Managing High Security Psychiatric Care


Book Description

The management of the secure psychiatric services is under increasing scrutiny. The book illustrates the problems faced by the Special Hospitals, the techniques and action employed to effect major change in these large, enclosed institutions, difficulties and obstacles encountered which dominate and influenced management and clinical initiatives.







Seminars in Forensic Psychiatry


Book Description

This updated edition of Seminars in Forensic Psychiatry is an invaluable guide for consultants and specialist trainees working in forensic psychiatry. Written by leading international contributors, topics include models of care, the management of in-patient violence, forensic psychotherapy, and psychological treatments. The evolution of policy and mental health law is discussed, demonstrating how it has shaped the provision of forensic psychiatry services. Legal aspects include considerations of mentalistic defences in criminal law, mental health law, as well as the law on negligence. The book also includes sections on specialist areas of need, including cultural and gender specific needs, terrorism, stalkers, and sex offenders. Woven into the chapters are practical approaches, and 'how to' guides. The volume ends with advice for each of the transitions in the career of a forensic psychiatrist. A truly practical guide, this is a must-read for psychiatrists and mental health professionals working within a forensic setting.




Secure Lives


Book Description

Though institutional care for people suffering from mental illness was phased out in the last century, mentally disordered offenders remain the exception to this rule. This book is a unique study of life in a high security hospital.




Managing Clinical Risk


Book Description

The second edition of Managing Clinical Risk is an authoritative guide on how to engage in risk assessment and management practice in evidence-based, accountable and effective ways. Over the course of a dozen chapters, each oriented around a brief case study reflecting a different area of risk, practitioners are offered guidance on how to read referrals, how to decide what information matters to their evaluations, how to speak to a person who may be reluctant to engage in an assessment of this kind, how to organise the information they have gathered in order to prepare a risk formulation that will in turn guide risk management, and how to communicate opinions and recommendations in ways that have an impact. The book provides an evidence-based understanding of risk assessment and management in key areas of practice – violence, sexual violence, suicidal and self-harmful behaviour, as well as family and relationship violence, organised criminal and group-based violence, and violent extremism. Practices relevant to understanding violent behaviour in individuals are contrasted with those better suited for working with groups and organisations. How practitioners can take account of the diversity of the clients with whom they work is a central consideration in every chapter. And helping practitioners develop the skills to enable them to formulate risk where there may be multiple areas of concern is a key objective of this book. All the contributors to this updated guide to effective practice are scholar-practitioners – experienced professionals with a track record of writing and teaching about risk assessment and management practice in their respective fields. Therefore, this book contains realistic rather than idealistic representations of the work required to prevent harmful behaviour by the kinds of clients they work with. Together, contributors combine theoretical and research knowledge with a wealth of practical skills, emphasising the collaborative and recovery-focused nature of modern risk management.




Race, Culture, and Ethnicity in Secure Psychiatric Practice


Book Description

People from ethnic minorities are overrepresented in secure psychiatric care, and have been reported to receive differential treatment from staff. It has been suggested that these people (especially Afro-Caribbean groups) suffer from prejudicial legal, criminal justice and psychiatric system. This text questions whether Western, white-oriented practice and systems of belief can, or should, be applied to service users from other cultural, racial, ethical or spiritual backgrounds.




The Case Study Guide to Cognitive Behaviour Therapy of Psychosis


Book Description

This is a practical volume which reflects how treatment programmes can be compatible with the reality of service delivery and mental health provision in an organisational context. It also supports both training and clinical practice by presenting examples of clinical cases to illustrate the assessment, treatment planning and implementation processes of CBT for psychosis. * Based on extensive clinical experience and real life service settings * Deals with the roles of several mental health disciplines, as they combine in the these treatment programmes * Cases from a variety of settings: inpatient, outpatient community * Describes techniques used with the full range of symptoms Part of the Wiley Series in Clinical Psychology




Forensic Nursing and Multidisciplinary Care of the Mentally Disordered Offender


Book Description

The first comprehensive account of forensic nursing and its role within the wider professional team, the aim of this book is to provide a multidisciplinary perspective on the training needed to work with mentally disordered patients, as well as to examine the key characteristics of the forensic nursing role. An international group of contributors, from a wide range of disciplines, provides a well-rounded, comparative view of the forensic nursing profession. The chapters are a rich contribution of cross-cultural thinking on the many dilemmas and challenges facing nurses, psychiatrists, psychologists and other health care practitioners, working with specific client groups. Each contributor has utilised empirical data to analyse relevant issues, such as: professional standards; effectiveness of preparation for nurses working within secure environments; day to day and long term challenges facing nurses; clinical effectiveness; the dilemma of security versus practice; how forensic nursing differs from other kinds of nursing; and what forensic nurses can contribute to other mental health care disciplines. Examples of how research findings may be integrated into practice, will be of interest not only to forensic nurses, but also to significant sectors of the mental health care field.




Forensic Medicine


Book Description

This multi-author, multinational book has provided a source of information about the forensic aspects of medicine and related fields for those currently involved in the clinical and pathologic aspects of health care, forensic assessment, investigation and diagnosis for victims, assailants and others involved in police or judicial systems.




Offenders with Developmental Disabilities


Book Description

For over a century, developmental disabilities have been associated with crime in prejudicial and pejorative contexts. Offenders with Developmental Disabilities provides a balanced, comprehensive review of the prevalence, nature and development of offending by those with intellectual disabilities. Not only does this volume include coverage of evidence-based assessment and treatment ideas, strategies and plans, but also places the field in a historical, legal and ethical context. William Lindsay, John Taylor and Peter Sturmey have brought together a wealth of contributors from differing backgrounds to share new material and knowledge of assessments, treatment, and service issues in a single volume. Divided into five parts, Part I opens with theoretical issues; Part II deals with legal and services contexts including ethical concerns; Part III considers risk assessment, general assessment and approaches to evaluation; Part IV addresses specific issues of sexual offending, anger and aggression, fire raising, dual diagnosis, female offenders and personality disorder; Part V concludes with service development, professional and research issues. Forensic practitioners and students from psychology and psychiatry, lawyers and advocates, nurses and social workers will all find this comprehensive and practical book an inspiration in taking this field forward.