Older adults in secure mental health care: health, social wellbeing and security needs measured with HoNOS-secure across different age groups

Girardi, Alessandra; Snyman, Pieter; Natarajan, Muthusamy; Griffiths, Christopher

doi:10.1080/14789949.2018.1459787

Cited by 7 publications

(19 citation statements)

References 41 publications

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“…A larger sample with patients aged 18 and older might have led to different findings. Indeed, studies using staff-rated instruments have found that older patients were less likely to have healthcare needs met (Das et al, 2012); and were less likely to improve over the course of treatment on measures of security needs, self-harm, harm to others, mental health disturbance, personal wellbeing, emotional wellbeing, and socio-economic status (Girardi et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Compared to younger adult mental healthcare patients, older individuals are more likely to have a higher number of unmet health needs and to experience fewer improvements in their health over time (Das et al, 2011;Das et al, 2012;Girardi et al, 2018). Older patients are more likely to be diagnosed with depression, organic brain syndrome, or delusional disorder (Coid et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

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Older forensic mental healthcare patients in England: demographics, physical health, mental wellbeing, cognitive ability and quality of life

et al. 2022

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Background: Older individuals (e.g., 55 years and over) constitute a growing proportion of the forensic mental health patient population. As a group, they are vulnerable to health outcomes similar to other individuals with serious mental disorders of the same age; however, these concerns can be compounded by complex forensic-related care backgrounds and clinical presentations, lengthy periods of time spent in prison or psychiatric hospitals, substance use histories, and crime perpetration or victimisation. The healthcare needs and strengths of this group are not well understood. The aim of this study was to identify and describe the demographic, physical health, mental wellbeing, cognitive ability, and quality of life profiles of older forensic patients in community, low, medium, and high security settings in England. Methods: A cross-sectional mixed-methods study design was used. N=37 forensic patients aged 55 years and over were interviewed and completed questionnaires. Data were also collected from patient records. Results: Most patients were male and were diagnosed with psychosis. The most frequently committed index offence types were violent offences. Patients were prescribed 7.6 medications on average and had average anticholinergic effect on cognition scores of 2.4. Nearly half the sample had diabetes, with an average BMI score of 31.7 (indicating obesity). Possible cognitive impairment was identified in 65% of the sample. Patients’ assessments of their recovery-related quality of life and mental wellbeing did not differ from published UK general population values. Assessments of quality of life were positively correlated with the ability to undertake everyday activities and cognitive performance. Conclusions: We suggest that forensic services are well-placed to provide holistic mental and physical care to this group but that they should co-develop with patients a greater range of age-appropriate meaningful activities that are mindful of mobility issues and consider implementing more cognition-based and physical health interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Older forensic mental healthcare patients in England: demographics, physical health, mental wellbeing, cognitive ability and quality of life

et al. 2022

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“…Since dementia remains incurable and progressive, institutional care is essential for some [21]. Similar to the growing number of PWD, older o enders with mental disorders including dementia are the fastest growing group in the prison population [22]. In some cases, for o enders with mental disorders and comorbidities including dementia, referral to psychiatric hospitals is required to meet their specialised psychiatric and psychological needs.…”

Section: Dementia In Long-term Carementioning

confidence: 99%

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Rose

et al. 2019

Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems

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“…The authors drew attention to the implications for service planning for these older long stayers and, given the variation between medium secure settings, advised the need to further identify the needs of the long‐stay group and suitable therapeutic interventions. In a study of the well‐being and security needs of 521 patients in secure services (Girardi, Snyman, Natarajan, & Griffiths, ), younger patients improved on most measures of the HoNOS‐secure, a series of scales relating to health and social function whereas older patients showed little or no improvement on these scales.…”

Section: Studies Based In Secure Forensic Mental Health Facilitiesmentioning

confidence: 99%

Mental health and offending in older people: Future directions for research

Parrott

Houben

Visser

et al. 2019

Criminal Behav Ment Health

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Background: The number of older people and their proportion of the prison population in high-income countries is increasing substantially. This pattern is mirrored by the age profile in forensic hospital services, and both trends seem counter to the age-crime curve concept. How do we understand this and what are the mental health needs of this growing group? Aim: The aim of this review is to identify existing research robust enough to inform policy and practice in relation to mental health in older offenders and the knowledge gaps that should drive future research. Methods: A keyword-based search strategy of the databases Embase, PsychINFO, Medline, and grey literature 2008-2018. Article selection was limited to empirical research with the potential to inform policy or practice and findings synthesised narratively. Results: Much of the research in this field focuses on prevalence and the increased psychiatric morbidity of the older offender population. Older prisoners and those older

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Older adults in secure mental health care: health, social wellbeing and security needs measured with HoNOS-secure across different age groups

Cited by 7 publications

References 41 publications

Older forensic mental healthcare patients in England: demographics, physical health, mental wellbeing, cognitive ability and quality of life

Older forensic mental healthcare patients in England: demographics, physical health, mental wellbeing, cognitive ability and quality of life

Bring the Outside In

Mental health and offending in older people: Future directions for research

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