Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 14
Bullying behaviours among mentally disordered offenders in a medium secure unit
- Authors:
- GAKHAL Baldeesh, ODDIE Sharon
- Journal article citation:
- Journal of Forensic Practice, 16(2), 2014, pp.156-165.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the nature and prevalence of bullying behaviours and victimisation experiences among mentally disordered offenders within a medium secure unit (MSU). Design/methodology/approach: In all, 35 adult male patients completed the Direct and Indirect Patient behaviour Checklist-Hospital Version (DIPC-H). Findings: Indirect aggression was reported more frequently than direct aggression, although there was no statistically significant difference between the prevalence estimates. The most prevalent DIPC-H categories were the pure victim and not involved categories followed by bully/victim and pure bully. Membership of the pure bully category was predicted by being on a particular ward. Research limitations/implications: Given that the study was a preliminary investigation into the nature and prevalence of bullying behaviours in a MSU, the sample size is limited. Consequently, it is difficult to generalise the findings. It would be useful for future research to focus on differences between levels of security using larger sample sizes to enable a greater understanding of the prevalence of bullying in secure settings and associated factors. Practical implications: Further evidence is provided by the current research that indirect bullying and victimisation behaviours are reported more frequently by patients. The importance of anti-bullying procedures and interventions in secure settings is emphasised and recommendations that can be applied across various forensic settings are described. Better-informed interventions can then be implemented with the aim to manage bullying behaviours in secure settings. The one “pure bully” in the current study was on a rehabilitation ward. This highlights that such behaviours occur on lesser secure wards and serves as an important reminder to ensure that staff do not become complacent. Originality/value: As there is only one published study to date that has focused on bullying behaviours in a MSU, the current study will contribute to the dearth of literature in this area and assist professionals working in secure settings to better understand the nature and prevalence of bullying behaviours among mentally disordered offenders. (Publisher abstract)
Limits to the value of mental health review tribunals for offender patients
- Authors:
- TAYLOR Pamela J., et al
- Journal article citation:
- British Journal of Psychiatry, 174, February 1999, pp.164-169.
- Publisher:
- Cambridge University Press
Reform of mental health legislation for England and Wales is due. Mental Health Review Tribunals (MHRTs) offer an important check in the balance between patient and public rights. This article evaluates the quantity and outcome of MHRTs in special (high-security) hospitals. Concludes that special hospital MHRTs result in few changes in patient status. A probable need for improvement in the evidence put before an MHRT was found. Legislation reformers should consider an extension of MHRT powers to order transfer between levels of security.
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.
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)
The operation of section 48 of the Mental Health Act 1983: an empirical study of the transfer of remand prisoners to hospital
- Authors:
- MACKAY R.D., MACHIN David
- Journal article citation:
- British Journal of Criminology, 40(4), Autumn 2000, pp.727-745.
- Publisher:
- Oxford University Press
Remand prisoners requiring urgent in-patient psychiatric treatment can be transferred from prison to hospital under section 48 of the Mental Health Act 1983. During the last decade there has been a dramatic increase in the use of section 48. However, apart from this increase in numbers and the presumed clinical benefits it brings to transferees, to date very little has been known about the overall effect of the usage of section 48. The study attempts to provide an overall picture of the patients transferred in 1992, the section 48 process and the effect this had on the ultimate disposal of transferees.
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.
Ward atmosphere on a medium secure long-stay ward
- Author:
- KIRBY Stephen
- Journal article citation:
- Journal of Forensic Psychiatry, 8(2), September 1997, pp.336-347.
- Publisher:
- Routledge
Focuses on the patients and staff within a newly developed long-stay/rehabilitation ward of a medium secure unit (MSU) for mentally disordered offenders. The aims were: to gain the opinions of both groups with regard to their ward environment, to test for differences between the groups and to determine the degree of perceived therapeutic care. The ward was compared with a pre-discharge ward. Data were obtained through self-report using a sample of 13 patients and 16 staff. Limited differences were recorded on both wards and on global comparisons. No patient characteristics were found to be significant when they were compared with the ward atmosphere results.
An assessment of the security dependency and treatment needs of all patients in secure services in a UK health region
- Authors:
- SHAW Jenny, DAVIES John, MOREY Helen
- Journal article citation:
- Journal of Forensic Psychiatry, 12(3), December 2001, pp.610-637.
- Publisher:
- Routledge
Previous studies have revealed discrepancies between patients' security needs and security provision. Reports on a study to establish the needs of a UK health regions' patients in secure care in four domains: security, dependency, 'political' and treatment. Psychiatrists were asked to complete on each patients a questionnaire designed for the study. The results showed that 261 patients (79%) were placed at a level of security inappropriate to their needs. Factors associated with inappropriate placement are discussed and possible developments in service provision are outlined.
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.