Piotr Pierzchniak MRCPsych, MRCPsych Frank Farnham BSc, Nikki de Taranto MRCPsych, CQSlU Deborah Bull MSc, CPsychol Harpreet Gill MSc, Paul Bester MRCPsych, Cub MSc Ffphm Alison McCallum Mb, Md Mrcp MRCPsych Harry Kennedy BSc
{"title":"Assessing the needs of patients in secure settings: A multi-disciplinary approach","authors":"Piotr Pierzchniak MRCPsych, MRCPsych Frank Farnham BSc, Nikki de Taranto MRCPsych, CQSlU Deborah Bull MSc, CPsychol Harpreet Gill MSc, Paul Bester MRCPsych, Cub MSc Ffphm Alison McCallum Mb, Md Mrcp MRCPsych Harry Kennedy BSc","doi":"10.1080/09585189908403688","DOIUrl":null,"url":null,"abstract":"The mental health service needs of all North London patients in medium (N = 97) and maximum security (N = 79) were assessed. Patients and key nurses were interviewed using validated measures and, for patients in maximum security, the respective responsible medical officers (RMOs) also completed a standard enquiry form. Multi-disciplinary panels from the catchment areas then rated immediate and future needs for security and treatment. Unlike previous studies, we found only 25% of patients ready for an immediate move to lower security and a greater disparity between those thought ready for discharge by their Special Hospital RMO and those thought ready for discharge by the local panels. We identified a particular unmet need for long-term, 24-hour, nurse-staffed accommodation, rather than long-term medium security.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"28 1","pages":"343-354"},"PeriodicalIF":0.7000,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"31","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Forensic Psychiatry & Psychology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09585189908403688","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CRIMINOLOGY & PENOLOGY","Score":null,"Total":0}
引用次数: 31
Abstract
The mental health service needs of all North London patients in medium (N = 97) and maximum security (N = 79) were assessed. Patients and key nurses were interviewed using validated measures and, for patients in maximum security, the respective responsible medical officers (RMOs) also completed a standard enquiry form. Multi-disciplinary panels from the catchment areas then rated immediate and future needs for security and treatment. Unlike previous studies, we found only 25% of patients ready for an immediate move to lower security and a greater disparity between those thought ready for discharge by their Special Hospital RMO and those thought ready for discharge by the local panels. We identified a particular unmet need for long-term, 24-hour, nurse-staffed accommodation, rather than long-term medium security.
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