Characteristics of female patients admitted to an adolescent secure forensic psychiatric hospital

Hill, Simon A.; Brodrick, Paul; Doherty, Ambre; Lolley, Joanne; Wallington, Freya; White, Oliver

doi:10.1080/14789949.2014.933863

Cited by 25 publications

(21 citation statements)

References 25 publications

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“…An increasing number of studies suggest that clinical symptoms of borderline personality disorder (BPD) manifest during adolescent years (Kaszynski et al, 2014). A recent study among females in a UK forensic inpatient unit, revealed that emerging BPD was prevalent among two thirds of the sample (Hill et al, 2014). Therefore, it is clinically important to identify emerging PDs during such a key developmental period as adolescence and the potential link to risk-taking or violent behaviour.…”

Section: Mental Disorders Among Incarcerated Youthmentioning

confidence: 99%

Prevalence of Mental Disorders and Symptoms Among Incarcerated Youth: A Meta-Analysis of 30 Studies

Livanou

Furtado

Winsper

et al. 2019

International Journal of Forensic Mental Health

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Incarcerated youth have high levels of mental disorders. However, there are no up to date reviews examining the prevalence rates of a broad range of mental disorders and symptoms across youth justice populations. The current review aims to bridge this gap. We conducted a systematic search of the literature using PsycINFO, Medline, Embase and Web of Science databases. We used meta-analyses to produce pooled prevalence figures for each mental health disorder and symptoms, and meta-regression to test for the moderating effects of covariates, such as gender. Thirty studies were included involving 8,153 participants. Meta-regression analysis showed that females had higher prevalence rates for depression, separation anxiety disorder and suicide. Males had higher prevalence rates for conduct disorder and emerging antisocial personality disorder. Emerging personality disorders (borderline personality disorder: 21%; 95% CI: 13-28%; antisocial personality disorder: 62%; 95% CI: 39-82%) were relatively common in both genders. The findings of this meta-analysis show the need for robust mental health services in custody settings. Adopting a developmentally-focused approach would increase understanding of incarcerated youth's needs and help to early detection of emerging personality symptoms. To improve young people's mental health, we need to ensure that services do not misidentify young people's needs due to diagnostic limitations.

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Section: Mental Disorders Among Incarcerated Youthmentioning

confidence: 99%

Prevalence of Mental Disorders and Symptoms Among Incarcerated Youth: A Meta-Analysis of 30 Studies

Livanou

Furtado

Winsper

et al. 2019

International Journal of Forensic Mental Health

View full text Add to dashboard Cite

show abstract

“…Within the hospital sector in England, towards the end of the 20th century, the Gardner Unit (Bailey, Thornton, & Weaver, ), St. Andrews Healthcare (Wheatley, Waine, Spence & Hollin, ) and Newcastle's Roycrot Unit (Bailey, Thornton, & Weaver, ) and Newcastle's Roycroft Unit led the way in providing forensic (medium) secure inpatient units for young people until services became nationally commissioned in 2002 and expanded to include seven units across England, working as a clinically managed network. Medium secure inpatient cohort demographics have been described by one unit (Hill et al, ; Hill, Argent, Lolley, & Wallington, ). More recently, low secure services, developed mainly by independent sector providers, have become nationally commissioned to form a national low secure network to include NHS and private sector service providers.…”

Section: Service and Research Contextmentioning

confidence: 99%

What next for adolescent forensic mental health research?

Hales

Holt

Delmage³

et al. 2019

Criminal Behav Ment Health

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“…Behavioural and emotional disorders concurrent with substance use is the predominant diagnosis although (Dimond and Chiweda, 2011) some present with psychotic illnesses. A diagnosis of an emerging personality disorder is common among young female offenders (Hill et al, 2014). However, emerging personality disorder symptoms have to co-occur with another diagnosis to ensure transfer to hospital.…”

Section: Who Is the Young Offender In The Uk?mentioning

confidence: 99%

“…However, emerging personality disorder symptoms have to co-occur with another diagnosis to ensure transfer to hospital. A (Hill et al, 2014) that might imply an emerging personality disorder. It is hypothesised that these symptoms could be a result of significant abuse and trauma during periods of development and maturation (Dimond and Chiweda, 2011).…”

Section: Who Is the Young Offender In The Uk?mentioning

confidence: 99%

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Mentally disordered young offenders in transition from child and adolescent to adult mental health services across England and Wales

Livanou

Furtado

Singh

2017

JFP

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Purpose This paper provides an overview of transitions across forensic child and adolescent mental health services in England and Wales. The purpose of this paper is to delineate the national secure services system for young people in contact with the youth justice system. Design/methodology/approach This paper reviews findings from the existing literature of transitions across forensic child and adolescent mental health services, drawing attention to present facilitators and barriers to optimal transition. The authors examine the infrastructure of current services and highlight gaps between child and adult service continuity and evaluate the impact of poor transitions on young offenders’ mental health and wellbeing. Findings Young offenders experience a broad range of difficulties, from the multiple interfaces with the legal system, untreated mental health problems, and poor transition to adult services. Barriers such as long waiting lists, lack of coordination between services and lack of transition preparation impede significantly smooth transitions. Research limitations/implications The authors need to develop, test and evaluate models of transitional care that improve mental health and wellbeing of this group. Practical implications Mapping young offenders’ care pathway will help to understand their needs and also to impact current policy and practice. Key workers in forensic services should facilitate the transition process by developing sustainable relationships with the young person and creating a safe clinical environment. Originality/value Transition of care from forensic child and adolescent mental health services is a neglected area. This paper attempts to highlight the nature and magnitude of the problems at the transition interface in a forensic context.

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Characteristics of female patients admitted to an adolescent secure forensic psychiatric hospital

Cited by 25 publications

References 25 publications

Prevalence of Mental Disorders and Symptoms Among Incarcerated Youth: A Meta-Analysis of 30 Studies

Prevalence of Mental Disorders and Symptoms Among Incarcerated Youth: A Meta-Analysis of 30 Studies

What next for adolescent forensic mental health research?

Mentally disordered young offenders in transition from child and adolescent to adult mental health services across England and Wales

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