scholarly journals Peripheral recovery: ‘Keeping safe’ and ‘keep progressing’ as contradictory modes of ordering in a forensic psychiatric unit

2021 ◽  
pp. 026377582110130
Author(s):  
Laura McGrath ◽  
Steven D Brown ◽  
Ava Kanyeredzi ◽  
Paula Reavey ◽  
Ian Tucker
Keyword(s):  
Psychiatric Unit ◽  
Therapeutic Landscape ◽  
Criminal Justice Systems ◽  
Psychiatric Units ◽  
Carceral Geography ◽  
Forensic Psychiatric ◽  
The Uk ◽  
Institutional Space ◽  
Photo Production ◽  
Modes Of Ordering

Sitting between the psychiatric and criminal justice systems, and yet fully located in neither, forensic psychiatric units are complex spaces. Both a therapeutic landscape and a carceral space, forensic services must try to balance the demands of therapy and security, or recovery and risk, within the confines of a strictly controlled institutional space. This article draws on qualitative material collected in a large forensic psychiatric unit in the UK, comprising 20 staff interviews and 20 photo production interviews with patients. We use John Law’s ‘modes of ordering’ to explore how the materials, relations and spaces are mobilised in everyday processes of living and working on the unit. We identify two ‘modes of ordering’: ‘keeping safe’, which we argue tends towards empty, stultified and static spaces; and ‘keep progressing’ which instead requires filling, enriching and ingraining spaces. We discuss ways in which tensions between these modes of ordering are resolved in the unit, noting a spatial hierarchy which prioritises ‘keeping safe’, thus limiting the institutional capacity for engendering progress and change. The empirical material is discussed in relation to the institutional and carceral geography literatures with a particular focus on mobilities.

scholarly journals Anti-bullying policy in child and adolescent psychiatric units

1998 ◽  
Vol 22 (9) ◽  
pp. 557-559
Author(s):  
Stephanie Sommers ◽  
Lucia Whitney
Keyword(s):  
Child And Adolescent ◽  
Bullying Policy ◽  
Psychiatric Units ◽  
The Subject ◽  
The Uk

Bullying is a common problem. There has been much written on the subject, mainly relating to schools. In this study a questionnaire was sent to 66 child and adolescent psychiatric units in the UK, 50 (75%) were returned. The units were surveyed on frequency of bullying, whether an anti-bullying policy was in place and whether difficulties had been encountered setting up the policy. An anti-bullying policy was present in only 10% of units. Further research is needed on bullying and appropriate and effective methods of dealing with it on child and adolescent psychiatric units.

scholarly journals Registration of aggressive incidents in an adolescent forensic psychiatric unit and implications for further practice

2014 ◽  
Vol 23 (9) ◽  
pp. 823-833 ◽  
Author(s):  
S. Tremmery ◽  
M. Danckaerts ◽  
L. Bruckers ◽  
G. Molenberghs ◽  
M. De Hert ◽  
...  
Keyword(s):  
Psychiatric Unit ◽  
Forensic Psychiatric

scholarly journals Escapes and absconding from secure psychiatric units

2010 ◽  
Vol 34 (3) ◽  
pp. 81-82 ◽  
Author(s):  
Tim Exworthy ◽  
Simon Wilson
Keyword(s):  
Psychiatric Patients ◽  
Therapeutic Use ◽  
Post Discharge ◽  
Psychiatric Units ◽  
The Uk ◽  
Radio News

SummaryA prominent radio news programme reported on escapes from secure psychiatric units in the UK and linked that with subsequent offending by psychiatric patients. The report cited did not distinguish between escapes and absconding but, it is argued here, these are very different activities. The acceptable rate both for escapes and absconding from secure psychiatric units is not defined. A certain level of absconding is a consequence of the therapeutic use of leave, which, as part of rehabilitation, is likely to be linked with a reduced reoffending rate post-discharge.

Advancing commission scholarship by inferring leadership legacy motivations from commission reports: The case of Sir Michael Lyons

2017 ◽  
Vol 33 (2) ◽  
pp. 216-237 ◽  
Author(s):  
Joe Wallis ◽  
Tor Brodtkorb ◽  
Brian Dollery
Keyword(s):  
Local Government ◽  
Stakeholder Engagement ◽  
Short Term ◽  
Leadership Identity ◽  
The Uk ◽  
Institutional Space

This article contributes to commission scholarship by exploring how and why chairs use their reports to shape their leadership legacies. It distinguishes two types of legacy – fiduciary and expressive – that chairs shape through their reports. The expressive legacy of the chair can be shaped through judgements about the scope of stakeholder engagement and agenda adjustment that generate four types of leadership identity: conservator, consolidator, advocate and catalyst. We explore the particular ways in which the chair of the Lyons Inquiry into Local Government in the UK used his three reports to shape his legacy. Through his distinctive integration of historical and contemporary perspectives into a leading vision for local government, he expressed a consolidator identity with his short-term recommendations and a catalytic identity with his far-reaching envisioning of the institutional space within which a greater place-shaping role for local government could be established.

scholarly journals 24. Prison architecture and design: perspectives from criminology and carceral geography

2017 ◽  
Author(s):  
Yvonne Jewkes ◽  
Dominique Moran
Keyword(s):  
Spatial Design ◽  
Fit For Purpose ◽  
Carceral Geography ◽  
Nuanced Understanding ◽  
The 1960S ◽  
The Uk ◽  
Prison Studies ◽  
Architecture And Design ◽  
The Relationship

This chapter seeks to convey why the architecture and design of prisons is pivotal to a full and nuanced understanding of ‘prison studies’. Placing prison design in historical and geographical perspectives, the chapter considers how evolving penal philosophies have been manifested in the form and fabric of prison buildings over the last two centuries. The current policy context in the UK, as new prisons have been built in Scotland and are being planned for England and Wales and Northern Ireland, is discussed. It is argued that this represents a rare opportunity not only to build new facilities that are fit-for-purpose but to re-assess how their aesthetic and spatial design might be mobilized to support a different model of criminal justice than that which has dominated since the last major wave of prison construction in the 1960s. Finally, the relationship between prisons and the communities in which they are situated is considered, and it is suggested that recently built prisons are no less a manifestation of society’s attitudes to offenders than Pentonville was in the mid-1800s. It is suggested that it may be more effective in the long term to influence public opinion through humane prison design than it is to build new prisons based on assumptions about public expectations.

scholarly journals How we do it in Norway: a golden middle way for quality development of in-patient services as applied to acute adolescent psychiatry

2021 ◽  
pp. 1-3
Author(s):  
Simon R. Wilkinson ◽  
Kari E. A. Lorentzen
Keyword(s):  
Quality Improvement ◽  
Adolescent Psychiatry ◽  
Patient Characteristics ◽  
Legal Framework ◽  
Patient Treatment ◽  
Middle Way ◽  
Psychiatric Units ◽  
Home Context ◽  
Primary Focus ◽  
The Uk

In-patient treatment is a complex system of recursively interacting components. Patient characteristics interact with caregiver characteristics, home context and ward factors. Quality improvement requires primary focus on the interacting factors over which the ward itself potentially has influence. Ward practice has to integrate the demands of the hospital owner, the legal framework for treatment and what we know facilitates effective treatment plans. We describe how we have implemented a quality improvement system that addresses these interplaying influences in acute adolescent psychiatry in Norway. The process involved with this system (developed in the UK for child and adolescent psychiatric units) is independent of the organisational structure of the department and which alternative resources it has to rely on. It is independent of the characteristics of the patient population, although specific standards can be developed for local requirements.

Charge Sheet to Charging

2021 ◽  
pp. 246-257
Author(s):  
Debarati Halder
Keyword(s):  
Comparative Analysis ◽  
Criminal Justice ◽  
Case Management ◽  
Special Reference ◽  
Positive Solutions ◽  
Essential Elements ◽  
Criminal Justice Systems ◽  
Justice Systems ◽  
The Uk ◽  
Relationship Of

Police and prosecution are the two essential elements in criminal justice systems, especially for justice delivery to the victims as well as for the accused. Cybercrimes targeting women have remained a menace for the victims, police, and prosecution for over a decade now in India and the UK. This chapter aims to research on the comparative analysis of relationship of police and prosecution for case management with special reference to cybercrimes against women cases between UK and India to find positive solutions for restitution of justice in such cases.

scholarly journals An evaluation of sleep disturbance on in-patient psychiatric units in the UK

2018 ◽  
Vol 42 (5) ◽  
pp. 193-197 ◽  
Author(s):  
Sam Horne ◽  
Katherine Hay ◽  
Stuart Watson ◽  
Kirstie N. Anderson
Keyword(s):  
Environmental Factors ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Apnoea ◽  
Poor Sleep ◽  
Sound Levels ◽  
Obstructive Sleep ◽  
Psychiatric Units ◽  
Environmental Causes ◽  
The Uk

Aims and methodSleep disturbance is common on in-patient psychiatry wards. This study explored subjective and objective patterns of sleep disturbance and contributory environmental factors. Participants were recruited from mental health acute admission wards and had a range of subjective and objective assessments of sleep. Light intensity and noise levels were measured to characterise potential environmental causes for poor sleep.ResultsWe recruited 20 patients; 15% were high risk for obstructive sleep apnoea. Nineteen participants reported poor sleep quality on the Pittsburgh Sleep Quality Index, and 90% had significant sleep fragmentation with objective measures. Inside light levels were low (day <200 lux and night <10 lux). Night sound levels were 40–90 db.Clinical implicationsSleep disturbance was highly prevalent. Increased awareness of sleep disorders is needed. Modifiable environmental factors on the ward were implicated, therefore increased awareness and a change of approach to sleep disturbance in in-patient psychiatry is recommended.Declaration of interestNone.

scholarly journals Predicting violent reconvictions using the HCR-20

2008 ◽  
Vol 192 (5) ◽  
pp. 384-387 ◽  
Author(s):  
Nicola S. Gray ◽  
John Taylor ◽  
Robert J. Snowden
Keyword(s):  
Risk Assessment ◽  
Good Predictor ◽  
Psychiatric Patients ◽  
Evidence Base ◽  
Post Discharge ◽  
Forensic Psychiatric Patients ◽  
Male Patients ◽  
Forensic Psychiatric ◽  
Offending Behaviour ◽  
The Uk

BackgroundRisk assessment of future violent acts is of great importance for both public protection and care planning. Structured clinical assessments offer a method by which accurate assessments could be achieved.AimsTo test the efficacy of the Historical, Clinical and Risk Management Scales (HCR–20) structured risk assessment scheme on a large sample of male forensic psychiatric patients discharged from medium secure units in the UK.MethodIn a pseudo-prospective study, 887 male patients were followed for at least 2 years. The HCR-20 was completed using only pre-discharge information, and violent and other offending behaviour post-discharge was obtained from official records.ResultsThe HCR–20 total score was a good predictor of both violent and other offences following discharge. The historical and risk sub-scales were both able to predict offences, but the clinical sub-scale did not produce significant predictions. The predictive efficacy was highest for short periods (under 1 year) and showed a modest fall in efficacy over longer periods (5 years).ConclusionsThe results provide a strong evidence base that the HCR–20 is a good predictor of both violent and non-violent offending following release from medium secure units for male forensic psychiatric patients in the UK.

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