Inpatient risk management with mentally ill offenders: results of a survey on clinical decision‐making about easing restrictions

Stübner, Susanne; Gross, Gregor; Nedopil, Norbert

doi:10.1002/cbm.619

Cited by 21 publications

(14 citation statements)

References 18 publications

(17 reference statements)

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“…Research in Europe, North America and Australia has addressed the practical problems of managing perceived risks in this sector (e.g. Halleck & Petrilla, 1988;Nijman, Merckelbach, Allertz, & a Campo, 1997;Bowles et al, 2002;Quirk, Lelliott, & Seale, 2004;Meehan et al, 2006;Stubner et al, 2006;Cardell, 2009;Fluttert, van Meijel, van Leeuwen, Bjørkly, Nijman, & Grypdonck 2011;Manna, 2010). Such concerns have led to 'the re-articulation of mental health work in the language of risk' (Quirk et al, 2004(Quirk et al, , p. 2574 and the emergence of a new emphasis on confinement within secure buildings, which is of special interest in this paper.…”

Section: Contextualising Our Research In the Interdisciplinary Literamentioning

confidence: 99%

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Curtis

Gesler

Wood

et al. 2013

Social Science & Medicine

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'Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards.', Social science medicine., 97 . pp. 201-209. Further information on publisher's website:http://dx.doi.org/10. 1016/j.socscimed.2013.06.015 Publisher's copyright statement: NOTICE: this is the author's version of a work that was accepted for publication in Social science medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reected in this document. Changes may have been made to this work since it was submitted for publication. A denitive version was subsequently published in Social science medicine, 97, 2013, 10.1016/j.socscimed.2013.06.015 Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. landscapes. There were also more subtle implications, partly relating to 'Panopticist' theories about how the institution uses technical safety to supervise its own mechanisms, through the observation of staff behaviour as well as patients and visitors. Furthermore, staff seemed to feel that in relying on technical safety measures they were, to a degree, divesting themselves of human responsibility for risks they are required to manage. However, their critical assessment showed their concerns about how this might conflict with a more therapeutic approach and they contemplated ways that they might be able to engage more effectively with patients without the imposition of technical safety measures. These findings advance our thinking about the construction of therapeutic landscapes in theory and in practice.4

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Section: Contextualising Our Research In the Interdisciplinary Literamentioning

confidence: 99%

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Curtis

Gesler

Wood

et al. 2013

Social Science & Medicine

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“…This in turn makes it more difficult to compare study results and draw conclusions about the usefulness of including protective factors in risk assessment schemes. Despite these limitations, clinicians have reported that protective factors were as important to clinical practice as risk factors (Stübner et al, 2006).…”

Section: Protective Factors In Risk Assessmentmentioning

confidence: 99%

The Predictive Validity of Clinical Ratings of the Short-Term Assessment of Risk and Treatability (START)

Braithwaite

Charette

Crocker

et al. 2010

International Journal of Forensic Mental Health

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With the increased need to assess and manage risk in inpatient settings, the Short-Term Assessment of Risk and Treatability (START) was implemented on a civil psychiatric unit. The goal of the present study was to examine the tool's predictive validity when completed by clinical teams as part of routine practice. Data were collected for 34 patients hospitalized for a minimum of 30 days prior to and after a START evaluation. Several challenging behaviors, such as aggression towards others, self-harm, and substance abuse were assessed using the START Outcomes Scale . Results from multilevel logistic regression and Receiver Operating Characteristics analyses lend partial support for the predictive validity of the START. A limited set of START items combined was significantly better at predicting the challenging behaviors than the original total Strength and Vulnerability scales. Results are discussed in terms of the clinical use of risk assessment.

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“…43 One survey of clinicians found that "stable dynamic factors" such as current symptoms of mental illness were most important in deciding whether to progress a patient's leave. 44 An earlier study found similar factors to be important in understanding how clinicians perceive a forensic patient's risk of violence. 45 A prospective review of 60 unauthorised absences which occurred during more than 70,000 leave episodes from a medium secure unit in the west of England found that unauthorised absences occur for many different reasons including poor clinical decision-making, a deterioration in the patient's mental state or external factors.…”

Section: Prediction Of Abscondingmentioning

confidence: 93%

Critical Incidents During Leave From an Australian Security Hospital – A 12 Year Audit

Scott

Meehan

2016

Psychiatry, Psychology and Law

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Inpatient risk management with mentally ill offenders: results of a survey on clinical decision‐making about easing restrictions

Cited by 21 publications

References 18 publications

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

The Predictive Validity of Clinical Ratings of the Short-Term Assessment of Risk and Treatability (START)

Critical Incidents During Leave From an Australian Security Hospital – A 12 Year Audit

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