Bridging the gap in secure provision: Evaluation of a new local combined locked forensic/ intensive care unit

Cripps, Jonathan; Duffield, Gary; James, David

doi:10.1080/09585189508409877

Cited by 16 publications

(6 citation statements)

References 16 publications

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“…There are airlocked entrances, internal partitions, unbreakable and/or grilled windows,.and a 17-foot fence around its garden area. In 1993, it took 6 per cent of the s.48 admissions in England and Wales (Cripps et aL, 1995). The unit is fully integrated with the general psychiatric services run by the same trust, so facilitating flow between different levels of security.…”

Section: Court-focused Forensic Psychiatry 393mentioning

confidence: 99%

A court-focused model of forensic psychiatry provision to central London: Abolishing remands to prison?

James

Cripps

Gilluley

et al. 1997

The Journal of Forensic Psychiatry

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Section: Court-focused Forensic Psychiatry 393mentioning

confidence: 99%

A court-focused model of forensic psychiatry provision to central London: Abolishing remands to prison?

James

Cripps

Gilluley

et al. 1997

The Journal of Forensic Psychiatry

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“…Secure hospitals in the UK aim to complement mental health in‐reach care in prisons, providing care for those with severe mental health needs whilst maintaining the safety of the public (Health Select Committee, 2000). Hence patients in secure mental health care have complex needs and experience a range of difficulties including psychosis (Murray, 1996; Taylor, 1998) and affective disorders (Cripps et al , 1995; McClintock and Evans, 1995; Smith et al , 1991) as well as offending needs (Taylor, 1998). The severity and multiplicity of patients' needs makes high‐quality measurement in these settings difficult and there is a lack of consensus on appropriate measures (Cohen and Eastman, 1997; Fitzpatrick et al , 2010).…”

Section: Introductionmentioning

confidence: 99%

The CORE‐OM and CORE‐OM (SV) in secure settings: a template analysis of the experiences of male patients and their staff

Perry

Barkham

Evans

2013

The Journal of Forensic Practice

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2013),"The CORE-OM and CORE-OM (SV) in secure settings: a template analysis of the experiences of male patients and their staff"If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to establish staff and patient opinions on the acceptability, feasibility, and utility of using the Clinical Outcomes in Routine Evaluations -Outcome Measure (CORE-OM) in secure hospitals.Design/methodology/approach -Patients and nurses (male patients and their key workers) from high, medium and low secure hospitals participated in semi-structured interviews after completing CORE-OM or CORE-OM (SV).Findings -Template themes were acceptability, feasibility, relevance, suitability, changes to treatment, and understanding. Findings suggest that the CORE-OM is acceptable and potentially useful in secure settings.Practical implications -This paper suggests that the CORE-OM is acceptable to patients and staff in secure settings and appears to be a feasible measure for such settings. Further research and accumulation of a referential database of item scores is needed for PROMS, including the CORE-OM, to be fully useful in secure settings.Originality/value -This paper will be of use to clinicians working with forensic mental health settings. It is one of only two papers which investigate the use of the CORE-OM in forensic settings.

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“…In terms of the type of index offence recorded for those admitted, in 94% there was a violent or sexual offence. In comparison, Cripps et al (1995) found that 62% of admissions were detained under civil (Part II) sections with an over-representation of patients of African Caribbean origin detained under civil and criminal sections. Cohen and Eastman (1997) in surveying ten closed supervision units found that 59% of the sample was diagnosed with schizophrenia and that 54% of admissions were detained under Part II while 22% were detained under Part III of the Mental Health Act 1983.…”

Section: Discussionmentioning

confidence: 95%

“…In their study, Cripps et al(1995) described the functions and patient characteristics of a mixed forensic and intensive care locked unit, which was designed to meet service needs between those of local intensive care facilities and medium security. The study found that the mean age of admissions was 33 years (range, 17 to 72 years), the majority of admissions had a diagnosis of schizophrenia (66%), 62% of admissions were detained under Part II sections and 38% under Part III of the Mental Health Act 1983.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of mentally disordered offenders referred for low secure forensic rehabilitation

Neillie

Saini²,

Humphreys

2007

Med Sci Law

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In the light of recognition of an increased need for secure mental health provision both at a local and national level, a 12-bed low secure forensic rehabilitation unit, Hillis Lodge, was opened in Birmingham in 2001. The aim of this study was to investigate characteristics of patients referred to this service. A retrospective case note survey was undertaken of all referrals to Hillis Lodge between August 2000 and April 2004. A comparison was then made between the accepted group and those not accepted for admission to identify characteristics that may be associated with admission to a low secure forensic unit. For the referred sample, mean age was 38 years (range 23-65 years, SD = 9.17) and in 86.4% of cases the primary diagnosis was schizophrenia. Those accepted were more likely to be detained under Part III sections of the Mental Health Act 1983 and have a greater number of previous convictions. By identifying need in this particular patient sample, this study has helped to inform the assessment process and treatment programmes in a low secure forensic rehabilitation service.

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Bridging the gap in secure provision: Evaluation of a new local combined locked forensic/ intensive care unit

Cited by 16 publications

References 16 publications

A court-focused model of forensic psychiatry provision to central London: Abolishing remands to prison?

A court-focused model of forensic psychiatry provision to central London: Abolishing remands to prison?

The CORE‐OM and CORE‐OM (SV) in secure settings: a template analysis of the experiences of male patients and their staff

Characteristics of mentally disordered offenders referred for low secure forensic rehabilitation

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