A cost comparison study of using global positioning system technology (electronic monitoring) in a medium secure forensic psychiatric service

Murphy, Paula; Potter, Lucy; Tully, John; Hearn, D.D.; Fahy, Tom; McCrone, Paul

doi:10.1080/14789949.2016.1261172

Cited by 9 publications

(19 citation statements)

References 3 publications

(5 reference statements)

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“…This study took place in a hospital where passive remote monitoring technology, GPS tracking devices, has been in use for several years to monitor leave [30,42]. Participants’ responses may have been influenced by this prior experience and so may not necessarily reflect the views of those unfamiliar with these systems.…”

Section: Discussionmentioning

confidence: 99%

Predicting Inpatient Aggression in Forensic Services Using Remote Monitoring Technology: Qualitative Study of Staff Perspectives

Greer¹,

Newbery²,

Cella³

et al. 2019

J Med Internet Res

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BackgroundMonitoring risk of imminent aggression in inpatient forensic mental health services could be supported by passive remote monitoring technology, but staff attitudes toward the relevance and likelihood of engagement with this technology are unknown.ObjectiveThis study aimed to explore staff views, specifically potential benefits and implementation barriers, on using this technology for monitoring risk of inpatient aggression.MethodsWe conducted semistructured focus groups with nurses in an inpatient forensic mental health service. We used thematic analysis with two independent raters to identify themes and subthemes related to staff attitudes toward passive remote monitoring. We subsequently checked with members to ensure the validity of the themes identified by the raters.ResultsFrom January to March 2019, a total of 25 nurses took part in five focus groups. We identified five main themes, one of which concerned the potential benefits that passive remote monitoring could provide for monitoring risk of aggression. Staff suggested it could provide an early warning of impending aggression and enable support to be provided earlier. The remaining themes concerned implementation barriers, including risks to the users’ physical and mental well-being; data security concerns and potential access by third parties; the negative impact of a constant stream of real-time data on staff workload; and design characteristics and user awareness of the benefits of passive remote monitoring.ConclusionsPassive remote monitoring technology could support existing methods of monitoring inpatient aggression risk, but multiple barriers to implementation exist. Empirical research is required to investigate whether these potential benefits can be realized, and to identify ways of addressing these barriers to ensure acceptability and user engagement.

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Section: Discussionmentioning

confidence: 99%

Predicting Inpatient Aggression in Forensic Services Using Remote Monitoring Technology: Qualitative Study of Staff Perspectives

Greer¹,

Newbery²,

Cella³

et al. 2019

J Med Internet Res

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“…Examples of this include the use of preventive detention for sexual offenders (Simon, 1998), Anti-Social Behavioural Disorders that exclude individuals from certain geographical spaces (Lewis et al 2016), GPS monitoring of forensic patients on leave (Murphy et al 2017) and the (now defunct) Dangerous and Severe Personality Disorder programme (Rutherford 2006). Risk is embedded in everyday life; it is not a discrete phenomenon acknowledged at interval, rather an omnipresence woven into social relations, institutional structures and physical spaces.…”

Section: Social Control and Late Modernity: A Brief Summarymentioning

confidence: 99%

Strength- and recovery-based approaches in forensic mental health in late modernity: Increasingly incorporating a human rights angle?

Tomlin

Jordan

2021

Soc Theory Health

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Forensic mental health care is situated across both criminal justice and healthcare systems and is subject to political, cultural, legal and economic shifts in these contexts. The implementation of strength- and recovery-based models of care should be understood in light of these social and structural processes. Drawing on novel empirical fieldwork and the extant literature, we argue that full realisation of strength- and recovery-based principles is at odds with aspects of late modern social control. Not wholly compatible, we highlight how concepts of empowerment, autonomy, identity and connectedness can unhelpfully rub-up against the concepts of punitiveness, otherness and risk management. Conceptually this is problematic, but in frontline forensic psychiatry settings, this has real lived-experience detrimental effects for patients – as our data demonstrate. To address this, a human rights approach might be fruitful. Grounding arguments for strength- and recovery-based principles in the heuristic framework of human rights can offer a set of common values to stimulate reform in forensic mental healthcare. The right to respect for private and family life, home and correspondence under Article 8 of the European Convention on Human Rights and Fundamental Freedoms offers a particularly promising, robust and well-defined framework for these future changes – as we outline.

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“…Initiating and amending leave. Leave initiation was the onus of the responsible clinician, with additional home secretary approval where required for forensic patients (Green & Baglioni, 1998;Lyall & Bartlett, 2010;Cronin-Stubbs et al, 1988;James et al, 1996;Mohan et al, 2001;Murphy et al, 2017). There was limited evidence about the involvement of non-medical professionals in decision-making.…”

Section: Study Synthesismentioning

confidence: 99%

“…A 2-yr pilot study of remote electronic monitoring of patients on unescorted leave from a UK secure forensic unit via a Geo-Positioning Satellite device resulted in an increase in the amount of unaccompanied leave for patients but not a convincing economic case either for or against the technology (Hearn, 2010;Tully et al, 2016;Murphy et al, 2017). Prior to each leave episode the patient was fitted with a tamper-proof anklet tracking device.…”

Section: Interventions For Leavementioning

confidence: 99%

“…The only intervention to improve or increase leave identified in this review concerned Geo Positioning Satellite tracking of forensic patients on unescorted community leave (Hearn, 2013;Murphy et al, 2017;Tully et al, 2016). Preliminary results suggest the approach could help patients to progress through their in-patient stay at an accelerated rate due to the availability of a method to test patients with leave earlier in their admission with the technological safety net of Geo Positioning Satellite.…”

Section: Future Researchmentioning

confidence: 99%

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Systematic review of therapeutic leave in inpatient mental health services

Barlow

Dickens

2018

Archives of Psychiatric Nursing

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A cost comparison study of using global positioning system technology (electronic monitoring) in a medium secure forensic psychiatric service

Cited by 9 publications

References 3 publications

Predicting Inpatient Aggression in Forensic Services Using Remote Monitoring Technology: Qualitative Study of Staff Perspectives

Predicting Inpatient Aggression in Forensic Services Using Remote Monitoring Technology: Qualitative Study of Staff Perspectives

Strength- and recovery-based approaches in forensic mental health in late modernity: Increasingly incorporating a human rights angle?

Systematic review of therapeutic leave in inpatient mental health services

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