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Rehabilitative culture in a high security prison
- Author:
- DAVIES Bill
- Journal article citation:
- Prison Service Journal, 244, 2019, pp.26-28.
- Publisher:
- Her Majesty's Prison Service of England and Wales
Interview with serving prisoners within HMP Full Sutton, a High Security dispersal prison that houses category A and B prisoners. Full Sutton has an operational capacity of 626, but currently houses approximately 540 prisoners. Of those, almost half are serving life sentences, with a similar number serving more than 10 years, or indeterminate sentences (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: people who are in secure and detained settings
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Newcastle upon Tyne
This document outlines the barriers to good end of life care experienced by people who are in secure and detained settings. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. There are challenges in delivering good end of life care in prison, and the experience of prisoners at the end of life is variable. The document focuses on overall quality of care in prison, release into the community for prisoners at the end of life, and end of care in prison. The Care Quality Commission encourages commissioners and providers of prison health services to consider the end of life care needs of people who are in prison, and to learn from good practice to develop an effective approach to delivering good care that meets prisoners’ needs locally. (Edited publisher abstract)
‘It doesn't have to be treatable’: Mental Health Review Tribunal (MHRT) members’ views about Dangerous and Severe Personality Disorder (DSPD)
- Authors:
- TREBILCOCK Julie, WEAVER Tim
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 23(2), April 2012, pp.244-260.
- Publisher:
- Taylor and Francis
High security Dangerous Severe Personality Disorder (DSPD) units in the prison service are controversial. This article, using a review of DSPD patients’ Mental Health Review Tribunal (MHRT) records and qualitative interviews with MHRT members, explores the outcomes of 69 DSPD patients’ MHRTs and members’ views about DSPD. Patients were from Broadmoor, and Rampton. Most MHRT members identified the high security location of the DSPD units to be more relevant to their decision-making than the label of DSPD. While MHRT members held a range of views about DSPD, and some doubt about the clinical treatability of DSPD patients, nearly all identified that this was a population who were legally treatable under the Mental Health Act 1983.
New procedures to cut delays in transfer of mentally ill prisoners to hospital
- Authors:
- McKENZIE Nigel, SALES Becky
- Journal article citation:
- Psychiatric Bulletin, 32(1), January 2008, pp.20-22.
- Publisher:
- Royal College of Psychiatrists
The authors sought to determine whether new procedures recommended by the UK Department of Health in partnership with the Home Office reduced delays in transferring mentally ill prisoners to hospital. The main outcome measure was time taken from identification of a prisoner’s need for transfer to actual transfer to hospital. Waiting times for transfers that took place during 6-month periods before and after introduction of the new procedures were assessed. The authors also assessed adherence to medication while awaiting transfer. There was a reduction in mean waiting time from 77 days to 53 days (24 days; 95% CI -2 to 50). Approximately 50% of patients offered medication while awaiting transfer were non-adherent. Despite the new procedures, many individuals with acute mental illness remain untreated in prison for several months while awaiting transfer to hospital. The authors recommend that time limits should be specified for hospital transfers from prison comparable to norms under civil sections.
The principle of equivalence and the future of mental health care in prisons
- Author:
- WILSON Simon
- Journal article citation:
- British Journal of Psychiatry, 184(1), January 2004, pp.5-7.
- Publisher:
- Cambridge University Press
The principle of equivalence that guides the ethos of prison health care delivery relies on a model of the prison as a community, with prisoners receiving primary care and specialist out-patient services within the prison. This model breaks down with prison hospital wings that have no equivalent outside the prison. The current lack of treatment facilities and a clear legal framework for the treatment of prisoners with severe mental illnesses within prison hospital wings, and the unacceptable delays in hospital transfers, make the status quo unacceptable. Without more secure hospital beds in the NHS or independent sector, prisoners with severe mental illnesses are far from receiving equivalent care.
Forensic psychiatry in Russia: the links with Britain evolve further
- Authors:
- GORDON Harvey, MEUX Clive
- Journal article citation:
- Psychiatric Bulletin, 27(7), July 2003, pp.271-273.
- Publisher:
- Royal College of Psychiatrists
In Russia, the improvement of forensic psychiatric care (and prison health care) will be affected by the level of economic development. The reintegration of Russian psychiatry into the international psychiatric community needs to be maintained. The future of forensic psychiatry in Russia is no longer dependent on an ideology in which psychiatrists are essentially seen as agents of State control. While general and forensic psychiatry in both Russia and Britain needs to seek to balance the needs of patients with the safety of the public, it must retain its practice independently of the state in both countries.
Taking another tilt at high secure hospitals: the Tilt Report and its consequences for secure psychiatric services
- Authors:
- EXWORTHY Tim, GUNN John
- Journal article citation:
- British Journal of Psychiatry, 182(6), June 2003, pp.469-471.
- Publisher:
- Cambridge University Press
It is salutary to reflect that the security review of high secure hospitals derived from the second Ashworth Inquiry which accused individuals of being ignorant of 'the proper balance of security and therapy'. Yet the Report is an incomplete consideration of the composite nature of security in a high-security hospital. Its recommendations have greatest impact on procedural aspects, but also include high-profile ideas such as additional perimeter security, which are difficult to justify on the evidence presented. The Report ignores completely the value of having adequate numbers of appropriately trained staff from all disciplines to enhance and develop therapeutic programmes and thereby improve relational security.
Implementation of the Care Programme Approach in prison
- Authors:
- PYSZORA Natalie M., TEFLERJulia
- Journal article citation:
- Psychiatric Bulletin, 27(5), May 2003, pp.173-176.
- Publisher:
- Royal College of Psychiatrists
Recent government legislation has highlighted the importance of implementation of the Care Programme Approach (CPA) within prisons, as part of the expectation that prisoners receive equivalent standards of healthcare to those provided by the National Health Service. To effectively plan the service provision at HMP Belmarsh, we retrospectively established the number of prisoners in a one-year period who would have fulfilled the criteria for enhanced CPA. Of the 91 prisoners found to fulfil the criteria for enhanced CPA, the majority (77%) had a diagnosis of schizophrenia, schizoaffective or delusional disorder, and 58% required transfer to a psychiatric hospital. Of those who required hospital treatment, 75% needed conditions of high- or medium-security. Successful implementation of the CPA for all prisoners who meet enhanced CPA criteria is likely to have significant resource implications, both for mental health teams working within prisons and local psychiatric services.
Deep trouble: adults with learning disabilities who offend
- Authors:
- FLYNN Margaret, BERNARD Jennifer
- Publisher:
- National Development Team Publications
- Publication year:
- 1999
- Pagination:
- 80p.,bibliog.
- Place of publication:
- Manchester
Report of a National Development Team project undertaken with the aim of: ascertaining the life experiences of self selected adults with learning difficulties, mostly living in different conditions of detention, without recourse to other sources; and to host workshops for the purchasers and providers of services for adults with learning difficulties who commit crimes and to draw from these possible avenues for policy and action.
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.