The North-West Region. I: Clinical features and placement needs of patients detained in Special Hospitals

Shaw, Jenny; McKenna, John; Snowden, Peter; Boyd, Cameron; McMahon, Derek; Kilshaw, John

doi:10.1080/09585189408410900

Cited by 31 publications

(19 citation statements)

References 4 publications

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“…Some patients are transferred to special hospital without being charged with or convicted of an offence; where 'no offence' was indicated, this referred to such patients and did not necessarily mean that the person had never been convicted of an offence, or that he/she had not committed acts which could have led to charge and conviction. Taylor et al (1998), Shaw et al (1994a), Murray et al (1994), Maden et al (1993), Huws and Shubsachs (1993) and Naismith and Coldwell (1990) gave figures for the proportion of patients in the English special hospitals with an index offence of violence against the person. They ranged from 49% to 73%, with 19% to 28% involving homicide.…”

Section: Offencesmentioning

confidence: 98%

“…North-West Thames region a further 14% need high security at present, but might not with better treatment Shaw et al (1994aShaw et al ( , 1994b Patients from the North West region their consultant psychiatrists 55% need maximum security a research panel 33% need maximum security; 39% of patients need a long-term medium secure service Smith et al (1991) Patients from the South West region interviews with the 43% require maximum security;…”

Section: Judgements By Doctors and Nursesmentioning

confidence: 99%

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A review of recent academic literature on the characteristics of patients in British special hospitals

Williams

Badger

Nursten

et al. 1999

Criminal Behav Ment Health

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Section: Offencesmentioning

confidence: 98%

Section: Judgements By Doctors and Nursesmentioning

confidence: 99%

A review of recent academic literature on the characteristics of patients in British special hospitals

Williams

Badger

Nursten

et al. 1999

Criminal Behav Ment Health

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“…However, the means and methods of assessing the individual needs of this client group have, to some extent, been neglected with the focus instead being much more on the need to develop assessment tools focussing on security and risk issues (e.g. Collins and Davies, 2005;Maden et al, 1993;Shaw et al, 1994).…”

Section: )mentioning

confidence: 99%

The reliability and validity of the forensic Camberwell Assessment of Need (CANFOR): a needs assessment for forensic mental health service users

Thomas

Slade

McCrone

et al. 2008

Int J Methods Psych Res

110

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No instrument exists that measures the individual needs of forensic mental health service users (FMHSUs). The aim of this study was therefore to develop a valid and reliable individual needs assessment instrument for FMHSUs that incorporated staff and service user views and measured met and unmet needs. The Camberwell Assessment of Need was used as a template to develop CANFOR. Consensual and content validity were investigated with 50 forensic mental health professionals and 60 FMHSUs. Both were found to be satisfactory. Concurrent validity was tested using the Global Assessment of Functioning and a five-point needs scale, and again was found to be satisfactory. Reliability studies were carried out with 77 service users and 65 staff in high and medium security psychiatric services in the UK. Inter-rater reliability, rating whether a need was present or not, was high for service users (0.991) and staff (0.998). Similarly high reliability was found for unmet needs (0.985 and 0.972, respectively). Test-retest reliability was found to be moderately high for service users (0.795) and staff (0.852) when ratings were made two weeks apart. Similar levels were found for ratings of unmet needs (0.813 and 0.699, respectively). The average interview time was 23 minutes. CANFOR has good validity and reliability, and is suitable for further testing with other service user groups.

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“…Taylor et al, 1991;Murray et al, 1994;Shaw et al, 1994;Maden et al, 1995;NHSE, 1995;Shaw et al, 2001). These findings have informed the debate about the future of high security hospitals (Thake et al, 1998), to the extent that regions have been set the target of reducing the number of patients in high security by one-third.…”

Section: Introductionmentioning

confidence: 92%

The treatment and security needs of patients in special hospitals: views of referring and accepting teams

Sayal

Maden

2002

Criminal Behav Ment Health

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It may be more realistic to plan future services on the basis that only 9% of patients are misplaced, rather than the previous estimates that appear to have guided current policy. Patients detained under the legal category of psychopathic disorder present particular problems and there is a need to develop appropriate facilities at medium secure level. In the meantime, no patients should be admitted to high security without consultation with the catchment area service and a jointly agreed plan for future rehabilitation.

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The North-West Region. I: Clinical features and placement needs of patients detained in Special Hospitals

Cited by 31 publications

References 4 publications

A review of recent academic literature on the characteristics of patients in British special hospitals

A review of recent academic literature on the characteristics of patients in British special hospitals

The reliability and validity of the forensic Camberwell Assessment of Need (CANFOR): a needs assessment for forensic mental health service users

The treatment and security needs of patients in special hospitals: views of referring and accepting teams

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