Search results for ‘Subject term:"secure units"’ Sort:
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Secure solutions
- Author:
- DOWNEY Rachel
- Journal article citation:
- Social Work Today, 31.10.91, 1991, pp.19-20.
- Publisher:
- British Association of Social Workers
The pressure on Ireland's small number of secure units has left many young offenders with no place to go except prison.
Special Security Units
- Author:
- WALMSLEY Roy
- Publisher:
- HMSO
- Publication year:
- 1989
- Pagination:
- 98p., bibliog.
- Place of publication:
- London
Analyses the history and development of special security units and describes the regimes which operate in them.
Institutions observed: towards on new concept of secure provision in mental health
- Author:
- GOSTIN Larry
- Publisher:
- King's Fund
- Publication year:
- 1986
- Pagination:
- 179p., tables, bibliog.
- Place of publication:
- London
“Them two are around when I need their help”. The importance of good relationships in supporting people with learning disabilities to be “in a good space”
- Authors:
- FISH Rebecca, MORGAN Hannah
- Journal article citation:
- British Journal of Learning Disabilities, 49(3), 2021, pp.293-302.
- Publisher:
- Wiley
Background: Despite repeated policy initiatives, an enduring number of people with learning disabilities remain resident in secure settings (also referred to as locked wards). The spatial and emotional distance from family and friends means that relationships with staff become central to people's lives, and are critical for a successful transition to making their home in the community. Methods: This article uses a synthesis of evidence from two qualitative studies. We re-analysed data from fieldnotes and interview transcripts with people with learning disabilities resident in secure settings and with staff who worked with them. The purpose of the original studies was service improvement however, relationships —particularly with between staff and residents— emerged as a significant theme in both studies. Therefore, the data were revisited to explore these relationships in more depth. Findings: The analysis identified that positive relationships with staff were critical in enabling residents to be “in a good space”—something they and staff viewed as a crucial factor for moving on. The analysis identified four main themes: (i) the characteristics of positive relationships, (ii) the challenges for positive relationships, (iii) how positive relationships can be encouraged and (iv) how positive relationships support people to move on. Conclusion: We conclude that flattening the hierarchy between staff and residents is key when supporting people with learning disabilities to move on. We stress the importance of the “soft skills” in enabling people to transition back to their community. There is a pressing need for research with people who have made the transition from hospital to generate retrospective narratives about what elements of these relationships are most significant in supporting a successful transition. (Edited publisher abstract)
“Back off means stay with me”. Perceptions of individuals with mild intellectual disability or borderline intellectual functioning about the group climate in a secure forensic setting
- Authors:
- NEIMEIJER Elien, et al
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 12(1), 2021, pp.47-60.
- Publisher:
- Emerald
Purpose: The purpose of this study is to provide an in-depth account of how individuals with a mild intellectual disability or borderline intellectual functioning (MID-BIF; IQ 50–85) perceive their group climate in a secure forensic setting. Giving voice to these service users may provide relevant insights for secure forensic settings. Design/methodology/approach: The interpretative phenomenological analysis was used to explore what individuals with MID-BIF experience with regard to their group climate. Findings: In the interviews about the four domains of group climate (i.e. repression, support, growth and atmosphere), five overarching dimensions appeared, namely, autonomy, uniformity, recognition, competence and dignity. Depending on the person and the (treatment) context in which he/she resides, these five dimensions relate to all four factors of the group climate instrument. Originality/value: From the perspective of individuals with MID-BIF, this study contributes by providing a framework to “fine-tune” group climate on five dimensions. Training socio-therapists to be sensitive to interpret ambiguous signals on these dimensions can contribute to optimizing group climate in secure forensic settings. (Edited publisher abstract)
Who are they? Where are they? 2020: children in tier 4 mental health units: technical report
- Authors:
- CLARKE Tom, NELSON Emma
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2020
- Pagination:
- 45
- Place of publication:
- London
This analysis examines four data extracts covering children in inpatient mental health wards during 2019/20. The extracts cover: all admissions of children to tier 4 units during 2019/20 2; children in a tier 4 unit on 31st March 2020; all discharges from tier 4 beds during 2019/20; admissions to tier 4 wards during 2019/20 where the child had a previous discharge within the same financial year. Key findings include: at 31st March 2020 there were 944 children in a bed in a tier 4 unit in England; over 1 in 5 children are in units that are more than 50 miles from their last known home postcode; children in secure units are notably more likely to be placed more than 50 miles from their last known home postcode; just over a third of children discharged from a tier 4 unit during 2019/20 had been there for more than 3 months (90 days); even after accounting for other factors, children aged under 15 discharged during 2019/20 were 20% more likely to have been in a tier 4 unit for over 3 months; boys are slightly more likely than girls to be discharged to their permanent (or a temporary) place of residence while girls are slightly more likely to be discharged to a subsequent medical institution, with 1 in 5 being discharged to a hospital or subsequent mental health ward (compared to 15% of boys); girls over-represent amongst readmissions to tier 4 wards during 2019/20, accounting for 80% of readmissions compared to 74% of discharges during the year. (Edited publisher abstract)
A retrospective case note review of young people in transition from adolescent medium secure units to adult services
- Authors:
- LIVANOU Maria I., et al
- Journal article citation:
- Journal of Forensic Practice, 22(3), 2020, pp.161-172.
- Publisher:
- Emerald
Purpose: There is substantial evidence that young people moving from child and adolescent mental health services to adult services are more likely to experience poor transitions. However, little is known about the care pathways of young people transitioning from forensic services. This retrospective case note review sought to examine the clinical characteristics, transition pathways and psychosocial indicators of transition outcomes amongst young people in forensic medium secure services discharged to adult services. Design/methodology/approach: The electronic records of 32 young people, who transitioned from six adolescent medium secure units in England to adult services between May 2015 and June 2016, were examined. Findings: Approximately 65% of young people were between 18 and 19 years at the time of transition and the average waiting time from referral to discharge was six months. A total of 63% young people transitioned to community placements and adult medium secure services. Four pathways describing the journey into and out of adolescent medium secure services were identified in a subsample of 12 young people. A total of 25% young people with neurodevelopmental problems moved to specialist services. Practical implications: The results suggest that diagnosis, severity of offence and clinical background are associated with transition pathway. Promoting a person-centred approach and gradual independence of the young person may improve current practice. Originality/value: These results inform existing policy and clinical practice in an effort to reform transition guidelines around young people’s needs during transition times. Further studies in adolescent forensic services are needed to understand complex neurodevelopmental problems and comorbidities. (Edited publisher abstract)
A qualitative inquiry on recovery needs and resources of individuals with intellectual disabilities labelled not criminally responsible
- Authors:
- AGA Natalie, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(4), 2020, pp.673-685.
- Publisher:
- Wiley
Background: Recovery is a widely accepted paradigm in mental health care, whilst the correctional and forensic–psychiatric field is still searching for foundations for its implementation. Knowledge regarding recovery of persons with intellectual disabilities in secure contexts is limited. This study assesses recovery needs and resources among persons with intellectual disabilities labelled not criminally responsible and investigates the impact of the judicial label on recovery processes. Methods: A sample of 26 individuals was composed purposively, and in‐depth interviews were conducted. Recurrent themes were identified using thematic analysis. Results: Traditional recovery themes emerged from the narratives, next to aspects of recovery in a forensic or correctional context. However, the operationalization and proportional impact are specific for this sample. Conclusions: The social dimension overarches all other recovery dimensions. The integration of an explicit social rhetoric is imperative, including contextual, relational, interactional and societal dimensions. This offers pathways to reverse the traditional, paternalistic model of exclusion and classification. (Edited publisher abstract)
Violent incidents in a secure service for individuals with learning disabilities: Incident types, circumstances and staff responses
- Authors:
- MALDA Castillo Javier, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(6), 2018, pp.1164-1173.
- Publisher:
- Wiley
Background: The issue of violence in secure services has long been recognized both in the UK and worldwide. However, there is currently scarce literature available about violence within learning disability (LD) secure settings. Methods: Secondary data analysis was conducted on violent incidents, using information routinely collected by the staff over a 1‐year period. Results: Physical assaults were the most frequent type of incident, and the distribution in terms of days or months was homogenous and incidents were concentrated in the corridors, lounges and dining rooms of secure facilities. Antipsychotic medication was not regularly prescribed. Generalized linear modelling analyses revealed significant predictors that increased the chances of seclusion and physical restraint, such as being female or directing the violence towards staff. Conclusions: These findings can inform staff training on violence prevention and suggest that increased ward‐based supervision and enhanced use of psychological formulations may help in reducing violence within this service context. (Publisher abstract)
Support staffs' experiences of relationship formation and development in secure mental health services
- Authors:
- EVANS Kathryn, et al
- Journal article citation:
- British Journal of Forensic Practice, 14(2), 2012, pp.104-115.
- Publisher:
- Emerald
Therapeutic relationships with patients are a key feature for staff working within mental health settings. This study investigated the experiences of support staff within secure mental health services with regards to the formation and development of therapeutic relationships with patients. Ten unqualified support staff, based within two medium secure establishments within the NHS in the North West of England, were interviewed. Data analysis resulted in the identification of three themes: ‘building bridges’ – developing relationships with patients; ‘you do forget what they've done’ – seeing the person and managing risk; and ‘playing your cards close to our chest’ – maintaining boundaries. The themes are discussed and evaluated in terms of relationship formation and development, barriers that may prevent such relationships from being built. Implications for clinical practice are discussed.