Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T11:53:37.088Z Has data issue: false hasContentIssue false
  • English
  • Français

Women referred for medium secure inpatient care: a population study over a six-year period

Published online by Cambridge University Press:  06 July 2010

Clive Long ,
Louise Hall ,
Lorraine Craig ,
Ursula Mochty  and
Clive R. Hollin
Clive Long*
Affiliation:
St Andrews Healthcare
Louise Hall
Affiliation:
St Andrews Healthcare
Lorraine Craig
Affiliation:
St Andrews Healthcare
Ursula Mochty
Affiliation:
St Andrews Healthcare
Clive R. Hollin
Affiliation:
University of Leicester
*
Correspondence to: Dr C.G. Long, St Andrews Healthcare, Billing Road, Northampton, NN1 5DG. Tel: 01604 616307; Fax: 01604 616410; E-mail: clong@standrew.co.uk
Get access

Abstract

The need to map women’s secure hospital services in terms of patient population and service needs over time is acknowledged given: the increase in forensic and medium secure beds nationally; and limited gender specific analysis in previous studies. Data is presented relating to 65 consecutive admissions (over a 6-year period) to a women’s medium secure unit at three (14-month) time periods. Trends noted in population statistics include a decline in special hospital referrals and an increased proportion of prison referrals with an index offence of arson in the past two years in association with a lower level of cognitive functioning, and a higher level of assaultative behaviour. In accord with the responsivity principle (Ogloff & Davis, 2004) the implications for treatment and service planning for this changing population are discussed.

Keywords

Womenmedium secureforensicrisk
Type
Original Article
Information
Journal of Psychiatric Intensive Care , Volume 7 , Issue 1 , June 2011 , pp. 17 - 26
Copyright
Copyright © NAPICU 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baer, D.M. (1977) Perhaps it would be better not to know everything. Journal of Applied Behaviour Analysis. 10: 167–172.CrossRefGoogle Scholar
Bartlett, A. (2006) Second Expert Paper: social division & difference: women. NHS National Programme on Forensic Mental Health Research & Development, London. www.nfmph.org.ukGoogle Scholar
Bartlett, A., Johns, A., Fiander, M. and Jhawar, H. (2007) Report of the London Forensic Unit’s Benchmarking Study. London: NHS.Google Scholar
Bland, J., Mezey, G. and Dolan, B. (1999) Special women, special needs: descriptive study of female special hospital patients. Journal of Forensic Psychiatry. 10: 34–45.CrossRefGoogle Scholar
Blitz, C.L., Wolff, N. and Paap, K. (2006) Availability of behavioural health treatment for women in prison. Psychiatric Services. 57: 356–360.CrossRefGoogle ScholarPubMed
Chowdhury, N.A., Whittle, N., McCarthy, K., Bailey, S. and Harrington, R. (2005) Ethnicity and its relevance in a 7-year admission cohort to an English national adolescent medium secure health service unit. Criminal Behaviour in Mental Health. 15: 261–272.CrossRefGoogle Scholar
Coid, J. and Dunn, W. (2004) Forensic psychiatry assessments and admissions from East London, 1987–1994. Journal of Forensic Psychiatry & Psychology. 15: 76–95.CrossRefGoogle Scholar
Coid, J., Kahtan, N., Gault, S. and Jarman, B. (2000a) Women admitted to secure forensic psychiatric services I: comparison of women & men. Journal of Forensic Psychiatry. 11: 275–295.CrossRefGoogle Scholar
Coid, J., Kahtan, N., Gault, S. and Jarman, B. (2000b) Women admitted to secure forensic psychiatry services II: identification of categories using cluster analysis. Journal of Forensic Psychiatry. 11: 296–315.CrossRefGoogle Scholar
Councell, R. (2003) The Prison Population in 2002: A Statistical Review. Findings 228. London: Home Office.Google Scholar
Dent, E. (2006) The safer sex. Health Service Journal. 116: 24–26.Google ScholarPubMed
Department of Health (2009) Improving Health, Supporting Justice: The national delivery plan of the health and criminal justice programme board. London: Department of Health.Google Scholar
Dickens, G., Sugarman, P., Ahmad, F., Edgar, S., Hofberg, K. and Tewari, S. (2008) Characteristics of low IQ arsonists at psychiatric assessment. Medicine, Science & the Law. 48: 217–220.CrossRefGoogle ScholarPubMed
Dolan, M. and Lawson, A. (2001) Characteristics and outcomes of patients admitted to a psychiatric intensive care unit in a medium secure unit. Psychiatric Bulletin. 25: 296–299.CrossRefGoogle Scholar
Enayati, J., Grann, M., Lubbe, S. and Fazel, S. (2008) Psychiatric morbidity in arsonists referred for forensic psychiatric assessment in Sweden. The Journal of Forensic Psychiatry and Psychology. 19: 139–147.CrossRefGoogle Scholar
Flesch, R. (1948) A new readability yardstick. Journal of Applied Psychology. 32: 221–233.CrossRefGoogle ScholarPubMed
Gudjonsson, G. and Young, S. (2007) The role and scope of forensic clinical psychology in secure unit provisions: a proposed service model for psychological therapies. The Journal of Forensic Psychiatry & Psychology. 18: 534–556.CrossRefGoogle Scholar
Hassell, Y. and Bartlett, A. (2001) The changing climate for women patients in medium secure psychiatric units. Psychiatric Bulletin. 25: 340–342.CrossRefGoogle Scholar
Hill, S.A. (2006) The future of medium secure forensic psychiatry in Britain: a survey. Medicine, Science & the Law. 46: 245–247.CrossRefGoogle ScholarPubMed
Hillbrand, M. and Young, J.L. (2008) Instilling hope in forensic treatment: the antidote to despair and desperation. The Journal of the American Academy of Psychiatry & the Law. 36: 90–94.Google ScholarPubMed
Howells, K. and Day, A. (2007) Readiness for treatment in high risk offenders with personality disorders. Psychology, Crime & Law. 13: 47–56.CrossRefGoogle Scholar
Linehan, M. (1993) Cognitive-Behavioural Treatment of Borderline Personality Disorder. New York: Guildford Press.Google Scholar
Livesey, W.J. (ed) (2001) Handbook of Personality Disorders: theory, research & treatment. pp 570–600. New York: Guilford Press.Google Scholar
Long, C.G., Fulton, B. and Hollin, C.R. (2008) The development of a ‘best practice’ service for women in a medium secure psychiatric setting: treatment components and evaluation. Clinical Psychology and Psychotherapy. 15: 304–319.CrossRefGoogle Scholar
Loughran, M. and Seewoonarain, K. (2005) Characteristics of need and risk among women prisoners referred to inreach mental health services. British Journal of Forensic Practice. 7(3): 12–21.CrossRefGoogle Scholar
Ogloff, J.R.P. and Davis, M.R. (2004) Advances in offender assessment and rehabilitation: contributions of the risk-needs-responsivity approach. Psychology, Crime & Law. 10: 229–242.Google Scholar
Osnes, P.G. and Lieblein, T. (2003) An explicit technology of generalisation. The Behaviour Analyst Today. 3: 40–45.Google Scholar
Priebe, S., Badesconyi, A., Fioritti, A., Hansson, L., Kilian, R., Torres-Gonzales, F., Turner, T. and Wiersma, D. (2005) Reinstutionalisation in mental health care: comparison of data on service provision from six European countries. British Medical Journal. 330: 123–126.CrossRefGoogle ScholarPubMed
Ricketts, D., Carnell, H., Davies, S., Kaul, A. and Duggan, C. (2001) First admissions to a regional secure unit over a sixteen year period: changes in demographic and service characteristics. The Journal of Forensic Psychiatry. 12: 78–89.CrossRefGoogle Scholar
Rutherford, H. and Taylor, P.J. (2004) Transfer of women offenders with mental disorder from prison to hospital. Journal of Forensic Psychiatry & Psychology. 15: 108–123.CrossRefGoogle Scholar
Singleton, M., Meltzer, H., Gatward, R., Coid, J. and Deasy, D. (1998) Psychiatric morbidity among prisoners in England and Wales: The Report of a Survey carried out in 1997 by the Social Survey Division of the Office of National Statistics on behalf of the Department of Health. London: The Stationery Office.Google Scholar
Sugarman, P. and Walker, L. (2004) Health of the Nation Outcome Scales for Users of Secure Services. London: Royal College of Psychiatrists Research Unit.Google Scholar
Thomas, S., Harty, M.A., Parrott, J., McCrone, P., Slade, M. and Thorneycroft, G. (2003) Camberwell Assessment of Needs – Forensic Version. London: Gaskell.Google Scholar
Ward, T., Day, A., Howells, K. and Birgden, A. (2004) The multifactor offender readiness model. Aggression and Violent Behaviour. 9: 645–673.CrossRefGoogle Scholar
Webster, C.O., Douglas, K.S., Eaves, D. and Hart, S.D. (1997) HCR-20: Assessing Risk for Violence, Version 2. Burnaby, British Columbia: Simon Fraser University.Google Scholar
Weschler, D. (1999a) Weschler Adult Intelligence Scale – Third UK Edition (WAIS-III UK). Administration and scoring manual. PsychCorp.Google Scholar
Weschler, D. (1999b) Weschler Abbreviated Scale of Intelligence (WASI). PsychCorp.Google Scholar
Wheatley, M. (1998) The prevalence and relevance of substance use in detained patients. The Journal of Forensic Psychiatry. 9: 114–129.CrossRefGoogle Scholar
Wheatley, M., Waine, J., Spence, K. and Hollin, C.R. (2004) Characteristics of 80 adolescents referred for secure inpatient care. Clinical Psychology & Psychotherapy. 11: 83–89.CrossRefGoogle Scholar
World Health Organisation (1992) The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: World Health Organisation.Google Scholar
Yudofsky, S.C., Silver, J.M., Jackson, W., Endicott, J. and Williams, D. (1986) The Overt Aggression Scale for the objective rating of verbal and physical aggression. American Journal of Psychiatry. 143: 35–39.Google ScholarPubMed