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A study of the relationship between the patterns of planned activity and incidents of deliberate self-harm within a Regional Secure Unit
- Authors:
- GARNER Ruth, BULTER Graham, HUTCHINGS Deborah
- Journal article citation:
- British Journal of Occupational Therapy, 59(4), April 1996, pp.156-160.
- Publisher:
- Sage
Looks at the increase in the number of patients admitted to a Regional Secure Unit who deliberately do themselves harm. Whilst there is a perception among rehabilitation staff that activity has a role in reducing the incidence of deliberate self-harm, this study identifies no correlation between the patterns of structured activity and the patterns of deliberate self-harm. This does not suggest, however, that occupational therapy is ineffective with this client group, particularly given the potentially addictive nature of deliberate self-harm behaviour even after problem resolution. The study identifies areas for further research, focusing on qualitative rather than quantitative study.
The use of beds in NHS medium secure units in England
- Author:
- MURRAY Kevin
- Journal article citation:
- Journal of Forensic Psychiatry, 7(3), December 1996, pp.504-524.
- Publisher:
- Routledge
Services for mentally abnormal offenders have recently been subjected to a major review, with particular emphasis on expansion of the medium secure sector. This paper reports on a case-note study of all patients in the NHS medium secure unit system on 30 November 1991. Census data include demographic, clinical and offending characteristics, and anticipated outcome. Reports on findings and argues that proposals significantly to increase the number of medium secure beds should be considered in the context of the very restricted service currently available.
The past and future of special hospitals
- Author:
- MURPHY Elaine
- Journal article citation:
- Journal of Mental Health, 5(5), December 1996, pp.475-482.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Describes how the proposals for the new commissioning board for maximum security care, the creation of three separate Special Health Authorities (SHAs) to manage the hospitals, and the mechanisms for transferring resources and choice to local district health authorities could provide a framework for revitalising high security services.
Patient satisfaction in a forensic unit
- Authors:
- MORRISON Paul, BURNARD Philip, PHILIPS Ceri
- Journal article citation:
- Journal of Mental Health, 5(4), October 1996, pp.369-377.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article reports on the results of a survey of patient satisfaction in a small forensic unit. Results found that there was a high level of general satisfaction with the services being offered. However, the deficits identified by patients in the unit included: the relative lack of privacy; noise in the unit; the problem of boredom and the difficulty in negotiating 'passes' to leave the unit. Some patients suggested that the latter difficulty was linked to staffing levels. Identifies some future research implications.
Altered reality
- Author:
- WHITE Caroline
- Journal article citation:
- Community Care, 17.10.96, 1996, p.27.
- Publisher:
- Reed Business Information
Reports on a scheme in Salford which uses a virtual reality computer package to slash training times, and costs, for new social work staff. Asks if it is an ingenious application of new technology or whether it could become an inferior replacement for conventional training.
Social work in the medium secure units: SSI inspection overview
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1996
- Pagination:
- 4p.
- Place of publication:
- London
Letter accompanying an inspection report 'An inspection of social work in the medium secure units' looking at social work with offenders and other people with mental health problems accommodated in medium secure units.
An inspection of social work in the medium secure units
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1996
- Pagination:
- 77p.
- Place of publication:
- London
Inspection report looking at provision of social work services to offenders and other people with mental health problems accommodated in medium secure units.
Control and restraint training: a study of its effectiveness in a medium secure psychiatric unit
- Author:
- PARKES Jon
- Journal article citation:
- Journal of Forensic Psychiatry, 7(3), December 1996, pp.525-534.
- Publisher:
- Routledge
The study compares incidents involving manual restraint of patients prior to and after training in control and restraint (C&R) techniques. After training there were more staff injuries while restraining patients. There was no change in the number of injuries during other phases of an incident and there was no effective use of 'break-away' techniques. Staff expressed preference for the C&R techniques for moving and holding the patient once immobilised.
Covert participant observation in a secure forensic unit
- Author:
- CLARKE Liam
- Journal article citation:
- Nursing Times, 27.11.96, 1996, pp.37-40.
- Publisher:
- Nursing Times
The claims made by a mental health secure unit to be a therapeutic community were explored using participant observation over a period of six weeks. The findings revealed unresolved conflicts between two groups of staff known as 'carers', who saw their role as therapeutic, and 'controllers', who saw their role as therapeutic, and 'controllers', who saw their role as being custodial. These conflicts compromised the unit's aim of being a therapeutic community. The implications for clients are discussed. Ethical issues raised by this type of covert participant observation are also discussed.
Glass houses
- Author:
- THOMAS Sue
- Journal article citation:
- Community Care, 25.4.96, 1996, p.1.
- Publisher:
- Reed Business Information
The author lists the ways young people can be denied their liberty, and assesses the success of such treatment.