Factors associated with length of admission at a medium secure forensic psychiatric unit

Shah, Amar; Waldron, Gerard; Boast, Neil; Coid, Jeremy W.; Ullrich, Simone

doi:10.1080/14789949.2011.594902

Cited by 53 publications

(93 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No such data are available for high secure care, but for medium secure settings studies have identified broadly similar figures for LoS in the overall population, although our LoS figures are at the upper end of those reported in the literature, 37,42,82 possibly reflecting an increase in LoS over time but, again, different methods and reporting make comparisons difficult.…”

Section: Cross-sectional Survey Of Length Of Stay In High and Medium contrasting

confidence: 45%

“…It is interesting to note that one study reported a severely violent index offence as being associated with a shorter LoS. 42 The authors observed that although this finding might appear to have little face validity, their cohort contained a significant number of patients with no previous violence or convictions prior to the index offence and few or no previous psychiatric admissions. This, they suggest, may explain why a severely violent index offence is significantly associated with a shorter length of admission; they note that characteristics associated with long stay in medium security identified in their study are seldom associated with a severely violent index offence, and this can result in shorter admissions for severe violence.…”

Section: Characteristics Of Long-stay Patients In Forensic Settingsmentioning

confidence: 89%

“…Studies in medium secure settings have identified severity of psychopathology, psychiatric history, seriousness of offending, patients being on 'restriction orders' (requiring Ministry of Justice permission for transfer), non-engagement in interventions, dependency needs and lack of step-down facilities as factors associated with long stay. [37][38][39][40][41][42] …”

Section: Long Stay In Forensic Settingsmentioning

confidence: 99%

“…12,26,28,29,33,34,37,[39][40][41][42]57,74, Eleven countries were represented: the UK (n = 22 12,26,28,29,33,34,37,39-42,77-80, 82,84,86,87,89,92,97 ), the USA (n = 4 90,94,96,99 ), Ireland (n = 2 81,98 ), Germany [n = 2 93 (one of which was personal communication: Dönisch-Seidel, Ministerium für Gesundheit, Emanzipation, Pflege und Alter des Landes Nordrhein-Westfalen, 2013)], Croatia (n = 2 57,88 ), Australia (n = 1 85 ), Malaysia (n = 1 83 ), New Zealand (n = 1 95 ), Norway (n = 1 91 ), the Netherlands (n = 1 74 ) and Sweden (n = 1 76 ). The studies from the UK had samples drawn from high secure (n = 5 29,33,78,84,89 ), medium secure (n = 14 26,37,[39][40][41][42]77,79,80,82,86,87,92,97 ) and mixed secure (n = 3 12,28,34 ) settings. The Norwegian study was based in a 'maximum' secure setting.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…These were published between 1987 and 2015 with samples covering the period from 1972 to 2011. Five countries were represented: the UK (n = 12 12,26,28,33,34,[39][40][41][42]82,92,97 ), Germany (n = 1 93 ), the USA (n = 1 99 ), Malaysia (n = 1 83 ) and Ireland (n = 1 98 ). Thirteen studies supplied LoS as a mean value; only five provided medians, which are arguably a better measure of central dispersion for a variable that commonly has a non-normal ('skewed') distribution.…”

Section: Length Of Stay In Forensic Settingsmentioning

confidence: 99%

See 4 more Smart Citations

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Völlm

Edworthy

Holley

et al. 2017

Health Serv Deliv Res

View full text Add to dashboard Cite

, et al. A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation. Health Serv Deliv Res 2017;5(11). Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 11/1024/06. The contractual start date was in March 2013. The final report began editorial review in March 2016 and was accepted for publication in September 2016. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. If there are verbatim quotations included in this publication the ...

show abstract

Section: Cross-sectional Survey Of Length Of Stay In High and Medium contrasting

confidence: 45%

Section: Characteristics Of Long-stay Patients In Forensic Settingsmentioning

confidence: 89%

Section: Long Stay In Forensic Settingsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Length Of Stay In Forensic Settingsmentioning

confidence: 99%

See 3 more Smart Citations

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Völlm

Edworthy

Holley

et al. 2017

Health Serv Deliv Res

View full text Add to dashboard Cite

show abstract

Patient characteristics and outcome measurement in a low secure forensic hospital

Longdon

Edworthy

Resnick³

et al. 2017

Criminal Behav Ment Health

View full text Add to dashboard Cite

show abstract

A comparison of long‐term medium secure patients within NHS and private and charitable sector units in England

Kasmi

Duggan

Völlm

2020

Criminal Behav Ment Health

View full text Add to dashboard Cite

Background In England, forensic psychiatric hospital services are provided at three security levels: high, medium and low. All are publicly funded and similarly regulated, but medium and low secure services are provided in the private and charitable (PCS) sector as well as the National Health Service (NHS). Originally, medium secure hospital services were conceived as for up to 2 years' inpatient stay, but numbers of longer stay patients have been rising. Little is known about their characteristics or whether they differ between NHS and PCS settings. Aims To describe and compare characteristics of long‐stay patients in NHS and in PCS medium security hospital units. Methods Data were extracted from clinical records in 14 NHS and 9 PCS hospital units for all patients fulfilling criteria for long stay: having been in high security for more than 10 years or medium security for more than 5 years or in a mix of both for more than 15 years in total. Results 178 NHS and 107 PCS patients were eligible for inclusion, respectively, 16 and 22% of the total patient populations in these settings. The mean length of stay in a medium or high secure setting was similar: 163 and 164 months. Characteristics of the patients, however, differed between unit type. NHS services admitted more patients from prison and PCS services more from other hospitals. NHS services included a lower proportion of patients with personality disorder or intellectual disability. 'Challenging behaviour' was more prevalent in PCS; a history of absconding was found more often among NHS patients. Conclusions The two systems of service appear to be used differently. More research is needed to explain why patients apparently without behavioural disturbances remain in specialist secure facilities for such a long time and whether their needs are truly being met in the least restrictive environment possible.

show abstract

Factors associated with length of admission at a medium secure forensic psychiatric unit

Cited by 53 publications

References 18 publications

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Patient characteristics and outcome measurement in a low secure forensic hospital

A comparison of long‐term medium secure patients within NHS and private and charitable sector units in England

Contact Info

Product

Resources

About