What Happens to Patients Released from the Special Hospitals?

1981 ◽  
Vol 138 (4) ◽  
pp. 340-345 ◽  
Author(s):  
Paul Bowden
Keyword(s):  
Accurate Prediction ◽  
Criminal Histories ◽  
Hospital Patients ◽  
Special Hospital ◽  
Special Hospitals

SummaryNHS consultants who are asked to accept Special Hospital patients can judge the prognosis, since the extent of both psychiatric and criminal histories provides the most accurate prediction of future behaviour. Patients discharged to the community have different outcomes from those transferred to NHS hospitals, but overall about one in five of those released are returned to a Special Hospital; up to one in two will subsequently be convicted, but the offences are mainly trivial and directed at property. Perhaps one in ten will be involved in serious or homicidal acts of violence.

Survey of incapacity associated with mental handicap at Rampton and Moss Side Special Hospitals: a comparison with the 1970 National Survey

1975 ◽  
Vol 5 (3) ◽  
pp. 300-306
Author(s):  
Elizabeth Parker
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
National Survey ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Hospital Patients ◽  
Special Hospital ◽  
Special Hospitals

SynopsisThe results of a survey carried out at Rampton and Moss Side Special Hospitals into physical and behavioural incapacity associated with mental handicap are described and compared with the findings of the 1970 National Survey. The Special Hospital patients were found to be less mentally handicapped than similar patients in subnormality hospitals in the National Health Service. The prevalence of physical incapacity associated with mental handicap was also lower in the Special Hospitals but the Special Hospital patients were assessed as more behaviourally disordered. In both surveys the incapacities present were concentrated in the severely mentally handicapped patients. In the Special Hospitals survey the women, when compared with the men, were found to be more behaviourally disordered and to suffer from a greater degree of multiple severe incapacity. All the differences found between the two surveys are consistent with the statutory criteria for admission to a Special Hospital.

scholarly journals Patients in Broadmoor Hospital from the South Western region: an audit of transfer procedures

1991 ◽  
Vol 15 (2) ◽  
pp. 81-84 ◽  
Author(s):  
Jeanette Smith ◽  
Martin Donovan ◽  
Harvey Gordon
Keyword(s):  
Psychiatric Hospitals ◽  
Home Office ◽  
Mentally Disordered ◽  
The Public ◽  
Maximum Security ◽  
Hospital Patients ◽  
Male Patients ◽  
Transfer Procedures ◽  
Special Hospital ◽  
Special Hospitals

Broadmoor Hospital is one of the three special hospitals covering England and Wales. It provides approximately 500 beds for mentally disordered patients who on account of their dangerous, violent or criminal propensities constitute a grave and immediate danger to the public, requiring treatment in conditions of special security (Section 4, National Health Service Act, 1977). It is generally recognised, however, that there are patients in special hospitals no longer requiring treatment in conditions of maximum security. These patients could probably be more appropriately cared for elsewhere if the facilities existed in general psychiatric hospitals or the community. However, special hospital consultants frequently encounter significant obstacles when attempting to transfer patients to local hospitals. Dell (1980) highlighted this problem, suggesting that 16% of special hospital patients were waiting to leave, following the agreement of the DHSS and the Home Office to their transfer. This delay appeared to be due to hospitals not wanting to accept patients who might prove to be difficult or dangerous. At the time of this current study (March 1990) these difficulties in transferring patients were particularly relevant as two of the special hospitals, Broadmoor and Ashworth (Park Lane and Moss Side) were full for male patients and therefore closed to male admissions, despite a continuing demand for beds.

Transfer of Special Hospital Patients to the NHS

1980 ◽  
Vol 136 (3) ◽  
pp. 222-234 ◽  
Author(s):  
Susanne Dell
Keyword(s):  
National Health Service ◽  
Department Of Health ◽  
Hospital Patients ◽  
Severely Handicapped ◽  
Transferred Patients ◽  
Open Wards ◽  
Special Hospital ◽  
Special Hospitals ◽  
Made In

SummaryIn 1976, 163 patients were approved by the Department of Health and Social Security for transfer from the Special Hospitals to the open wards of the National Health Service. By autumn 1978, a quarter were still waiting for admission. Patients meeting most difficulty were the severely handicapped non-offenders, who were usually refused unseen on the ground that local subnormality hospitals were full. The role of the DHSS and of the Regional and Area Authorities was in general restricted to bewailing problems they could not help to solve.Some two years after their transfer, enquiries were made in the NHS about the 105 transferred patients. Removal back to the Special Hospital had been requested for seven, and another three had been removed by the police and prosecuted.

Sadistic Fantasy, Sadistic Behaviour and Offending

1983 ◽  
Vol 143 (1) ◽  
pp. 20-29 ◽  
Author(s):  
M. J. MacCulloch ◽  
P. R. Snowden ◽  
P. J. W. Wood ◽  
H. E. Mills
Keyword(s):  
Personality Traits ◽  
Descriptive Study ◽  
Hospital Patients ◽  
Special Hospital ◽  
Psychopathic Disorder

SummaryThis paper explores the genesis of sadistic behaviour in men and its relationship to crime. Sixteen male special hospital patients, each with a diagnosis of psychopathic disorder, formed the basis of this descriptive study. In only three cases were the crimes explicable in terms of external circumstances and personality traits. The offences of the remaining 13 cases became comprehensible only when the offender's internal circumstances were explored: investigation revealed repetitive sadistic masturbatory fantasies which had spilled over into overt behaviour because the patients had felt impelled to seek and create increasingly dangerousin vivo‘try-outs' of their fantasies. The paper discusses the crucial link between sadistic fantasy and behaviour.

Security needs of South West Thames Special Hospital patients: 1992 and 1993. No way out?

1996 ◽  
Vol 7 (2) ◽  
pp. 256-270 ◽  
Author(s):  
Annie Bartlett ◽  
Andrea Cohen ◽  
Ann Backhouse ◽  
Nicole Highet ◽  
Nigel Eastman
Keyword(s):  
South West ◽  
Hospital Patients ◽  
Special Hospital

The EEG in antisocial behaviour: a study of posterior temporal slow activity in Special Hospital patients

1974 ◽  
Vol 4 (2) ◽  
pp. 181-186 ◽  
Author(s):  
G. W. Fenton ◽  
T. G. Tennent ◽  
P. B. C. Fenwick ◽  
N. Rattray
Keyword(s):  
Slow Wave ◽  
Antisocial Behaviour ◽  
Two Samples ◽  
High Prevalence ◽  
Hospital Patients ◽  
Slow Activity ◽  
Forensic Psychiatric ◽  
Maturation Defect ◽  
Special Hospital ◽  
And Control

SYSNOPSISTwo samples of Special Hospital patients who had posterior temporal slow wave foci were selected and matched for age, sex, and duration of stay with patients from the same hospital who had normal EEG records. A high prevalence of between 20 and 31% was found. No significant differences were found between the index and control groups with regard to a number of developmental, forensic, psychiatric, behavioural, and psychometric variables. A striking feature was the high average age of almost 30 years of the posterior temporal slow wave patients. This finding suggests that the current maturation defect hypothesis in relation to cerebral function in psychopaths requires revision. The possible role of early social and environmental factors in the genesis of these EEG anomalies is discussed.

A study of absconding by special hospital patients: 1976 to 1988

1993 ◽  
Vol 4 (1) ◽  
pp. 45-58 ◽  
Author(s):  
Rhodri Huws ◽  
Alexander Shubsachs
Keyword(s):  
Hospital Patients ◽  
Special Hospital

The use of trial leave for restricted special hospital patients

2001 ◽  
Vol 11 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Damian Mohan ◽  
Elizabeth Jamieson ◽  
Pamela J. Taylor
Keyword(s):  
Hospital Patients ◽  
Special Hospital

Violence ratings of special hospital patients

1993 ◽  
Vol 4 (3) ◽  
pp. 471-480 ◽  
Author(s):  
Michael Wong ◽  
John Lumsden ◽  
George Fenton ◽  
Peter Fenwick
Keyword(s):  
Hospital Patients ◽  
Special Hospital
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