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Arnold Lodge Regional Secure Unit has provided medium secure psychiatric care for the Trent Regional Health Authority since July 1983. We examined a series of 504 rst admissions to Arnold Lodge in order to explore trends in demographic and service utilization characteristics over 16 years. We found an increase in the admission of more serious offenders; a reduction in the length of stay; a decline in the proportion of psychopathically disordered patients; and a sixfold increase in the ratio of men to women.

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The College since its inception has striven to ensure the highest standards of psychiatric training and education. We are aware, however, that these training recommendations are not as widely known as we would like. The objective of the Collegiate Trainees' Committee Trainees' Charter is to disseminate as widely as possible a brief document on training that draws together strands from other documents including the Statement on Approval of Training Schemes for General Professional Training for the MRCPsych. This Charter has the fun support of the Court of Electors. The intention is to raise awareness about training problems and encourage trainees to be more proactive in ensuring that their training needs are met. Only by providing the best possible level of postgraduate training can we ensure the standard of patient service we would wish and the public increasingly expect.

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