scholarly journals Facilities for mentally impaired patients: three years experience of a semi-secure unit

1990 ◽  
Vol 14 (6) ◽  
pp. 333-335 ◽  
Author(s):  
Janet Mayor ◽  
Milan Bhate ◽  
Hugh Firth ◽  
Anne Graham ◽  
Pam Knox ◽  
...  
Keyword(s):  
Royal College ◽  
Mentally Ill ◽  
Hospital Setting ◽  
Working Party ◽  
Interim Report ◽  
Mentally Disordered ◽  
Mental Handicap ◽  
High Security ◽  
Secure Unit ◽  
Mentally Impaired

The Working Party on Security in NHS Hospitals (The Glancy Report, DHSS, 1974a) and the interim report of The Butler Committee (DHSS, 1974b) both recommended that secure provision should be made available for the treatment of mentally disordered patients who required greater security than could be provided in a standard hospital setting. They recommended that patients with mild or borderline mental handicap should be treated together with the mentally ill but that “severely subnormal patients” should be treated separately. Later the Royal College of Psychiatrists (1981) largely endorsed this advice proposing that: (a) individuals with borderline and mild mental handicap could be adequately treated in the secure units for mentally ill individuals(b) individuals with moderate mental handicap needed a special secure facility(c) individuals with severe mental handicap did not need high security, and should be managed in high-staffed wards in mental handicap hospitals.

scholarly journals Practical experience from a regional secure unit

1992 ◽  
Vol 16 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Adrian James
Keyword(s):  
Royal College ◽  
Performance Indicators ◽  
Clinical Audit ◽  
Essential Element ◽  
Working Party ◽  
Practical Experience ◽  
Medical Audit ◽  
Psychiatric Setting ◽  
Secure Unit ◽  
Regular Review

The Royal College of Psychiatrists' Working Party on Medical Audit has emphasised the multidisciplinary nature of patient care in psychiatry (Royal College of Psychiatrists, 1989). Much has been published on individual audit topics and on definitions of the various aspects of audit such as peer review, performance indicators and quality assurance. The essential element of audit is its systematic nature and little has been written concerning an overall structure for clinical audit within an individual psychiatric setting. It is not sufficient to start with ‘a simple project with minimum of cost in terms of both time and money expended’, as recommended by the Royal College of Psychiatrists' Working Party. What is needed is an overall structure for regular review so that the systematic nature of the process is not lost and that recommendations from audit meetings are reviewed regularly for their usefulness and level of implementation.

scholarly journals Joint statement on general practitioner vocational training in psychiatry

1993 ◽  
Vol 17 (5) ◽  
pp. 306-311
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Royal College ◽  
Vocational Training ◽  
Health Care Services ◽  
Hospital Setting ◽  
Working Party ◽  
Considerable Change ◽  
Psychiatric Disease ◽  
Care Services

(1) A Joint Working Party of the Royal College of General Practitioners and the Royal College of Psychiatrists prepared a report on training general practitioners in psychiatry in 1974. This was circulated to all regional advisers and course organisers and was published in 1978. Since that time, there have been advances in the treatment of patients with psychiatric disease and considerable change in the organisation of health care services which have resulted in an increasing proportion of psychiatrically ill people being cared for in the community rather than in the hospital setting. With these changes in mind, both Colleges felt that it would be appropriate to convene another joint working party to review the arrangements for the psychiatric component of vocational training for general practice. This report revises the objectives for training that were agreed in 1974 and makes recommendations for the organisation that will achieve them.

scholarly journals Tick, tock, lock: night-time confinement in high security – history, practice, ethics and practicalities

2018 ◽  
Vol 43 (1) ◽  
pp. 1-3
Author(s):  
Ed Silva ◽  
Andrew Shepherd
Keyword(s):  
Royal College ◽  
Night Time ◽  
Advisory Body ◽  
High Security ◽  
The Future ◽  
The Uk

SummaryNight-time confinement, locking patients in their bedrooms overnight, is practiced within high-secure hospitals in the UK. This article provides context, sets out the history and reviews the ethical and pragmatic issues at stake. Thought is given to the future, where we appear to be moving toward a different approach.Declaration of interestE.S. is a consultant forensic psychiatrist at Ashworth Hospital. All his patients are confined at night. He represents the Royal College of Psychiatrists Forensic Faculty at the National Oversight Group, which is the strategic advisory body providing assurance to NHS England regarding the commissioning and provision of high-secure services.

scholarly journals The Statutory Registration of Psychotherapists?

1980 ◽  
Vol 4 (11) ◽  
pp. 166-168 ◽  
Author(s):  
Michael Shepherd
Keyword(s):  
Royal College ◽  
Working Party ◽  
British Association ◽  
Different Order

The Report of the Professions Joint Working Party (1978) raises a number of questions. The first of these springs from the composition of the Working Party. Five of the organizations are overtly in business to train and certify practitioners of psychotherapy along psychodynamic lines, but though the Report speaks collectively of ‘seven organizations representing practitioners of psychotherapy’ neither the British Association for Behaviour Psychotherapy nor the Royal College of Psychiatrists can be categorized in the same way. Each of these organizations raises issues of a different order.

scholarly journals Service innovations: the Orchard Clinic: Scotland's first medium secure unit

2003 ◽  
Vol 27 (03) ◽  
pp. 105-107 ◽  
Author(s):  
D. Nelson
Keyword(s):  
United Kingdom ◽  
Forensic Psychiatry ◽  
Psychiatric Care ◽  
Government Policies ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Care Services ◽  
The United Kingdom ◽  
Secure Unit ◽  
The Government

The development of forensic psychiatry provision in Scotland lags behind that in other parts of the United Kingdom. Until recently, there were no medium secure units in the country and mentally disordered offenders (MDOs) requiring such care had to be managed in intensive psychiatric care unit (IPCU) settings. In November 2000, The Orchard Clinic, a medium secure unit sited at the Royal Edinburgh Hospital, was opened. This paper discusses the background to this development, the government policies setting out plans for the care, services and support of MDOs in Scotland, progress and work of the new unit to date and plans for developments in other parts of Scotland.

scholarly journals Stigma 1, Psychiatrists 0

1999 ◽  
Vol 23 (7) ◽  
pp. 430-430 ◽  
Author(s):  
Geoffrey Searle
Keyword(s):  
Mental Illness ◽  
Public Education ◽  
Royal College ◽  
Mentally Ill ◽  
The Public ◽  
Education Campaign ◽  
Public Education Campaign ◽  
The Media

I think I can honestly say that I am a seasoned complainer, although I am careful not to attempt to be Mary Whitehouse and I do not assiduously scan the media looking for trouble. My interest in the area of stigmatization started with an episode of the TV drama Boon, where they suddenly had a character become ‘mentally ill’ so that he could conveniently shoot the hero to achieve a cliff-hanging end-of-series episode. Subsequently I specialised in the portrayal of mental illness in dramatic productions, joined the Public Education Campaign divisional network and had some media training. I have been listed as an expert in the portrayal of mental illness for five years but have never been approached for my advice on this area. However, following this year's announcement of the new Royal College of Psychiatrists' campaign ‘Changing Minds: Every Family in the Land’, I obtained all the names and addresses in Deborah Hart and Jill Phillipson's article above and stood ready to ‘do my bit’ for truth and honesty.

Service innovations: the Orchard Clinic: Scotland's first medium secure unit

2003 ◽  
Vol 27 (3) ◽  
pp. 105-107 ◽  
Author(s):  
D. Nelson
Keyword(s):  
United Kingdom ◽  
Forensic Psychiatry ◽  
Psychiatric Care ◽  
Government Policies ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Care Services ◽  
The United Kingdom ◽  
Secure Unit ◽  
The Government

The development of forensic psychiatry provision in Scotland lags behind that in other parts of the United Kingdom. Until recently, there were no medium secure units in the country and mentally disordered offenders (MDOs) requiring such care had to be managed in intensive psychiatric care unit (IPCU) settings. In November 2000, The Orchard Clinic, a medium secure unit sited at the Royal Edinburgh Hospital, was opened. This paper discusses the background to this development, the government policies setting out plans for the care, services and support of MDOs in Scotland, progress and work of the new unit to date and plans for developments in other parts of Scotland.

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