Secure settings
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This collection includes articles relating to forensic psychiatry and units offering secure psychiatric care, locked and restricted wards, including high security hospitals.
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An item response theory analysis of the Forensic Restrictiveness Questionnaire (FRQ)
(2020)Forensic psychiatric care settings are intended to be more therapeutic than penal settings. More homely, recovery-oriented, person-centered, and less overtly punitive. However, forensic inpatient hospitals are highly secure, ... -
Evaluating neuropsychologically informed rehabilitation training for staff within a high secure intellectual disability service
(2020)Purpose: Neuropsychologically informed rehabilitation (NIR) is one approach to supporting people with intellectual disabilities, cognitive impairment and challenging behaviour. This study aims to evaluate a five-day training ... -
The experience of long stay in high and medium secure psychiatric hospitals in England: Qualitative study of the patient perspective
(2020)Background: Some forensic patients in England remain in secure care for long, possibly unnecessarily prolonged, periods, raising significant ethical and resource issues. Research focused on the patients in secure care has ... -
Corrigendum: The forensic restrictiveness questionnaire: Development, validation, and revision
(2020)The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated. Copyright © 2020 Tomlin, Völlm, Furtado, Egan and Bartlett. -
The forensic restrictiveness questionnaire: Development, validation, and revision
(2019)Introduction: Forensic psychiatric care is often practiced in closed institutions. These highly regulated, secure, and prescriptive environments arguably reduce patient autonomy, self-expression, and personhood. Taken ... -
Exploring the impacts of organisational structure, policy and practice on the health inequalities of marginalised communities: Illustrative cases from the UK healthcare system
(2020)This paper explores how organisational structure, policies and practices in healthcare can inadvertently disadvantage marginalised populations (e.g. individuals from ethnic minority backgrounds) and reinforce health ... -
A retrospective audit to assess the utilisation of clozapine in a high secure forensic hospital
(2019)Poster from the Trent Study Day 2019 -
Excess mortality of patients admitted to medium secure care: Findings from the ALACRITy study
(2019)Poster from the Trent Study Day 2019 -
Changes in the Admission Characteristics of patients admitted to a MSU: Findings from the ALACRITy study
(2019)Poster from the Trent Study Day 2019 -
Introduction to the updated ALACRITy study; a long-term follow-up of a Medium Secure Unit (MSU) cohort
(2019)Poster from the Trent Study Day 2019 -
A long-term follow-up study of patients discharged from a Medium Secure Unit: Preliminary reconviction rates after discharge
(2019)Poster from the Trent Study Day 2019 -
Reconviction & readmission following discharge from a MSU: Findings from the ALACRITy study
(2019)Poster from the Trent Study Day 2019 -
Not everything is as it seems: RO DBT and overcontrolled disorders in forensic settings
(2018)On the night of Sunday, October 1, 2017, 64-year-old Stephen Paddock of Mesquite, Nevada, opened fire on a crowd of concert-goers at the Route 91 Harvest music festival on the Las Vegas Strip in Nevada, leaving 58 people ... -
Using occupation to deconstruct and reconstruct the 'identity' of high secure forensic patients
(2019)This is a poster from the Royal College of Occupational Therapists 43rd Annual Conference and Exhibition, 17-18 June 2019, Birmingham United Kingdom. -
Prison vs. hospital for offenders with psychosis; effects on reoffending
(2019)With research showing a high prevalence of psychosis in prisons, its effective management is essential for clinical and criminal outcomes. In a matched sample of released prisoners and discharged patients with psychosis ... -
What do patients find restrictive about forensic mental health services? A qualitative study
(2019)AbstractForensic care settings are often isolated spaces with high levels of security. Where these settings are overly restrictive, this can affect recovery, autonomy and the therapeutic milieu. It is not clear what phenomena ... -
Ageing in forensic psychiatric secure settings: the views of members of staff
(2019)ABSTRACTBackground: Although the prevalence of older patients in forensic psychiatric services is increasing, research around service provision for this population is very limited. We aimed to gather the views of members ... -
A service improvement report of blood-borne virus screening in a high secure mental hospital
(2019)Background:Patients in a high secure hospital are a high-risk population for exposure to blood-borne viruses (BBV) because of previous lifestyles.Objective:This service improvement study intends to improve patients care ...
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