Search results for ‘Subject term:"mentally disordered offenders"’ Sort:
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Evaluating a service for offenders with mental health problems
- Author:
- BAXTER Vincent
- Journal article citation:
- Nursing Times, 21.10.03, 2003, pp.24-27.
- Publisher:
- Nursing Times
This article describes one approach to providing care and appropriate treatment for people with mental health problems or needs who come into contact with the criminal justice system. It also presents the findings of a study to evaluate the effectiveness of the service run by the South Staffordshire Mentally Disordered Offenders Team.
Providing a patients' advocacy service in a secure hospital setting: a review of the Ashworth Hospital scheme
- Author:
- BARNES Di
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(8), April 2001, pp.261-266.
- Publisher:
- Pavilion
Providing a patients' advocacy service in a secure hospital presents major challenges such as: the issues of confidentiality, independence, and relationships with staff in a highly charged, custodial environment. Presents key findings from a patient advocacy service established at Ashworth Hospital in 1993, looking in particular at the role of the service, the response to it from patients and staff and its impact.
Survey of patients from an inner-London health authority in medium secure psychiatry care
- Authors:
- LELLIOTT Paul, AUDINI Bernard, DUFFETT Richard
- Journal article citation:
- British Journal of Psychiatry, 179, January 2001, pp.62-66.
- Publisher:
- Cambridge University Press
Under-provision by the National Health Service (NHS) has led to an increase in medium secure psychiatric beds managed by the independent sector. Black people are over-represented in medium secure care. This study describes those people from an inner-London health authority occupying all forms of medium secure provision, and compares those in NHS provision with those in the independent sector, and Black patients with White patients. The researchers concluded that the NHS meets only part of the need for medium secure care of the population of this London health authority. This comparison of the characteristics of Black and White patients does not help to explain why Black people are over-represented in medium secure settings.
Mental disorder and clinical care in people convicted of homicide: national clinical survey
- Authors:
- SHAW Jenny, et al
- Journal article citation:
- British Medical Journal, 8.5.99, 1999, pp.1240-1244.
- Publisher:
- British Medical Association
This article estimates the rate of mental disorder in those convicted of homicide and examines the social and clinical characteristics of those with a history of contact with psychiatric services. Concludes that there are substantial rates of mental disorder in people convicted of homicide. Most do not have severe mental illness or a history of contact with mental health services. Inquiry findings suggest that preventing loss of contact with services and improving the clinical management of patients with both mental illness and substance misuse may reduce risk, but clinical trials are needed to examine the effectiveness of such interventions.
A ten-year follow-up of criminality in Stockholm mental patients
- Author:
- BELFRAGE Henrik
- Journal article citation:
- British Journal of Criminology, 38(1), Winter 1998, pp.145-155.
- Publisher:
- Oxford University Press
Mental patients with the diagnosis of schizophrenia, affective psychosis or paranoia, who were discharged from mental hospitals in Stockholm in 1986 were followed up ten years later. The result is an over-representation of criminality among these patients. The most frequently occurring crimes are violent crimes. It is stressed that the figures presented represent only an absolute minimum, since several sources of error have been identified, which are discussed in detail.
A survey of intellectual disabilities amongst men on remand in prison
- Authors:
- MURPHY Glynis H., HARNETT Hedley, HOLLAND Anthony J.
- Journal article citation:
- Mental Handicap Research, 8(2), 1995, pp.81-98.
- Publisher:
- BIMH Publications
Men detained in a South London prison on remand were screened for intellectual disabilities (mental handicap) over a three-month period. It is concluded that men with intellectual disabilities were not over-represented in prison but that there were a number of men close to the disability range who were psychologically very vulnerable.
Still a game of chance
- Authors:
- COOKE Anna, FORD Richard
- Journal article citation:
- Community Care, 2.7.92, 1992, pp.19-21.
- Publisher:
- Reed Business Information
Details the results of a survey in Hastings which shows that mentally ill offenders are not being diverted from the judicial system as they should.
A national survey of substance misuse and treatment outcome in psychiatric patients in medium security
- Authors:
- WHYTE Sean, SCOTT Fiona, MADEN Tony
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 15(4), December 2004, pp.595-605.
- Publisher:
- Taylor and Francis
This is the first national study of outcome in medium security, based on all 959 discharges between 1/4/97 and 31/3/98. Case notes were used to collect data about demographic and clinical characteristics, including substance misuse. Criminal and hospital records, plus a questionnaire sent to the responsible consultant, were used to measure outcome in the 12 months following discharge. Drug use was common, with more than three quarters (76%) of the patients ever having used any drug, including 51% with a clinically significant drug problem and 40% with alcohol problems. There were strong associations between substance misuse and age, ethnicity, diagnosis and length of stay. Patients with substance misuse problems were significantly more likely to be re-convicted during the follow up period but were not significantly more likely to be re-hospitalized. Those with alcohol problems had significantly more re-admissions than those without. Formal substance misuse treatment programmes were rare in the units surveyed, and our findings suggest that there is a large unmet need for services among mentally disordered offenders in medium security.
Offending and risky behaviour in community services for people with intellectual disabilities in one local authority
- Authors:
- MCBRIEN Judith, HODGETTES Alison, GREGORY John
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 14(2), September 2003, pp.280-297.
- Publisher:
- Taylor and Francis
Reports on a survey of the total population of adults with intellectual disabilities known to health and social services in one local authority to establish the extent of risky and offending behaviour. Face-to-face structured interviews established that of the 1,326 adults known to services, 26 percent showed risky behaviours that had been or might be construed as offences, just under 10 percent had a history of contact with the criminal justice system and 3 percent had a history of criminal convictions, while under 1 percent had a current conviction. Of the 84 settings surveyed, approximately 50 percent had experienced caring for clients with a history of criminal justice service contact, as had 93 percent of social services or health staff. Some significant differences were found between private and voluntary sector residential homes band between day centres and residential settings. There were also significant differences between individuals with and without criminal justice service contact who had and had not been convicted. Discusses the implications for the assessment and management of risk by learning difficulty services and the further education and training of care staff.
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.