Exploring forensic environments: how do environmental factors influence individual outcomes for residents and staff? A systematic review

Abstract

Purpose Increasing attention is focusing on the role of environments in the rehabilitation of offenders, with a range of reported outcomes in the literature. The purpose of this paper is to explore forensic environments and the outcomes and changes that result, in order to assess the current knowledge in this area and to inform current and future practice. Design/methodology/approach Using a systematic review approach with an extensive literature search and robust application of appraisal methods, nine studies were identified. The studies included one mixed method study (n=1), qualitative methods (n=4) that utilised thematic analysis, interpretative phenomenological analysis and Foucauldian discourse analysis and quantitative methods (n=4) that utilised the responses to psychometric measures including the EssenCES and correctional institution environment scale (CIES) to assess the quality and outcomes associated with environments in forensic settings. Findings Three superordinate themes were identified: factors required for successful environments, factors that influence successful environments and factors affected by successful environments. Research limitations/implications Further research would be beneficial around motivation, as it appears to influence the success of environments and be a potential outcome of environments. Further research might usefully explore the ideal time in services, for optimal outcomes in order to advise those currently commissioning services of this nature. Originality/value In addition to outcomes, this review found factors required for forensic environments that are consistent with previous literature within the field, and factors that might influence how successful environments can be.

Evaluation of autism awareness training provided to staff working in a high secure psychiatric care hospital

“…In addition, by making such training mandatory it risks becoming a tick box exercise along with many of the other mandatory courses that staff have to complete as part of their work in HSPC. As highlighted by staff, interest and motivation to attend training is central (Greenacre and Palmer, 2018). Although attending training may improve the knowledge and approach of some members of staff with their work with individuals who have autism, there is also the possibility that for some individuals specific training will make no difference to their views and management styles (Garzonis et al , 2015).…”

Patients’ experiences of forensic mental health inpatient care: a systematic review and thematic synthesis of qualitative literature

“…Qualitative studies are ideal for understanding patients’ perspectives and have been used to explore the lived experience of forensic secure patients. Previous systematic reviews within secure care have focussed on exploring specific experiences, such as the social climate (Doyle et al , 2017; Robinson et al , 2018), restrictiveness (Tomlin et al , 2018) and environmental factors (Greenacre and Palmer, 2018). Broader systematic reviews of the general experience of involuntary detention have been conducted in general psychiatric settings (Wood and Alsawy, 2016) but have actively excluded the forensic secure population (Katsakou and Priebe, 2007; Seed et al , 2016).…”