scholarly journals The prevalence of constant supportive observations in high, medium and low secure services

2018 ◽  
Vol 42 (2) ◽  
pp. 54-58 ◽  
Author(s):  
Katie Lambert ◽  
Simon Chu ◽  
Chris Duffy ◽  
Victoria Hartley ◽  
Alison Baker ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Implications ◽  
Forensic Mental Health ◽  
Adverse Incident ◽  
Clinical Records ◽  
Number Of Individuals ◽  
Incident Rates ◽  
Health Trust

Aims and methodWe explored the prevalence and use of constant supportive observations (CSO) in high, medium and low secure in-patient services in a single National Health Service (NHS) mental health trust. From clinical records, we extracted data on the length of time of CSO, the reason for the initiation of CSO and associated adverse incidents for all individuals who were placed on CSO between July 2013 and June 2014.ResultsA small number of individuals accounted for a disproportionately large proportion of CSO hours in each setting. Adverse incident rates were higher on CSO than when not on CSO. There was considerable variation between different settings in terms of CSO use and the reasons for commencing CSO.Clinical implicationsThe study describes the prevalence and nature of CSO in secure forensic mental health services and the associated organisational costs. The marked variation in CSO use between settings suggests that mental health services continue to face challenges in balancing risk management with minimising restrictive interventions.Declaration of interestA.B. and J.L.I. are both directly employed by the NHS trust in which the study was conducted.

scholarly journals Measuring relational security in forensic mental health services

2017 ◽  
Vol 41 (6) ◽  
pp. 358-363 ◽  
Author(s):  
Verity Chester ◽  
Regi T. Alexander ◽  
Wendy Morgan
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Implications ◽  
Forensic Mental Health ◽  
Occupational Groups ◽  
Form Part ◽  
Good Internal Consistency

Aims and methodRelational security is an important component of care and risk assessment in mental health services, but the utility of available measures remains under-researched. This study analysed the psychometric properties of two relational security tools, the See Think Act (STA) scale and the Relational Security Explorer (RSE).ResultsThe STA scale had good internal consistency and could highlight differences between occupational groups, whereas the RSE did not perform well as a psychometric measure.Clinical implicationsThe measures provide unique and complimentary perspectives on the quality of relational security within secure services, but have some limitations. Use of the RSE should be restricted to its intended purpose; to guide team discussions about relational security, and services should refrain from collecting and aggregating this data. Until further research validates their use, relational security measurement should be multidimensional and form part of a wider process of service quality assessment.

scholarly journals Supporting children of forensic in-patients: whose role is it?

2009 ◽  
Vol 33 (2) ◽  
pp. 55-57 ◽  
Author(s):  
Oriana Chao ◽  
Gori Kuti
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Implications ◽  
Forensic Mental Health

Aims and MethodTo investigate whether children are in contact with their forensic in-patient parents and whether they are offered support regarding their parent's mental health and offending issues. A questionnaire was completed on in-patients in two medium secure units.ResultsOnly 69 of the in-patients surveyed had children aged 18 or under, but only 25 had contact with their children. Support was offered in 14 cases and accepted in 10. Many patients had lost contact with their children.Clinical ImplicationsChildren of forensic in-patients appear to be a neglected group, with limited attempts made to support them. In the absence of specific difficulties of their own, the onus may be on forensic mental health services to initiate contact.

scholarly journals Service user, patient, client, user or survivor: describing recipients of mental health services

2010 ◽  
Vol 34 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Peter Simmons ◽  
Chris J. Hawley ◽  
Tim M. Gale ◽  
Thanusha Sivakumaran
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Worker ◽  
Service User ◽  
Rank Order ◽  
Occupational Therapists ◽  
Clinical Implications ◽  
Evidence Based ◽  
Care Community

Aims and methodTo determine which terms receivers of mental health services wish to be known by (service user, patient, client, user, survivor) according to the professional consulted (psychiatrist, nurse, psychologist, social worker, occupational therapist). We conducted a questionnaire study to assess terms by like or dislike and by rank order. There were 336 participants from local catchment area secondary care community and in-patient settings in east Hertfordshire.ResultsPatient is the preferred term when consulted by psychiatrists and nurses, but it is equally preferable to client for social workers and occupational therapists. Service user is disliked more than liked overall, particularly by those who consulted a health professional, but not by those who consulted a social worker. A significant minority wish to be regarded as a survivor or user.Clinical implicationsNational and local mental health services should adopt evidence-based terminology in referring to ‘patient’ or, in some groups, ‘patient or client’ in preference to ‘service user’.

Advancing research in adult secure mental health services in England

2021 ◽  
pp. 002580242110669
Author(s):  
Howard Ryland ◽  
Louise Davies ◽  
Jeremy Kenney-Herbert ◽  
Michael Kingham ◽  
Mayura Deshpande
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Learning Disability ◽  
Personality Disorders ◽  
Forensic Mental Health ◽  
Policy Makers ◽  
People With Mental Illness ◽  
Low Volume

Forensic mental health services in high income countries are typically high cost and low volume, providing care to people with mental illness, personality disorders, learning disability and autism deemed to pose a risk to others. Research into how forensic mental health services work as a whole system is limited. Such research is urgently needed to guide policy makers and ensure that services operate effectively.

The designated forensic professional program: A state government-university partnership to improve forensic mental health services

1991 ◽  
Vol 18 (3) ◽  
pp. 223-230 ◽  
Author(s):  
Robert A. Fein ◽  
Kenneth L. Appelbaum ◽  
Richard Barnum ◽  
Prudence Baxter ◽  
Thomas Grisso ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
State Government ◽  
Forensic Mental Health ◽  
University Partnership
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