Hot beds of forensic psychiatry: Psychiatric intensive care units within medium security

Adams, Jonathon; Clark, Tom

doi:10.1017/s174264640800126x

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…Some have suggested that the population cared for in medium security has changed over the years (Adams & Clark, 2008;Royal College of Psychiatrists, 2003;Mohan et al, 1997). There are a number of reasons why this might be.…”

Section: Methodsmentioning

confidence: 99%

Long‐term care needs in male medium security

Jacques

Spencer

Gilluley

2010

British Jnl Forensic Practice

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Medium secure units were designed to treat patients for up to three years, but some patients spend longer in acute medium secure settings which in general do not have a 'longer term focus'. The aim of this investigation was to assess and describe the needs of these patients. A survey questionnaire was designed and sent to responsible clinicians who had patients admitted at least five years previously to the Three Bridges Medium Secure Unit (males) in West London. Carer ratings using the Camberwell Assessment of Need: forensic version (CAN-FOR) were completed by the primary nurse for each patient, complementing the survey questionnaire. Of 122 medium secure male patients 25 (21%) had been admitted at least five years before. We found high levels of co-morbidity and treatment resistance. The CAN-FOR revealed two groups, one with chronic challenging behaviour, treatment-resistant mental illness and need for a high level of support, and another more able group not needing as much support but with a dependency on the hospital. It is considered here whether certain groups would benefit from a different approach or setting.

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Section: Methodsmentioning

confidence: 99%

Long‐term care needs in male medium security

Jacques

Spencer

Gilluley

2010

British Jnl Forensic Practice

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“…It has been suggested that PICUs are a rarity in forensic psychiatry but there is no published authoritative data. (20) In the past two decades, there have been significant developments in the standardised assessment of violence risk and management, including the introduction of 'structured professional judgement' approaches to risk assessment. The latter method is effectively an attempt to bridge the gap between clinical and actuarial approaches to risk assessment, by combining both elements into structured professional guidelines for clinical practice.…”

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confidence: 99%