scholarly journals Clinical governance

2000 ◽  
Vol 24 (12) ◽  
pp. 444-447 ◽  
Author(s):  
Ernest Gralton ◽  
Adrian James ◽  
Sue Oxborrow
Keyword(s):  
Psychiatric Service ◽  
Continuing Professional Development ◽  
Clinical Governance ◽  
Service Development ◽  
Clinical Implications ◽  
Long Term Changes ◽  
Additional Funding ◽  
Forensic Psychiatric ◽  
Development Assessment

Aims and MethodTo describe the introduction of a clinical governance programme within a regional forensic psychiatric service.ResultsThe established programme meets the objectives of clinical governance. It affords regular appraisal of model practice and dissemination of information among staff. It provides a forum for continuing professional development, assessment of users' views and input of its staff to service development.Clinical ImplicationsA functional clinical governance programme is possible, and likely to produce considerable benefits, but requires substantial commitment from clinical, secretarial and managerial staff. To be sustainable in the long term it may require additional funding. It is still too early to seek to evaluate any long term changes produced in patient care by the process.

A Welsh Forensic Psychiatric Service for Doctors

1974 ◽  
Vol 124 (582) ◽  
pp. 494-495 ◽  
Author(s):  
Michael J. Craft
Keyword(s):  
Small Group ◽  
Brain Damage ◽  
Psychiatric Service ◽  
Sexual Offences ◽  
Average Ability ◽  
North Wales ◽  
Violent Acts ◽  
Forensic Psychiatric

The results of treating psychopaths and other mentally abnormal offenders at Balderton Hospital, Nottinghamshire, and in North Wales (Tables I, II and III), have shown that there is a small intractable group who react explosively when in the company of less disturbed patients, and who are best treated in a long-term unit specially designed for their needs. The small group surveyed here are mentally abnormal offenders of dull-normal or average ability whose aggression or inadequacy, sometimes combined with schizophrenia or resulting from brain damage, makes them prone to repeated convictions for violent acts, arson, sexual offences or drunkenness.

A survey of referrers' satisfaction with a regional forensic psychiatric service: what do they want?

2003 ◽  
Vol 27 (3) ◽  
pp. 96-98 ◽  
Author(s):  
Maria Papanastassiou ◽  
Sean Roche ◽  
John Boyle ◽  
Richard Baxter ◽  
Paul Chesterman
Keyword(s):  
Psychiatric Service ◽  
Self Report ◽  
Service Development ◽  
North West ◽  
The North ◽  
Forensic Assessments ◽  
Secure Unit ◽  
Forensic Psychiatric ◽  
Perceptions And Expectations

Aims and MethodThe perceptions and expectations by referrers of assessments performed by a medium secure unit were examined in order to ascertain areas for possible improvement. All referrals to two teams at the North West Thames Regional Secure Unit were monitored over a 6-month period. A self-report questionnaire was sent to each referrer, in cases where an assessment and forensic report had been completed.ResultsAssessments and forensic reports were completed (and questionnaires sent to referrers) in 63% of total referrals (32 out of 51). The response rate to the questionnaire was 81% (26 out of 32). Many referrers wanted the assessments and report to be completed in 2 weeks. Most referrers were satisfied with the quality of the report received and the majority were happy with the risk assessment.Clinical ImplicationsReferrers want forensic assessments to be of a high quality and to be performed quickly. Recommendations for service development are suggested.

scholarly journals A survey of referrers' satisfaction with a regional forensic psychiatric service: what do they want?

2003 ◽  
Vol 27 (03) ◽  
pp. 96-98
Author(s):  
Maria Papanastassiou ◽  
Sean Roche ◽  
John Boyle ◽  
Richard Baxter ◽  
Paul Chesterman
Keyword(s):  
Psychiatric Service ◽  
Self Report ◽  
Service Development ◽  
North West ◽  
The North ◽  
Forensic Assessments ◽  
Secure Unit ◽  
Forensic Psychiatric ◽  
Perceptions And Expectations

Aims and Method The perceptions and expectations by referrers of assessments performed by a medium secure unit were examined in order to ascertain areas for possible improvement. All referrals to two teams at the North West Thames Regional Secure Unit were monitored over a 6-month period. A self-report questionnaire was sent to each referrer, in cases where an assessment and forensic report had been completed. Results Assessments and forensic reports were completed (and questionnaires sent to referrers) in 63% of total referrals (32 out of 51). The response rate to the questionnaire was 81% (26 out of 32). Many referrers wanted the assessments and report to be completed in 2 weeks. Most referrers were satisfied with the quality of the report received and the majority were happy with the risk assessment. Clinical Implications Referrers want forensic assessments to be of a high quality and to be performed quickly. Recommendations for service development are suggested.

scholarly journals The Long-Term Changes in Dynamic Risk and Protective Factors Over Time in a Nationwide Sample of Dutch Forensic Psychiatric Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Marija Janković ◽  
Geert van Boxtel ◽  
Erik Masthoff ◽  
Elien De Caluwé ◽  
Stefan Bogaerts
Keyword(s):  
Protective Factors ◽  
Psychiatric Patients ◽  
Risk And Protective Factors ◽  
Dynamic Risk ◽  
Forensic Psychiatric Patients ◽  
Long Term Changes ◽  
Changes In Risk ◽  
Forensic Psychiatric ◽  
Over Time

The long-term changes of dynamic risk and protective factors have rarely been studied in forensic psychiatric patients. We utilized a latent growth curve analysis to investigate trajectories of risk and protective factors over time in all 722 male forensic psychiatric patients who were unconditionally released between 2004 and 2014 from any of 12 Dutch forensic psychiatric centers (FPCs). The study covered the period from juridical observation until unconditional release. Moreover, we investigated whether these trajectories differ between patients depending on their psychiatric diagnosis namely substance use disorders (SUD), psychotic disorders, and cluster B personality disorders (PDs). In addition, we also investigated whether SUD may influence changes in risk and protective factors in a group of psychotic and cluster B PDs patients, respectively. Overall, findings suggest that all changes in dynamic risk and protective factors could be depicted by two phases of patients' stay in the FPCs. Specifically, most changes on dynamic risk and protective factors occurred at the beginning of treatment, that is, from the time of juridical assessment up to the time of unguided leave. Moreover, the moment of unguided leave could be considered the ‘turning point’ in the treatment of offenders. We also found that SUD and psychotic patients changed the most in the first phase of their stay, while cluster B PDs patients changed the most in the second phase. However, SUD did not modify changes in risk and protective factors in psychotic and cluster B PDs patients. These findings may help improve offender treatment and crime prevention strategies.

Analysis of Long-term Changes of Days with 25℃ or Higher Air Temperatures in Jeju

2016 ◽  
Vol 7 (1) ◽  
pp. 31 ◽  
Author(s):  
Jae-Won Choi ◽  
Yumi Cha ◽  
Jeoung-Yun Kim ◽  
Cheol-Hong Park
Keyword(s):  
Air Temperatures ◽  
Long Term Changes
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