Treatment and Outcomes in Secure Care

2011 ◽  
pp. 35-52
Keyword(s):  
Secure Care

Management of treatment resistant schizophrenia in medium secure care

2014 ◽  
Vol 18 (5) ◽  
pp. 27-32
Author(s):  
Antonio T Lopes ◽  
Paul Gilluley ◽  
Mehdi Veisi ◽  
Shamir Patel ◽  
Seema Sukhwal ◽  
...  
Keyword(s):  
Treatment Resistant ◽  
Secure Care

PRN medication: beliefs and practices of psychiatrists and nurses working in PICUs and secure units

2015 ◽  
Vol 11 (S1) ◽  
Author(s):  
Camilla Haw ◽  
Helen Sasegbon ◽  
Imadeldin Ismail ◽  
Malathi Pushpanathan
Keyword(s):  
Inpatient Psychiatry ◽  
Medication Beliefs ◽  
Beliefs And Practices ◽  
Visual Analogue Scales ◽  
Secure Care ◽  
Grey Area ◽  
Definition Of ◽  
Analogue Scales ◽  
Structured Questionnaire

AbstractIntroductionPRN (as required) medication is commonly used in inpatient psychiatry but little is known about staff opinions concerning its use.Aims & objectivesToexplore views about PRN medication among nurses and psychiatrists working in PICUs or secure care at a charitable hospital.MethodA structured questionnaire with visual analogue scales was used to examine staff views about PRN medication. Participants were: 21 PICU nurses, 20 nurses working on medium secure admission units (MSAUs) and 27 psychiatrists. Inquiry was made about preferences and avoidance of PRN drugs and when PRN administration becomes rapid tranquillisation (RT).ResultsNurses working in PICUs and MSAUs held similar views about PRN medication. Nurses were more in favour of PRN medication than psychiatrists, whereas psychiatrists felt more strongly that PRN sedation was sometimes over-used. PICU staff favoured promethazine whereas non-PICU staff preferred lorazepam/lorazepam and haloperidol combined. There was no consensus as to when PRN administration becomes RT.ConclusionsNurses hold more positive views about PRN sedation than psychiatrists. Despite the ECG requirement, many staff favour haloperidol. The NICE definition of RT was not quoted by most participants. RT and PRN medication is a grey area which deserves further exploration.

scholarly journals Young Men and Young Women in Secure Care: Gender Differences in the Placement of Those With Mental Health Needs

2021 ◽  
Author(s):  
Annie Bartlett ◽  
Jared G Smith ◽  
Louise Warner ◽  
Heidi Hales
Keyword(s):  
Mental Health ◽  
Young People ◽  
Young Women ◽  
Census Data ◽  
Empirical Studies ◽  
Young Men ◽  
Fold Increase ◽  
Data Set ◽  
Secure Care ◽  
Mental Health Diagnoses

Abstract Background The system of secure care for young people in England and Wales comprises youth justice, welfare and mental health facilities. Empirical studies have failed to investigate the system as a whole. The National Adolescent Study in 2016 was the first to provide comprehensive system wide information. This paper, derived from that data set, addresses equity of service provision for young men and women in secure care who have mental health problems.MethodsThe detained census population of English young people was 1322 and detailed data were available on 93% of this population, including 983 young men and 290 young women. The descriptive census data were interrogated to identify associations between gender, other sociodemographic and clinical variables, using Chi-square and Fisher’s exact tests. To control for Type 1 errors, the False Discovery rate approach was used. SPSS (V25) was used for statistical analysis.Results Numerically more young men in secure care than young women in secure care warrant a psychiatric diagnosis but young women had a 9 fold increase in the odds of having a diagnosis compared with the young men. The pattern of mental health diagnoses differed significantly by gender as did the pattern of young men and women’s secure care placement. This different pattern of placement continued to differ by gender when the nature of the mental health diagnosis was taken into account.Conclusions No definitive explanation is evident for the significantly different, placement patterns of young men and young women with the same, mental health diagnoses but the anticipated consequences for some, young men and some young women are important. Proper explanation demands an examination of process variables out with the remit of this study. The lack of routine scrutiny and transparent processes across secure settings could be responsible for the development of these differential placement practices; these practices seem at odds with the duty placed on public services by the Equality Act.

Review of Handbook of Secure Care

2016 ◽  
Vol 19 (4) ◽  
pp. 709-710
Author(s):  
Zahida Meghji
Keyword(s):  
Secure Care

Linking the past and the present: service users’ perspectives of how adverse experiences relate to their admission to forensic mental health services

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jessica Cartwright ◽  
Daniel Lawrence ◽  
Christopher Hartwright
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Users ◽  
Forensic Mental Health ◽  
Discussion Section ◽  
Content Type ◽  
The Past ◽  
Secure Care ◽  
Adverse Experiences

Purpose This study aimed to explore how forensic mental health service users make sense of their past adverse experiences. Secondly, it aimed to explore whether service users considered their adverse experiences to be related to their current stay in a forensic mental health setting. Design/methodology/approach Interpretative phenomenological analysis was used to analyse interviews with eight service users in low and medium secure care. Six of the participants were male and two were female. Findings Four super-ordinate themes emerged from the data: “Living amongst adversity”; “Managing adverse experiences”; “Making sense of going into secure care”; and “Coping with the past in the present”. All participants referred to multiple adverse experiences throughout their lives and used harmful coping strategies to manage these. Individual differences in how they related their past experiences to their detention in secure care were evident. Practical implications Author guidelines state that this section is optional. Implications for clinical practice are discussed at length in the discussion section. Originality/value This study offers an insight into the way in which forensic mental health service users make sense of their past traumas in relation to their current admission to secure services. To the best of the authors’ knowledge, no research has previously addressed this from the perspective of service users.

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