Validation of the “Security Needs Assessment Profile” for measuring the profiles of security needs of Chinese forensic psychiatric inpatients

Siu, Bonnie W.M.; Au-Yeung, Cherie C. Y.; Chan, Anita W.L.; Chan, L.S.Y.; Yuen, K. K.; Leung, H.W.; Yan, C. K.; Ng, K.K.; Lai, Anita C.H.; Davies, Steffan; Collins, Mick

doi:10.1016/j.ijlp.2017.05.001

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…Relational security involves the staff's detailed understanding of the patients receiving secure care and ways of managing those patients, which will be further described subsequently in this report. Overall, therapeutic security involves the combination of these three domains of security (Collins & Davies, ; Siu et al, ).…”

Section: Introductionmentioning

confidence: 99%

Measuring the profiles of the security needs of forensic psychiatric inpatients: Validation of the See, Think, Act Scale

Siu

Au-Yeung

Chan

et al. 2018

Asia-Pacific Psychiatry

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Introduction This study aimed to develop and validate a Chinese version of the See, Think, Act Scale (C‐STA). The relational security of the Department of Forensic Psychiatry of Castle Peak Hospital, which provides territory‐wide forensic psychiatric services in Hong Kong, was measured. Methods The See, Think, Act Scale was first translated into Chinese, then back‐translated into English for comparison, and finally, subject to modification until alignment was achieved. Its content validity and face validity were explored through expert panel evaluation and focus group discussion, respectively. Eighty‐nine Chinese mental health professionals were recruited from six service units to measure the relational security of the Department of Forensic Psychiatry using the C‐STA. Results The Cronbach's alpha coefficient for internal consistency was high, with all components exceeding 0.90. The intraclass correlation coefficients for the test‐retest reliability of all components ranged from 0.50 to 0.72. Participants had the lowest score on the “patient focus” component (M = 2.56, standard deviation [SD] = 0.32). A significant sex difference in total relational security scores was found (P < 0.001). Discussion The C‐STA is a valid and reliable instrument to measure the relational security of forensic psychiatric services. “Patient focus” might be the target component of relational security for which the Department of Forensic Psychiatry needs to have interventions. The significant sex difference in total relational security scores needs further exploration.

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Section: Introductionmentioning

confidence: 99%

Measuring the profiles of the security needs of forensic psychiatric inpatients: Validation of the See, Think, Act Scale

Siu

Au-Yeung

Chan

et al. 2018

Asia-Pacific Psychiatry

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“…There were also no significant differences across ‘medium’, ‘low’ and ‘open’ secure units with respect to relational security SNAP scores. As noted elsewhere, 5,11 the latter null findings are probably due to the various common characteristics and skill-mix of staff working in these types of units, and the fact that low and open secure units mainly only differ according to the degree of independent living provided.…”

Section: Resultsmentioning

confidence: 73%

“…9 The SNAP has been shown to have practical utility, with face and content validity reported in UK studies 5,9 and has been used in forensic mental health services in the UK and internationally. 5,10,11 Procedurally, each secure unit was asked to form an expert group to help complete a SNAP assessment for their secure unit; in practice these groups were comprised of a variety of clinical and managerial staff. SNAP items were assessed via consensus opinion; data were collected between December 2014 and July 2015.…”

Section: Methodsmentioning

confidence: 99%

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How secure are the secure psychiatric units in New South Wales?

Adams¹,

Thomas

Mackinnon³

et al. 2018

Australas Psychiatry

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Objectives: To evaluate the therapeutic security characteristics of the secure forensic mental health inpatient units in New South Wales, Australia. Methods: This study evaluated all eight secure inpatient units in New South Wales using a validated tool, the Security Needs Assessment Profile. Results: A pattern of decreasing therapeutic security across the secure units was found, consistent with their intended security levels, from high security through to open security. However, important inconsistencies across and between levels of security were highlighted. Conclusions: This study clarifies the therapeutic security structure of the New South Wales forensic mental health service, which is an essential first step in service development and reform.

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An exploration of MDT views on key factors to consider when determining a service users required level of security

Khan

Chidambaram

Thomson³

et al. 2019

JFP

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Purpose The purpose of this paper is to identify what key factors multi-disciplinary teams (MDT) deem as most important when making the decision to move service users from one level of security (including low, medium and high secure services) to another. The researchers used the findings from this study to further develop a tool; the assessment for level of security tool (ALS), which aims to structure and streamline this decision-making process. Design/methodology/approach Data from 18 interviews (MDT staff) were analysed using the Delphi technique (Dalkey and Helmer, 1963). This revealed a range of factors discussed when considering service users moves. Participants were asked to rate these factors in accordance with the Delphi which resulted in the removal of certain less important factors based on their scores. The researchers then compared these factors of relevance with a checklist of 16 items previously proposed by a consultant psychiatrist within the trust. This comparison allowed the researchers to highlight any similarities and differences present. Findings Findings from staff interviews revealed a range of 20 clinical factors perceived as essential to this process including procedural, relational and physical security aspects. However, variations were evident between the MDT priorities (20 items) and the originally proposed list. This emphasised the need for a tool which facilitates a holistic and streamlined approach. Practical implications The findings from this research have resulted in the development of the ALS tool comprising of 18 key factors. Originality/value It is envisaged the development of the ALS tool will not only facilitate and structure the decision-making process but also ensure a person-centred approach. This is because the ALS allows for a holistic approach based on an array of factors deemed important to that particular service user. Furthermore, the ALS tool contributes towards the paucity of published structured professional judgement tools needed to make such decisions.

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Validation of the “Security Needs Assessment Profile” for measuring the profiles of security needs of Chinese forensic psychiatric inpatients

Cited by 3 publications

References 11 publications

Measuring the profiles of the security needs of forensic psychiatric inpatients: Validation of the See, Think, Act Scale

Measuring the profiles of the security needs of forensic psychiatric inpatients: Validation of the See, Think, Act Scale

How secure are the secure psychiatric units in New South Wales?

An exploration of MDT views on key factors to consider when determining a service users required level of security

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