Client progress in a community team for mentally disordered offenders

Dalton, Rita

doi:10.1108/14636646200500004

Cited by 3 publications

(3 citation statements)

References 6 publications

(4 reference statements)

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“…They had different levels of understanding about what had been stipulated about use and misuse of substances and how much MoJ decisions could impact on their lives. Dalton () reported similar findings where participants were frustrated by what they perceived as oversupervision. In some instances, however, participants appeared to be aware that they were breaching their discharge conditions but had difficulty in accepting responsibility for their actions.…”

Section: Discussionmentioning

confidence: 72%

Reasons for recall following conditional discharge: explanations given by male patients suffering from dual diagnosis in a London Forensic Unit

Chiringa

Robinson

Clancy

2013

Psychiatric Ment Health Nurs

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Patients who have been discharged from forensic services often have conditions they have to abide by as part of their discharge, and failure to do so leads to recall. We interviewed six men who had been conditionally discharged from forensic services and then been recalled into hospital to find out what they thought went wrong. The reasons they gave for why things went wrong included feeling that the system was unfair and made them feel like criminals even though they did not feel they had put anyone at risk. Some of them were not fully aware of the conditions they needed to adhere to, and some of them had breached the conditions but did not take responsibility for what had happened. In addition, supervision was felt to be very controlling and disruptive rather than supportive when patients were often lonely, bored and needing support. Most participants reported that they experienced poor standards of aftercare in hostels they were required to reside in. In the future, care of patients after conditional discharge should include better communication between patients and their supervisory team, recognition of the need for more support and improvements in the standards of care in hostels, as well as a collaborative approach to risk assessment that might reduce the frequency of relapse and readmission. This study explores how male patients suffering from dual diagnosis in a forensic unit perceive being recalled and readmitted following conditional discharge and their views about how services might be improved. A qualitative approach was used drawing on grounded theory techniques. Audiotaped semistructured interviews collected data from a purposefully selected sample of six participants who had been recalled and met the inclusion criteria of the study. Data were analysed using the constant comparative method. Most participants perceived the recall system as unfair, inappropriately criminalized their behaviour and was based on an assessment of risk that they did not understand or accept. Participants were not fully aware of the conditions of their discharge, and most did not accept responsibility for their role in being recalled and blamed the system. Care following discharge was rarely seen as positive, and poor standards in hostels were reported by most participants. Supervision was often seen as disruptive and controlling, and focused more on surveillance rather than support. Better communication might have helped them understand and adhere to the conditions of their discharge. Participants identified the importance of family and friends to their recovery, the importance of having their own accommodation, and the need to be more independent.

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Section: Discussionmentioning

confidence: 72%

Reasons for recall following conditional discharge: explanations given by male patients suffering from dual diagnosis in a London Forensic Unit

Chiringa

Robinson

Clancy

2013

Psychiatric Ment Health Nurs

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“…However, in this study chi-squared analysis indicated that there were no significant differences in non-attendance/drop-out rates for male and female clients. Dalton (2005) suggests that characteristics such as a history of offending behaviour and lack of social support may make the clients of MDO teams harder to engage than those seen in other mental health services. While comparison with other services was not within the remit of this audit, comparisons within this client group were possible.…”

Section: Discussionmentioning

confidence: 99%

“…In 1997, Barnet Health Care NHS Trust (now part of Barnet, Enfield and Haringey Mental Health NHS Trust) commissioned a multidisciplinary community mental health team for mentally disordered offenders (MDO team). Three years after this community MDO team had been started, it was evaluated to find out how well the service was meeting the needs of its clients (Dalton, 2005). Individual client progress was evaluated through objective measures (for example reconviction rates), staff questionnaires (the Health of the Nation Outcome Scales) and randomly selected client interviews.…”

Section: Introductionmentioning

confidence: 99%

Audit of the referrals to the psychology section of a mentally disordered offenders team

Harman

Dalton

2005

The British Journal of Forensic Practice

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There is increasing recognition that, wherever clinically appropriate, the needs of mentally disordered offenders should be met by health and social services rather than the criminal justice system (Cohen & Eastman, 1997). Many trusts now make separate service provision for this client group, but there has been little research into the role of applied psychology in these services. This study consists of an exploratory audit of the referrals to applied psychology in a multidisciplinary mentally disordered offenders team. Client characteristics as well as referral characteristics were explored. One of the main results of the audit was that clients referred for outpatient groups (who were not normally known to the team prior to referral) had significantly higher rates of non‐attendance and drop‐out than clients referred for other reasons. Outpatients in general also had higher rates of non‐attendance and dropout than inpatients. The main conclusion of this study is that applied psychology resources may be best used in the provision of services to clients known to the team and that, as inpatient work may be more productive, it should perhaps be the priority for psychologists working with this client group.

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Assessment of change in outcome measurement

Trauer

2010

Outcome Measurement in Mental Health

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Client progress in a community team for mentally disordered offenders

Cited by 3 publications

References 6 publications

Reasons for recall following conditional discharge: explanations given by male patients suffering from dual diagnosis in a London Forensic Unit

Reasons for recall following conditional discharge: explanations given by male patients suffering from dual diagnosis in a London Forensic Unit

Audit of the referrals to the psychology section of a mentally disordered offenders team

Assessment of change in outcome measurement

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