Academic literature on the topic 'Secure psychiatric'

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Journal articles on the topic "Secure psychiatric"

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Exworthy, Tim. "Secure psychiatric services." Current Opinion in Psychiatry 13, no. 6 (November 2000): 581–85. http://dx.doi.org/10.1097/00001504-200011000-00019.

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Taylor, John, and Patricia Healy. "Education in secure psychiatric units." British Journal of Forensic Practice 3, no. 4 (December 2001): 3–7. http://dx.doi.org/10.1108/14636646200100021.

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Scannell, T. D. "SECURE ACCOMMODATION IN PSYCHIATRIC HOSPITALS." Lancet 328, no. 8502 (August 1986): 347. http://dx.doi.org/10.1016/s0140-6736(86)90037-1.

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Gordon, Harvey. "Suicide in secure psychiatric facilities." Advances in Psychiatric Treatment 8, no. 6 (November 2002): 408–17. http://dx.doi.org/10.1192/apt.8.6.408.

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Suicide may be defined as intentional self-killing, although the definition has been the subject of critical review (Fairbairn, 1995). As the determination of whether intent was present at the time of death by suicide can be difficult, coroner's inquests tend to underestimate the number of suicides. At the time of suicide, the vast majority of people are suffering from some form of mental disorder, although there may, exceptionally, be a few rational suicides. Suicide is a relatively uncommon event, but the possibility of suicide by those with mental disorders is always a potential hazard faced by health and allied professionals responsible for their care. Detention of a patient in hospital under mental health legislation is often precipitated by concern regarding risk of self-harm and/or risk of harm to others and potential for absconding and, at times, admission to a locked or secure facility is necessary. Detained patients in secure facilities include both offender patients, admitted through the courts or transferred during sentence from prison, and patients on civil orders under sections 2 or 3 of the Mental Health Act 1983. The relationship between suicidal behaviour and that which is violent or homicidal is complex but relevant to an understanding of the phenomenon of suicide in secure conditions.
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Natarajan, Muthusamy, and Jayanth Srinivas. "Relationships in secure psychiatric units." Psychiatric Bulletin 33, no. 1 (January 2009): 39. http://dx.doi.org/10.1192/pb.33.1.39.

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Mills, Alan. "Incident reports in secure psychiatric units." Nursing Standard 12, no. 6 (October 29, 1997): 34–35. http://dx.doi.org/10.7748/ns.12.6.34.s46.

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BOAST, NEIL, and PAUL CHESTERMAN. "BLACK PEOPLE AND SECURE PSYCHIATRIC FACILITIES." British Journal of Criminology 35, no. 2 (1995): 218–35. http://dx.doi.org/10.1093/oxfordjournals.bjc.a048495.

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Thomas, Stuart D. M., Mairead Dolan, Jenny Shaw, Samantha Thomas, Graham Thornicroft, and Morven Leese. "Redeveloping Secure Psychiatric Services for Women." Medicine, Science and the Law 45, no. 4 (October 2005): 331–39. http://dx.doi.org/10.1258/rsmmsl.45.4.331.

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Historically, a substantial proportion of women have been unduly detained in conditions of high security in England due to the lack of suitable alternative facilities. There have been no studies that have comprehensively examined the individual needs of these women in relation to their placement needs. A cross sectional survey was undertaken of the individual and placement needs of all females detained in the three high security psychiatric hospitals (HSPHs) in England on 18th October 1999. Whilst there are clearly differences in accommodation needs among the women, those requiring lower secure services are significantly less likely to have needs in relation to violence (OR 0.29, 95% CI 0.14-0.62) and drugs (OR 0.29, 95% CI 0.12-0.67) when length of stay is taken into account. They also have lower security, treatment and dependency needs than women still requiring HSPH treatment. A significant reorganisation of services is required. There is a need to gain further understanding of the relationships between traumatic histories, clinical presentation and antisocial behaviour and how these impact on assessed risk, treatment and care needs and outcome. The special needs of these women should be considered a priority when developing treatment and care packages.
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COID, J., N. KAHTAN, A. COOK, S. GAULT, and B. JARMAN. "Predicting admission rates to secure forensic psychiatry services." Psychological Medicine 31, no. 3 (April 2001): 531–39. http://dx.doi.org/10.1017/s003329170100366x.

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Background. The planning and development of secure forensic psychiatry services for mentally disordered offenders in England and Wales has proceeded independently within different regional areas. However, certain mental disorders, offenders, and offending behaviour are all more prevalent in geographical areas characterized by socio-economic deprivation and social disorganization. Failure to consider these factors has led to inadequate service provision in some areas and inequity in funding. A new model is required to predict admissions to these services as an aid to resource allocation.Method. Actual admissions (N=3155) to high and medium secure psychiatric services for seven of 14 (pre-reorganization) Regional Health Authorities, 1988–94. Expected admissions were calculated for each district using 1991 census data adjusted for under-enumeration. Standardized psychiatric admission ratios were calculated and a range of social, health status, and service provision data were used as explanatory variables in a regression analysis to determine variation between districts.Results. Actual psychiatric admissions varied from 160% above to 62% below expected for age, sex, and marital status, according to patients' catchment area of origin, measured according to deciles of the distribution of underprivileged area scores at ward level. The most powerful explanatory variables included a composite measure of social deprivation, ethnicity and availability of low secure beds at regional level.Conclusion. Admission rates to secure forensic psychiatry services demonstrate a linear correlation with measures of socio-economic deprivation in patients catchment area of origin. A model was developed to predict admissions from District Health Authorities and is recommended for future use in resource allocation. Identification of factors that explain higher admission rates of serious offenders with mental disorder from deprived areas is a priority for future research.
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Hill, Simon A., Gregory Mather, and Richard Laugharne. "Attitudes of psychiatrists towards forensic psychiatry: a survey." Medicine, Science and the Law 47, no. 3 (July 2007): 220–24. http://dx.doi.org/10.1258/rsmmsl.47.3.220.

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Forensic psychiatry has been rapidly expanding in recent years and more NHS forensic beds are planned. This study aimed to examine the attitudes of psychiatrists towards forensic psychiatry. A questionnaire was given to psychiatrists attending a regional Royal College of Psychiatrists conference. In addition forensic psychiatrists were surveyed in the two local regional secure units. Ninety-eight psychiatrists, including twenty-four forensic psychiatrists, completed the questionnaire. Forensic and non-forensic psychiatrists tended to agree with the expansion in forensic beds. Non-forensic psychiatrists wanted a lower threshold for admission to secure units. Forensic psychiatrists disagreed. Non-forensic psychiatrists tended to feel that forensic psychiatry has been over-funded compared with other psychiatric services. They also commented that forensic services should integrate more closely with other non-secure psychiatric services and should offer more community forensic services rather than concentrating care on in-patients. Forensic services should consider what services they provide and try to meet the desires of secondary services, such as more community forensic services and greater integration with other psychiatric services.
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Dissertations / Theses on the topic "Secure psychiatric"

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Watson, William. "Haven of change : the history of a secure psychiatric hospital." Thesis, University of Cambridge, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.259691.

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Bartlett, A. E. A. "Power without glory : the culture of a secure psychiatric hospital." Thesis, University of Cambridge, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.596433.

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Smithtown is a Special Hospital. It is designed to detain and treat individuals with a combination of mental disorder and dangerous antisocial behaviour. This is the first anthropological study of ward life in such a setting in the UK. The tensions generated by undertaking an anthropological project within a institution, whose daily practice and research rely heavily on a medical model of inquiry, are exposed. These tensions are encapsulated in the multiple social identities of the author. Their relevance to the fieldwork and to the creation of the anthropological "other" are discussed. It is then argued, from this specific case that, while at ease with the subjectivity of a social identity, anthropology needs to incorporate more individual elements of the anthropological "self" into contemporary fieldwork. This requires theoretical development of the relationship aspects of fieldwork. The study moves on to describe and compare the social relations and social practice on three wards, two male and one female, within Smithtown. The study was undertaken at a time when there was a mandate for organisational change; managers running the hospital perceived the culture of Smithtown as a problem in itself. The thesis uses ward-based ethnographic material on social relations and social practice to consider the adequacy of anthropological and managerial understandings of culture. Neither ideational or observable anthropological concepts of culture are sufficient, in isolation, for the Smithtown situation. Within Smithtown there is an easily observed social hierarchy, reliant on the primary social categories of staff and patient. It is argued that managerial emphasis on staff fails to acknowledge the interdependence and ambiguity of staff and patient identities. Correspondingly, there has been a neglect of the significance both of patient roles and values, and the importance of the built environment, for ward based social identities and related social practice.
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Garman, Gavin. "Violence, self harm and absconding in a secure psychiatric service." Thesis, University of Reading, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.414723.

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Dickens, Geoff. "Nursing in secure and forensic psychiatry : contexts, contributions and concepts." Thesis, University of Northampton, 2011. http://nectar.northampton.ac.uk/8854/.

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Wilkes, Victoria Louise. "Predicting length of stay in a male medium secure psychiatric hospital." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3772/.

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This thesis examines factors associated with length of hospital stay for mentally disordered offenders, detained within the medium secure psychiatric estate. Following an introduction, Chapter two presents a systematic literature review examining the current literature on factors that predict length of stay for patients detained in medium secure hospitals. Mixed results were found. There was limited convergence across clinical and forensic variables investigated, but greater consensus on what is not associated with length of stay. The limited research available and inconsistencies found indicates the need for further research. Chapter three comprises an empirical research study, investigating which variables within a population of male mentally disordered offenders predict length of stay within a regional, medium secure psychiatric hospital. Preliminary analyses revealed statistically significant relationships between length of stay and nine variables. Effect sizes were small to medium. Logistic regression revealed a statistically significant relationship between length of stay of two years or more and having a diagnosis of schizophrenic disorder. Chapter four presents a critical review of the Historical, Clinical, Risk–20 Violence Risk Assessment (HCR-20) (Version 2), a widely adopted risk assessment framework utilised within forensic psychiatry and the standardised measure used within the empirical study. The review explores the literature on the reliability and validity of the HCR-20, and considers its strengths and limitations. A discussion of the work presented concludes the thesis.
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Parkinson, John. "Black Caribbean men in high secure psychiatric care : a descriptive-interpretative analysis." Thesis, Anglia Ruskin University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.248823.

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Over-representation of black men in psychiatric detention is a matter of concern. At Rampton Hospital in the nineteen nineties thirty percent of male mentally ill admissions were Black Caribbean, increasingly born in the United Kingdom. Effects of this have been recorded and discussed by inquiries into secure psychiatric care. Research into the perceptions of treatment of Black Caribbean users of mental health services has been recommended. Adopting a sociological perspective has been urged especially methods that seek to understand participants in their own terms. The present study adopts an inductive phenomenological approach to reflect the beliefs of this population; and their views concerning effects of race, illness, treatment and punishment. All consenting members of the population were interviewed and this data audiotaped and transcribed. Reflexive analysis utilised Ethnograph, a program for qualitative analysis. A classification of types of qualitative analytic theory in relation to the use of qualitative analysis programs helped define theoretical claims for the analysis. Analytic techniques based on Grounded Theory were used to develop an organising system from the reduced data. Validation of transcripts and coding included both participants and independent experts. Stage One involved four interviews; followed by revision of the interview schedule. Stage Two involved nine further interviews. This data was combined with participant feedback from validation. The organising system of clearly defined coded categories and their relationships was used in executing an analytic strategy of matrix and network displays, which enhances analytic transparency. This first produced displays and narratives for each participant; data reduction, which then supported cross-case analysis of important emerging themes and an analysis of causal streams. These streams were combined in a causal model from which propositions were derived. This research is innovative with this population and in the methods of analysis adopted. Relationships of race, beliefs, identity, treatment and punishment to mode of detention, adaptation and compartmentalisation have emerged and been examined.
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LeMay, Carrie C., Jill D. Stinson, Lydia L. Eisenbrandt, Courtney Smith, and Megan Quinn. "Polypharmacy Among Psychiatric Inpatients With Serious Mental Illness in Secure Forensic Care." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7951.

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Polypharmacy is broadly defined as the administration of more than one medication in a single patient, with the most commonly used definition indicating the concurrent use of five or more medications. Polypharmacy occurs in most clinical settings, particularly inpatient settings and treatment settings for persons with chronic illness and the elderly. Reasons for receiving more than one medication include ineffective treatment with monotherapy, targeting specific but varied symptoms, treating two distinct but co-morbid illnesses, addressing unremitting symptoms, and treating extrapyramidal side effects. Research indicates that each medication added to the patient’s regimen increases the likelihood of an adverse outcome, as well as the risk of adverse drug reactions, drug-to-drug interactions, cumulative toxicity, medication errors, patient non-compliance, patient morbidity, and patient mortality. The current study seeks to investigate the rates of polypharmacy and related characteristics predictive of polypharmacy within a forensic psychiatric setting. A total of 182 patients residing in a secure forensic psychiatric hospital were selected. The sample is predominantly male (80.8%, n=147) and majority Caucasian (55.5%, n=101), African American (40.1%, n=73), and Hispanic (2.2%, n=4), with a mean age of 43.5 (SD=13.2). Participants range from persons with at least one mental health disorder (100%, n=182) to persons with at least one chronic illness (74.5%, n=132). Of those currently taking medications, 99.2% have been prescribed more than one type of medication, with 93.1% of those individuals being prescribed four or more. Polypharmacy was observed in 91% of participants. Of those diagnosed with a mood or psychotic disorder, an average of 3.6 different types of psychotropic medications were prescribed. Co-morbidity of mental illness was predictive of polypharmacy trends, F(1,181)=5.28, p<.05. Additionally, individuals with at least one chronic illness also were subjected to polypharmacy practices, with rates increasing for those with more than one chronic illness. As a measure of onset and severity of symptoms, age at first hospitalization and age of onset of aggressive behaviors were measured, and, interestingly, both measures were predictive of polypharmacy within these patients, F(1, 181)=13.45, p<.01. Results indicate that perceived severity of symptomology, aggression, and complex health problems all contribute to polypharmacy practices among prescribing physicians. The high rates of polypharmacy observed are concerning because of the potential for increased aversive health outcomes. Understanding the predictive factors, rates, and trends of polypharmacy has valuable implications for the future treatment and rehabilitation of individuals residing in a forensic psychiatric setting.
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Gallagher, Martin. "Implementing computer assisted cognitive remediation in a high secure forensic psychiatric setting." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/14237.

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Introduction This thesis has two aims. The first was to systematically review the literature on the effect of computer assisted cognitive remediation (CACR) for schizophrenia on psychosocial functioning, with a focus on methodological quality and efficacy. The second aim was to evaluate the implementation of CACR in a high secure forensic setting. Method Database searches and hand searches returned 16 randomised controlled trials of CACR that included a functional outcome measure. These were reviewed against predefined quality criteria and effect sizes were calculated. In addition, an uncontrolled pre-post test design was used to evaluate the implementation of CACR in a high secure forensic hospital. Attrition rates, predictors of attrition, and participant feedback were evaluated, along with symptom and functional outcomes. Results The systematic review found a range of methodological limitations. Studies that did not share these limitations did not provide evidence that CACR improves psychosocial functioning. However, CACR may be effective in improving functional outcomes when delivered alongside interventions targeting functional skills. The experimental study found a high attrition rate; poor adherence to the treatment protocol; no clinical, risk or demographic factors to distinguish treatment completers from those dropping out during treatment; and few improvements to performance on treatment activities or functional outcome measures. Conclusion The systematic review indicates that more methodologically rigorous research is required. Future studies with a general psychiatric population should examine the effect of CACR delivered in conjunction with interventions that aim to develop functional skills. Motivational deficits may have undermined the outcomes of the experimental study and it will be important to ensure the delivery of CACR in forensic psychiatric settings is designed to incorporate strategies for enhancing motivation. In addition, using CACR to target functional outcomes may be inappropriate within a high secure forensic setting. The role of CACR as in managing risk and enhancing the outcomes of other interventions should be explored.
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Chabinska, Joanna. "Burnout, depression and job satisfaction in acute psychiatric and secure mental health settings." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/23570.

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Chapter 1: Objective: The systematic review aimed to review the literature on burnout and its relationship to depression within the acute in-patient mental health services: psychiatric units and specifically, secure forensic mental health services. Methods: The review process included a systematic search across five databases (Medline, PsychINFO, Cinahl Plus, EMBASE and SCOPUS). Eligible studies included a cross-sectional design, using validated measures on burnout and depression. Results: A strong relationship between depression and emotional exhaustion was found. The relationship between depression and two other burnout dimensions (personal accomplishment, depersonalisation) was weaker and better explained in the context of other predicting (anxiety) and mediating (transformational leadership) variables. While depression severity across the studies was mostly mild with average burnout, service-specific variations were observed. Chapter 2: Objective: The empirical study aimed to explore any direct relationships of subjectively perceived understanding, predictability, control (job demands) with burnout and job satisfaction, and direct/in-direct effects of social support, psychological mindedness and psychological inflexibility (external and internal resources) on these relationships. Methods: Data was collected among Scottish National Health Service (NHS) employees (n=198) working in secure mental health services; forensic (58.65%) or intellectual disability (41.35%). Data gathered from the final sample of 141 nursing staff was analysed using t-tests, bi-variate correlations, hierarchical regressions and a series of mediation, moderation and moderated-mediation analyses. Results: The empirical study revealed that individual burnout dimensions were predicted by different job demands. Social support appeared as predictor rather than a moderator of job satisfaction and emotional exhaustion while psychological inflexibility was a mediator for job demands and burnout. Overall Conclusions: Concluding remarks for both, systematic review and empirical study, identify the need for further research, especially within the forensic mental health speciality. Both highlight that direct and in-direct effects may be important in explaining burnout while the empirical study makes further suggestion with regards to likely individualised pathways and two important resources of social support and psychological flexibility.
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Sandy, Peter Thomas. "Exploration of psychiatric nurses' attitudes towards service users who self-harm in secure environments." Thesis, Bucks New University, 2011. http://bucks.collections.crest.ac.uk/9632/.

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The literature is clear that self-harm is a serious and widespread behaviour among people with mental health problems, often causing distress to the individuals involved. This issue rightly causes concern among healthcare professionals, whose role it is to safeguard people with mental health problems. Noted in the literature is an apparent differential perception between professionals and service users of the underlying motives for self-harming behaviours in mental health services. This gulf in perception appears to have an impact on the relationship between service users and healthcare professionals, and the care received by the former. What is less clear from the literature is healthcare professionals` experience of self-harm in secure psychiatric settings. This study attempts to fill this knowledge gap by investigating the attitudes and perceptions of healthcare professionals toward self-harm in secure settings. This research, which adopted a multi-method phenomenological approach, was conducted just over four years. The study was conducted in a range of secure environments within a large mental health Trust in southern England. It involved 25 individual interviews and six focus groups to uncover the perceptions of healthcare professionals toward this phenomenon. The data were analysed using Interpretative Phenomenological Analysis according to the procedure recommended by Smith et al (2009). The chief finding is that healthcare professionals have mixed attitudes towards self-harm, but mainly negative ones, which in the main relate to the impact of self-harm and to limited knowledge and skills. This knowledge and skill deficit has implications for effective care provision and recommendations are made to improve this. Routine education about self-harm should be provided for healthcare professionals in secure settings in order to develop their confidence and competence in care provision and communication. Additionally, formal supervision should focus on self-harm management, and staff meetings conducted for the sharing of ideas about how to address challenges. A range of strategies are used by healthcare professionals to cope with the impact of self-harm. Apart for seeking knowledge, staff meetings and supervision, teamworking and blaming service users approaches were also utilised. This is the first study to investigate self-harm within secure settings using this methodology. Its findings provide much needed information.
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Books on the topic "Secure psychiatric"

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Moss, Katrina Rachel. Medium secure psychiatric provision in the private sector. Manchester: Universityof Manchester, 1997.

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Watson, William. Haven of change: The history of a secure psychiatric hospital. Cambridge: [s.n.], 1992.

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Parry-Crooke, Georgie. Good girls: Surviving the secure system : a consultation with women in high and medium secure psychiatric settings. London: University of North London, 2000.

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Great Britain. Social Services Inspectorate. An inspection of social work in the medium secure units. [London?]: Dept. of Health, 1996.

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Jeffcote, Nikki, and Tessa Watson. Working therapeutically with women in secure mental health settings. London: Jessica Kingsley Publishers, 2004.

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Institutions observed: Towards a new concept of secure provision in mental health. London: King Edward's Hospital Fund for London, 1986.

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Great Britain. Department of Health. Mental health policy implementation guide: National minimum standards for general adult services in Psychiatric Intensive Care Units (PICU) and low secure environments. London: Department of Health, 2002.

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Therapists, College of Occupational, ed. Occupational therapists' use of occupation-focused practice in secure hospitals: Practice guideline. London: College of Occupational Therapists, 2012.

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International Conference on Critical Risk--Quality Care (1987 Toronto). Adolescents in secure settings: Papers presented at the International Conference on Critical Risk--Quality Care, October 27-30, 1987 Toronto, Ontario. Edited by Roberts Roberta 1936-. Etobicoke, Ont: Thistletown Foundation, 1987.

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Romano, Anne T. Taking charge: Crisis intervention in criminal justice. New York: Greenwood Press, 1990.

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Book chapters on the topic "Secure psychiatric"

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Foster, Sheena, and Peter Bates. "Forensic Carers and Secure Inpatient Services." In Long-Term Forensic Psychiatric Care, 219–31. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-12594-3_15.

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McGuire, Frank, Julie Carlisle, and Fiona Clark. "Trauma-Informed Care in Secure Psychiatric Hospitals." In Trauma-Informed Forensic Practice, 348–62. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003120766-26.

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Holley, Jessica, and Tim Weaver. "The Experience of Long-Stay in Secure Psychiatric Hospitals in the UK: The Patient Perspective." In Long-Term Forensic Psychiatric Care, 199–217. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-12594-3_14.

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Brown, Steven D., and Paula Reavey. "Institutional Forgetting/Forgetting Institutions: Space and Memory in Secure Forensic Psychiatric Care." In Institutions Inc., 7–29. London: Palgrave Macmillan UK, 2016. http://dx.doi.org/10.1057/9781137481498_2.

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Kotze, Beth. "The Policy Context and Governance." In Longer-Term Psychiatric Inpatient Care for Adolescents, 161–67. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-1950-3_18.

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AbstractThe Walker Unit opened in 2009 as the first of its kind in Australia to provide an intensive longer stay secure psychiatric inpatient rehabilitation programme for adolescents with severe mental illness who had not benefited from at least one but generally repeated admissions or prolonged care in other tertiary inpatient unit settings. Unusually, this happened at a time when the focus of reform in mental health at a State and National level is on community models, early intervention and community residential care rather than extended inpatient care in the specialist clinical sector. As a first of its kind, the Unit is an important innovation in inpatient mental health care and has garnered a reputation in the clinical sector for creating value in mental health care.
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Ho, Stephen, and Steve Hoare. "The Physical Environment." In Longer-Term Psychiatric Inpatient Care for Adolescents, 9–19. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-1950-3_2.

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AbstractMany readers will have worked in facilities that were once state-of-the-art in design, but have become unfit for the purpose. Capacity to modify the physical environment of a psychiatric unit in response to changing clinical need or practice is essential. The Walker Unit differs from adolescent units at other locations because of its larger internal footprint and greater secure outdoor space. Substantive modifications to the Walker Unit over time have included requisitioning of space to create a learning centre, modification of some bedrooms to create a parent retreat, the establishment of a sensory room, and repurposing of the seclusion area to become a de-escalation suite. The chapter will describe the physical environment of the Walker Unit referenced to Australasian Health Facility Guidelines, and current best practice.
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Perkins, Derek, and Adam J. Carter. "The treatment of sexual homicide offenders in secure psychiatric hospitals and prison settings for the purposes of risk reduction." In Routledge International Handbook of Sexual Homicide Studies, 370–81. 1 Edition. | New York : Routledge, 2018. | Series: Routledge international handbooks: Routledge, 2018. http://dx.doi.org/10.4324/9781315212289-23.

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Patel, Khyati. "Treatment of delusions of exceptionality in an adult male with sexual offences against children in a secure psychiatric setting." In Further Case Studies in Forensic Psychology, 62–84. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003213116-5.

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Carter, Adam J., and Derek Perkins. "The assessment of perpetrators of sexual homicide for the purposes of risk reduction in secure psychiatric hospital and prison settings." In Routledge International Handbook of Sexual Homicide Studies, 356–69. 1 Edition. | New York : Routledge, 2018. | Series: Routledge international handbooks: Routledge, 2018. http://dx.doi.org/10.4324/9781315212289-22.

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Buckley, Peter F. "Antipsychotic Polypharmacy in Schizophrenia: ‘Secret Sauce or Wild Abandon?’." In Polypharmacy in Psychiatry Practice, Volume II, 3–10. Dordrecht: Springer Netherlands, 2012. http://dx.doi.org/10.1007/978-94-007-5799-8_1.

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Conference papers on the topic "Secure psychiatric"

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"Psycho-Behavioral and Socio-Economic Characteristics of Juvenile Delinquency in Wasit Province at 2016 To 2020." In 4th International Conference on Biological & Health Sciences (CIC-BIOHS’2022). Cihan University, 2022. http://dx.doi.org/10.24086/biohs2022/paper.766.

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BACKGROUND: one of the serious behavioral problems that affect youth health mentally, physically and socially is Juvenile delinquency. The act by a juvenile is considered delinquency if it is considered a crime when committed by an adult, as well as illegal acts because of offenders age.OBJECTIVE: Is to determine the psycho-behavioral and socio-economic profile of juvenile offenders in Wasit Province. STUDY DESIGN: A cross-sectional hospital-based study targeted all delinquents (n=510) who referred by criminal courts to psychiatric unit for personality study using ICD-10 clinical based interview during 2016 to 2020. Data collected from files of offenders by a routine interviewing (with highly secured information). RESULTS: The mean age ±SD of the indicted was 17.9±2.9 years, male youths consist 96%, with a history of low socioeconomic status, 74% of them lived within family size of ≥7 members; 50% rank in 1st. to 3rd. in among all siblings in their families; 17% losses their fathers. Of total sample, one-half of offenders presented with school dropout and 44% engaged in premature labor. Most of youth presented with good mental health, sometimes they appear with consistent personality only 19 (4%) of them presented with speech and movement disorder, and unstable and uncooperative personality. Of 290 delinquents; 108 (37%) were tobacco smoker and 43 (15%) presented with tattoo. Dropout offenders presented with fourfold smoking and tattoo than students with an Odds Ratios of 3.8 (95% CI 2.25-6.4), and 4.0 (95% CI 1.9-8.7) respectively. 5% of youths have a history of previous offence. (38%) of offenders accused with theft or robbery crimes followed by homicide (16%) and physical fighting or scrimmage (12%). CONCLUSIONS: According to the psychiatric interview, the majority of the indicted were not mentally ill. Low socioeconomic status, live in large family, losses fathers, school dropout, and premature work all these factors may contribute to increase the burden of juvenile delinquency in Wasit province. The prevalence of healthy risk behavior in school dropout delinquents more than in students. Theft and robbery, homicide and physical fighting as a crimes were on the top of the list. Educational and health programs that encourage children to enrolled school and increase awareness of negative impact of juvenile delinquency on individual and community should be considered urgently.
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Reports on the topic "Secure psychiatric"

1

Shaw, Liz, Michael Nunns, Simon Briscoe, Amelia Mosley, Daniel Dalton, Rob Anderson, and Jo Thompson Coon. Evidence for specialist treatment of people with acquired brain injury in secure psychiatric services: systematic review and narrative synthesis. NIHR, August 2020. http://dx.doi.org/10.3310/hsdr-tr-130320.

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