size of it
- Authors:
- KAYE Charles, FRANEY Alan
- Journal article citation:
- Health Service Journal, 13.5.99, 1999, pp.24-25.
- Publisher:
- Emap Healthcare
With the assimilation of special hospitals into mental health trusts on the way, the authors argue that patients needs would best be served by smaller hospital with more specialised care.
Mental disorder and violence
- Authors:
- TAYLOR P.J., et al
- Journal article citation:
- British Journal of Psychiatry, 172, March 1998, pp.218-226.
- Publisher:
- Cambridge University Press
From a first clinical description of a complete resident sample of special (high security) hospital patients, this article examines the association between mental disorder and violence.
The role of specialist inpatient rehabilitation services for people with intellectual disability, autism and mental health, behavioural or forensic needs
- Authors:
- ODIYOOR Mahesh, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 13(5), 2019, pp.204-215.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide a professional consensus position with regard to the provision of specialist inpatient rehabilitation services for people with intellectual disability (ID), autism and mental health, behavioural or forensic needs in the UK. Design/methodology/approach: The concept of rehabilitation is discussed, as well as the functions and goals of specialist inpatient rehabilitation services with regard to the aforementioned contexts. Current use of rehabilitation beds is considered, both on a regional and national scale, as well as various outcome measures, including effectiveness, patient safety and patient experience. Findings: There is a clear need for specialist inpatient rehabilitation services, though historically there have been instances of inappropriate admissions, as well as lengthy inpatient stays that could have been significantly reduced with the right type of community support package. Such services should be subjected to rigorous measurement of outcome measures, to determine that patients within such services are receiving a consistently high standard of care. Additionally, amendments to current legal frameworks should be considered, with a view to accommodating for individuals with capacity who require continuous community-based supervision. Originality/value: To the best of the author’s knowledge, this is the first article detailing a professional consensus position for specialist inpatient rehabilitation services for people with ID, autism and mental health, behavioural or forensic needs. (Edited publisher abstract)
Elderly patients admitted to secure forensic psychiatry services
- Authors:
- COID Jeremy, FAZEL Seena, KAHTAN Nadji
- Journal article citation:
- Journal of Forensic Psychiatry, 13(2), September 2002, pp.416-427.
- Publisher:
- Routledge
This article examines admissions to medium- and high-security from 7 of 14 health regions over a 7-year period, less than 2% were aged 60 years or over. These patients were atypical and highly selected, and half had committed homicide. Depressive illness, delusional disorder and dementia were the most prevalent diagnoses. The patients aged 60 and over had fewer previous convictions than younger patients, and were older when first admitted to psychiatric hospitals, usually in the context of their offending behaviour. The article suggests that some admissions to specialist services reflect an absence of more suitable provision for elderly patients at a lower level of security. Forensic psychiatry services were not involved with the growing number of elderly prisoners who are serving longer prison sentences and the needs of this group require further study.