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.
Recent Submissions
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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 ... -
Predictive validity of the PCL-R for offenders with intellectual disability in a high security hospital: Treatment progress
(2007)Background Among mainstream offenders, the severe personality disorder of psychopathy has considerable importance as a construct. The disorder has long been associated with failure to make treatment progress. Previous work ... -
Carers of long-stay patients' perspectives of secure forensic care: An exploratory qualitative study
(2019)Background: For patients with a mental disorder facing lengthy stays in secure forensic care, the role and experiences of their carers has only recently started to be explored in research.Aims: To explore the experiences ... -
Offenders with intellectual disabilities in secure mental health settings in the United Kingdom
(2018)Within the UK, offenders with intellectual disabilities (ID) can receive treatment on two parallel, occasionally interacting, pathways; the criminal justice system comprising prison and probation services, and the mental ... -
The mask with three faces [In Press]
(2020) -
A retrospective audit assessing clozapine utilisation in a high secure forensic hospital
(2018)Background/introduction: People with schizophrenia have increased mortality associated with comorbid physical conditions, socioeconomic factors and elevated suicide rates (Saha et al., 2007). Clozapine is superior to other ... -
Group cognitive analytic music therapy: a quasi-experimental feasibility study conducted in a high secure hospital
(2018)ABSTRACTThis study conducted a feasibility patient preference quasi-experimental study of group cognitive analytic music therapy (G-CAMT) for mentally disordered offenders. Participants either chose or were randomised to ... -
Introducing forensic sandplay therapy
(2018)Forensic Sandplay Therapy (FSPT) has been pioneered in a high secure hospital setting for the first time in the UK and wider afield. FSPT has been adapted from Kalffian approaches to suit secure institutions. FSPT utilises ...
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