A comparison of special hospital patients and other admissions to a regional low security unit

Smith, Howard C.; White, Tom; MacCall, Callum A.

doi:10.1080/14789940412331270717

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Epidemiological differences support the strategy of characterizing high secure hospital residents as different from other populations: suffering from more enduring mental disorders and as presenting a higher risk of harm to others or themselves than those within less secure hospitals or prisons (Berry et al, 2003;Marshall & Willmot, 2011;Pimm, Stewart, Lawrie, & Thomson, 2004;Smith, White, & MacCall, 2004).…”

Section: Introductionmentioning

confidence: 99%

A Critical Analysis of Clinical Evidence from High Secure Forensic Inpatient Services

Tapp

Perkins

Warren

et al. 2013

International Journal of Forensic Mental Health

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High secure forensic inpatient hospitals serve important functions in the detention and rehabilitation of people with serious mental health needs who present as a risk to society.Establishing whether services are effective in restoring mental health and reducing risk is an important task, but one that has not been systematically undertaken. A systematic review of outcome evidence from this setting was therefore conducted to establish its scope and quality.Evidence was found from twenty-two studies for nine different interventions targeting multiple and overlapping outcomes, which included recidivism, mental health, aggression, social functioning and quality of life. Studies were commonly assessed as being at a potentially high risk of bias from validity threats. The 'best' available evidence was for medication, psychoeducation and third-wave cognitive-behavioural interventions. Clinical implications are tentatively offered given the narrow focus of the review on high security. Directions for the high secure services research agenda are more definitively proposed.

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Section: Introductionmentioning

confidence: 99%

A Critical Analysis of Clinical Evidence from High Secure Forensic Inpatient Services

Tapp

Perkins

Warren

et al. 2013

International Journal of Forensic Mental Health

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Predicting discharge in forensic psychiatry: The legal and psychosocial factors associated with long and short stays in forensic psychiatric hospitals

Roß¹,

Querengässer²,

Fontao³

et al. 2012

International Journal of Law and Psychiatry

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Factors influencing the length of stay in forensic psychiatric settings: a systematic review

Dima,

Wazir,

Clark-Castillo

et al. 2024

BMC Health Serv Res

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Background Forensic psychiatry is often associated with long admissions and has a high cost of care. There is little known about factors influencing length of stay (LOS), and no previous systematic review has synthesised the available data. This paper aims to identify factors influencing the LOS in forensic psychiatry hospitals to inform care and interventions that may reduce the length of admissions. Methodology A systematic review was conducted by searching major databases, including PubMed, EMBASE and PsycInfo, from inception until May 2022. Observational studies conducted in forensic hospitals that examined associations between variables of interest and LOS were included. Following data extraction, the Newcastle‒Ottawa Scale was used for quality appraisal. No meta-analysis was conducted due to heterogeneity of information; a quantitative measure to assess the strength of evidence was developed and reported. Results A total of 28 studies met the inclusion criteria out of 1606 citations. A detailed quantitative synthesis was performed using robust criteria. Having committed homicide/attempted homicide, a criminal legal status with restrictions, and a diagnosis of schizophrenia-spectrum disorders were all associated with longer LOS. Higher Global Assessment of Functioning (GAF) scores were associated with a shorter LOS. Conclusion High-quality research examining factors associated with LOS in forensic psychiatry is lacking, and studies are heterogeneous. No modifiable characteristics were identified, and thus, practice recommendations were not made. There is an increasing necessity to understand the factors associated with longer admissions to inform care and increase success in reintegration and rehabilitation. This paper provides recommendations for future research.

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A comparison of special hospital patients and other admissions to a regional low security unit

Cited by 3 publications

References 4 publications

A Critical Analysis of Clinical Evidence from High Secure Forensic Inpatient Services

A Critical Analysis of Clinical Evidence from High Secure Forensic Inpatient Services

Predicting discharge in forensic psychiatry: The legal and psychosocial factors associated with long and short stays in forensic psychiatric hospitals

Factors influencing the length of stay in forensic psychiatric settings: a systematic review

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