Developing a therapeutic model in a secure forensic adolescent unit

Dimond, Claire; Chiweda, Denise

doi:10.1080/14789949.2010.521847

Cited by 11 publications

(16 citation statements)

References 12 publications

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“…The majority of the sample transferred to adolescent medium secure units from custody and psychiatric hospitals, in line with previous research (Dimond and Chiweda, 2011).…”

Section: Transition Pathwayssupporting

confidence: 81%

“…Adolescent medium secure units are highly supportive and structured environments which provide containment for young people. Dimond and Chiweda (2011) refer to relational security as an essential element of building relationships between forensic mental health professionals and young people, and these relationships have been found to be central during the transition process (Wheatley et al, 2013). Yet, these secure relationships are discontinued once young people move to adult services.…”

Section: Length Of Stay and Continuity Of Carementioning

confidence: 99%

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A retrospective case note review of young people in transition from adolescent medium secure units to adult services

Livanou

Lane

D’Souza

et al. 2020

JFP

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Purpose There is substantial evidence that young people moving from child and adolescent mental health services to adult services are more likely to experience poor transitions. However, little is known about the care pathways of young people transitioning from forensic services. This retrospective case note review sought to examine the clinical characteristics, transition pathways and psychosocial indicators of transition outcomes amongst young people in forensic medium secure services discharged to adult services. Design/methodology/approach The electronic records of 32 young people, who transitioned from six adolescent medium secure units in England to adult services between May 2015 and June 2016, were examined. Findings Approximately 65% of young people were between 18 and 19 years at the time of transition and the average waiting time from referral to discharge was six months. A total of 63% young people transitioned to community placements and adult medium secure services. Four pathways describing the journey into and out of adolescent medium secure services were identified in a subsample of 12 young people. A total of 25% young people with neurodevelopmental problems moved to specialist services. Practical implications The results suggest that diagnosis, severity of offence and clinical background are associated with transition pathway. Promoting a person-centred approach and gradual independence of the young person may improve current practice. Originality/value These results inform existing policy and clinical practice in an effort to reform transition guidelines around young people’s needs during transition times. Further studies in adolescent forensic services are needed to understand complex neurodevelopmental problems and comorbidities.

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“…The majority of the sample transferred to adolescent medium secure units from custody and psychiatric hospitals, in line with previous research (Dimond and Chiweda, 2011).…”

Section: Transition Pathwayssupporting

confidence: 81%

Section: Length Of Stay and Continuity Of Carementioning

confidence: 99%

A retrospective case note review of young people in transition from adolescent medium secure units to adult services

Livanou

Lane

D’Souza

et al. 2020

JFP

View full text Add to dashboard Cite

show abstract

“…Behavioural and emotional disorders concurrent with substance use is the predominant diagnosis although (Dimond and Chiweda, 2011) some present with psychotic illnesses. A diagnosis of an emerging personality disorder is common among young female offenders (Hill et al, 2014).…”

Section: Who Is the Young Offender In The Uk?mentioning

confidence: 99%

“…A (Hill et al, 2014) that might imply an emerging personality disorder. It is hypothesised that these symptoms could be a result of significant abuse and trauma during periods of development and maturation (Dimond and Chiweda, 2011).…”

Section: Who Is the Young Offender In The Uk?mentioning

confidence: 99%

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Mentally disordered young offenders in transition from child and adolescent to adult mental health services across England and Wales

Livanou

Furtado

Singh

2017

JFP

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Purpose This paper provides an overview of transitions across forensic child and adolescent mental health services in England and Wales. The purpose of this paper is to delineate the national secure services system for young people in contact with the youth justice system. Design/methodology/approach This paper reviews findings from the existing literature of transitions across forensic child and adolescent mental health services, drawing attention to present facilitators and barriers to optimal transition. The authors examine the infrastructure of current services and highlight gaps between child and adult service continuity and evaluate the impact of poor transitions on young offenders’ mental health and wellbeing. Findings Young offenders experience a broad range of difficulties, from the multiple interfaces with the legal system, untreated mental health problems, and poor transition to adult services. Barriers such as long waiting lists, lack of coordination between services and lack of transition preparation impede significantly smooth transitions. Research limitations/implications The authors need to develop, test and evaluate models of transitional care that improve mental health and wellbeing of this group. Practical implications Mapping young offenders’ care pathway will help to understand their needs and also to impact current policy and practice. Key workers in forensic services should facilitate the transition process by developing sustainable relationships with the young person and creating a safe clinical environment. Originality/value Transition of care from forensic child and adolescent mental health services is a neglected area. This paper attempts to highlight the nature and magnitude of the problems at the transition interface in a forensic context.

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The Good Lives Model: A strength-based approach for youth offenders

Fortune

2018

Aggression and Violent Behavior

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Developing a therapeutic model in a secure forensic adolescent unit

Cited by 11 publications

References 12 publications

A retrospective case note review of young people in transition from adolescent medium secure units to adult services

A retrospective case note review of young people in transition from adolescent medium secure units to adult services

Mentally disordered young offenders in transition from child and adolescent to adult mental health services across England and Wales

The Good Lives Model: A strength-based approach for youth offenders

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