Occupational therapy in a medium secure intellectual disability and personality disorder service

Withers, Paul; Boulton, Natalie E.; Morrison, James K.; Jones, Amanda M.

doi:10.1108/20420921211327356

Cited by 8 publications

(4 citation statements)

References 32 publications

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“…Also, nursing staff in these settings will have broadly similar training to nurses on our high dependency ward. Additionally, bespoke occupational therapy as employed in our pilot has also been explored as a novel strategy in learning disability and personality disorder services, 28 and may also be applicable to PICU and general wards.…”

Section: Discussionmentioning

confidence: 99%

Innovation and pragmatism required to reduce seclusion practices

et al. 2016

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Seclusion may be harmful and traumatic to patients, detrimental to therapeutic relationships, and can result in physical injury to staff. Further, strategies to reduce seclusion have been identified as a potential method of improving cost-effectiveness of psychiatric services. However, developing alternative strategies to seclusion can be difficult. Interventions to reduce seclusion do not lend themselves to evaluation using randomized controlled trials (RCTs), though comprehensive literature reviews have demonstrated considerable non-RCT evidence for interventions to reduce seclusion in psychiatric facilities. In the UK, a recent 5-year evaluation of seclusion practice in a high secure UK hospital revealed reduced rates of seclusion without an increase in adverse incidents. To assess the effect of a novel intervention strategy for reduction of long-term segregation on a high secure, high dependency forensic psychiatry ward in the UK, we introduced a pilot program involving stratified levels of seclusion ("long-term segregation"), multidisciplinary feedback and information sharing, and a bespoke occupational therapy program. Reduced seclusion was demonstrated and staff feedback was mainly positive, indicating increased dynamism and empowerment on the ward. A more structured, stratified approach to seclusion, incorporating multidisciplinary team-working, senior administrative involvement, dynamic risk assessment, and bespoke occupational therapy may lead to a more effective model of reducing seclusion in high secure hospitals and other psychiatric settings. While lacking an evidence base at the level of RCTs, innovative, pragmatic strategies are likely to have an impact at a clinical level and should guide future practice and research.

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Section: Discussionmentioning

confidence: 99%

Innovation and pragmatism required to reduce seclusion practices

et al. 2016

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“…Two of the articles reviewed outlined the doing of services for people in the UK forensic systems who are diagnosed with an intellectual disability and/or personality disorder (Smith et al., 2010; Withers et al., 2012). While this is a highly specialised area of practice, much of the knowledge in this evidence is equally relevant to clients without these additional diagnoses.…”

Section: Findings and Discussionmentioning

confidence: 99%

“…For example, the quality of the working relationship between the multidisciplinary team at a forensic service and a vocational provider was highlighted as being crucial to the success of a work-based learning programme (Smith et al., 2010). Similarly, the quality of staff recruitment and training were found to be important to the success of a specialist service for people with intellectual disabilities and personality disorders (Withers et al., 2012). A common theme to both studies was the need to thoroughly assess individual needs, and offer interventions tailored to and focused on their particular occupational goals.…”

Section: Findings and Discussionmentioning

confidence: 99%

Occupational therapy in forensic psychiatry: Recent developments in our understandings (2007–2013)

Hitch

Hii

Davey

2015

British Journal of Occupational Therapy

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Introduction: Occupational therapy in forensic settings has developed in recent decades, leading to an increasing amount of research being conducted in this field. There have been two previous attempts to provide overviews of this body of evidence and future directions for research; however, the rate of research has accelerated in recent years. This critical review addresses the following question: what evidence has been published about occupational therapy in forensic psychiatry over the past 7 years? Method: A mixed methods approach was adopted, with four databases and a search engine consulted (OTDBase, CINAHL, AMED, PSYCHInfo, Google Scholar). The inclusion criteria were: (a) articles published in peer reviewed journals since 2007 and (b) authored by at least one occupational therapist. Twenty-five studies were identified for review, and the four dimensions of occupation-doing, being, becoming and belonging-were used to provide a theoretical context for the subsequent discussion. Findings: The recent evidence base in forensic psychiatry focuses on doing and being, with fewer articles addressing becoming and belonging. Conclusion: This review has identified increasing numbers of studies about forensic occupational therapy, which may reflect growth in both interest and the worldwide workforce.

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“…It gives the individual an accurate and holistic view of occupational functionality. If the more fully involved the offender is in the evaluation process, the higher the participation in intervention practices [27,28].…”

Section: Assessment In Forensic Occupational Therapy Servicesmentioning

confidence: 99%

Occupational Therapy in Forensic Settings

Özkan¹,

Belhan²,

Yaran³

et al. 2018

Occupational Therapy - Therapeutic and Creative Use of Activity

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It is necessary for a person to comply with the expectations of society and the rules of law to which these expectations are secured. Offenders turn back to the community after the penalty was executed by isolating from society and some occupations. An occupational imbalance is seen in the individuals, during this penalty period and afterward, because of limited occupational participation. As an occupational being, this affects their physical, mental and psychological well-being. Imprisonment is an important practice in criminal law to punish criminals. This may be necessary for the protection of society from criminals, but successful integration into a community after exiting the prison is the most important factor in preventing recidivism. Occupational therapy focuses on health and well-being by using meaningful and purposeful occupations. Occupation involves any activity that people perform or participate in, such as giving care to themselves or others, working, learning, playing games, and interacting with others. From this perspective, the role of occupational therapists in forensic settings is to determine the abilities of these individuals to congregate their deprived freedoms and use them to train them for an independent and autonomous life; to provide a professional orientation, career counseling, and self-esteem; to gain some habits for physical, spiritual and moral life and to reinforce.

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Occupational therapy in a medium secure intellectual disability and personality disorder service

Cited by 8 publications

References 32 publications

Innovation and pragmatism required to reduce seclusion practices

Innovation and pragmatism required to reduce seclusion practices

Occupational therapy in forensic psychiatry: Recent developments in our understandings (2007–2013)

Occupational Therapy in Forensic Settings

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