Violence and Surveillance: Some Unintended Consequences of CCTV Monitoring within Mental Health Hospital Wards

Desai, Suki

doi:10.24908/ss.v8i1.3475

Cited by 12 publications

(11 citation statements)

References 10 publications

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“…We would note that issues surrounding security concerns occurred on almost every one of the days that observations were conducted, with security personnel called frequently in the locked ward. Our observational research thus confirms the findings of previous research (Bowers et al 2002;Duxbury 2002, Owen et al 1998Nijman et al 1999;Desai 2010) in finding that violent or aggressive incidents are common occurrences mental health units.…”

Section: Discussionsupporting

confidence: 91%

“…As such, we would argue that focusing on forms of surveillance which patients are passive about (such as CCTV monitoring) is likely to ensure that both staff and patients are kept safeand indeed feel safe-and that this has the potential to result in aggressive or violent incidents engendered by forms of direct control. However, the effectiveness of CCTV specifically is an area which future research could focus on given the possible impact of surveillance on patients who are psychotic (Desai 2010).…”

Section: Discussionmentioning

confidence: 99%

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Surveillance, Security and Violence in a Mental Health Ward: An Ethnographic Case-Study of a Purpose-Built Unit in Australia

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Connellan

Riggs

2012

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This paper discusses the potential relationship between surveillance techniques, the enactment of security measures, and patient violence in mental health wards. The paper draws upon data from an ethnographic study conducted in a purpose-built mental health unit containing two wards (one locked and one open) in South Australia, and argues that acts of violence observed in the unit were typically preceded by an incident within the unit that was related to the implementation of security measures aimed at controlling non-compliant behaviours. The paper argues that if a relationship between security measures and violence does exist in mental health wards, then close attention must be paid to the ways in which forms of surveillance may arguably exacerbate, rather than prevent, the need for security measures.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Surveillance, Security and Violence in a Mental Health Ward: An Ethnographic Case-Study of a Purpose-Built Unit in Australia

Due

Connellan

Riggs

2012

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“…As we have pointed out, consent is a complex issue in psychiatry and may be defined in degrees, rather than as a binary concept. 28 We accept that patients' decisions about consent to EM are likely to be influenced by a wish to move more quickly toward leave and discharge. This has parallels with consent to medication and engagement in psychotherapies and occupational activities, particularly in the forensic setting.…”

Section: Electronic Monitoring In a Uk Medium Secure Service (South Lmentioning

confidence: 99%

New technologies in the management of risk and violence in forensic settings

2015

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Novel technological interventions are increasingly used in mental health settings. In this article, we describe 3 novel technological strategies in use for management of risk and violence in 2 forensic psychiatry settings in the United Kingdom: electronic monitoring by GPS-based tracking devices of patients on leave from a medium secure service in London, and closed circuit television (CCTV) monitoring and motion sensor technology at Broadmoor high secure hospital. A common theme is the use of these technologies to improve the completeness and accuracy of data used by clinicians to make clinical decisions. Another common thread is that each of these strategies supports and improves current clinical approaches rather than drastically changing them. The technologies offer a broad range of benefits. These include less restrictive options for patients, improved accountability of both staff and patients, less invasive testing, improved automated record-keeping, and better assurance reporting. Services utilizing technologies need also be aware of limitations. Technologies may be seen as unduly restrictive by patients and advocates, and technical issues may reduce effectiveness. It is vital that the types of technological innovations described in this article should be subject to thorough evaluation that addresses cost effectiveness, qualitative analysis of patients' attitudes, safety, and ethical considerations.

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“…Approximately 34 National Health Service (NHS) hospitals in the UK have installed CCTV in their mental wards. 19 All NHS hospitals placed their CCTV cameras near patients’ bedside, which was also suitable for Hospital A’s setting. Both NHS hospitals and Hospital A were public hospitals rather than private mental institutions.…”

Section: Methodsmentioning

confidence: 99%

Physical factors that influence patients’ privacy perception toward a psychiatric behavioral monitoring system: a qualitative study

Zakaria¹,

Ramli

2017

NDT

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BackgroundPsychiatric patients have privacy concerns when it comes to technology intervention in the hospital setting. In this paper, we present scenarios for psychiatric behavioral monitoring systems to be placed in psychiatric wards to understand patients’ perception regarding privacy. Psychiatric behavioral monitoring refers to systems that are deemed useful in measuring clinical outcomes, but little research has been done on how these systems will impact patients’ privacy.MethodsWe conducted a case study in one teaching hospital in Malaysia. We investigated the physical factors that influence patients’ perceived privacy with respect to a psychiatric monitoring system. The eight physical factors identified from the information system development privacy model, a comprehensive model for designing a privacy-sensitive information system, were adapted in this research. Scenario-based interviews were conducted with 25 patients in a psychiatric ward for 3 months.ResultsPsychiatric patients were able to share how physical factors influence their perception of privacy. Results show how patients responded to each of these dimensions in the context of a psychiatric behavioral monitoring system.ConclusionSome subfactors under physical privacy are modified to reflect the data obtained in the interviews. We were able to capture the different physical factors that influence patient privacy.

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Violence and Surveillance: Some Unintended Consequences of CCTV Monitoring within Mental Health Hospital Wards

Cited by 12 publications

References 10 publications

Surveillance, Security and Violence in a Mental Health Ward: An Ethnographic Case-Study of a Purpose-Built Unit in Australia

Surveillance, Security and Violence in a Mental Health Ward: An Ethnographic Case-Study of a Purpose-Built Unit in Australia

New technologies in the management of risk and violence in forensic settings

Physical factors that influence patients’ privacy perception toward a psychiatric behavioral monitoring system: a qualitative study

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Violence and Surveillance: Some Unintended Consequences of CCTV Monitoring within Mental Health Hospital Wards

Cited by 12 publications

References 10 publications

Surveillance, Security and Violence in a Mental Health Ward: An Ethnographic Case-Study of a Purpose-Built Unit in Australia

Surveillance, Security and Violence in a Mental Health Ward: An Ethnographic Case-Study of a Purpose-Built Unit in Australia

New technologies in the management of risk and violence in forensic settings

Physical factors that influence patients&rsquo; privacy perception toward a psychiatric behavioral monitoring system: a qualitative study

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Product

Resources

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Physical factors that influence patients’ privacy perception toward a psychiatric behavioral monitoring system: a qualitative study