Several previous randomised controlled trials of dialectical behaviour therapy (DBT) since Linehan's original have shown that it has an advantage over standard care or other psychological treatments, but focus is usually on suicide‐related behaviours, and little is known about its effect with offender‐patients.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Motivation and readiness to change are important drives for forensic patients accessing interventions. It is thought that guilt and shame influence these drives, but to date, their relationship has not been empirically tested.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. Cardiometabolic health significantly impacts on the mortality of people with severe mental illness. Clozapine has the greatest efficacy for Treatment Resistant Schizophrenia (TRS) but the greatest negative impact on cardiometabolic health. Balancing the risks and benefits of treatment, dignity, autonomy, liberty, mental and physical health can be challenging, particularly when imposing interventions with potentially life threatening adverse events, such as clozapine. We describe the successful administration of clozapine in the face of myocardial infarction, pulmonary embolism and hyperlipidaemia resulting in the termination of long-term seclusion for a gentleman with TRS in high secure psychiatric services.
A report published by HM Inspectorate of Probation and HM Inspectorate of Prisons found that significant improvement is needed to ensure sexual offenders are managed effectively in prison and in the community.
Psychology of Violence Vol. 9, Iss. 1, (Jan 2019): 1-17. DOI:10.1037/vio0000156
Objectives: This meta-analysis aimed to explore the relationship between mental health disorders and symptoms of mental health disorders (depression, anxiety, posttraumatic stress disorder [PTSD], antisocial personality disorder [PD], and borderline PD) and physical intimate partner violence (IPV) perpetration and victimization for males and females. To read the full article, log in using your NHS OpenAthens details.
Psychology of Violence Vol. 9, Iss. 1, (Jan 2019): 39-47. DOI:10.1037/vio0000161
Objective: Past research has linked posttraumatic stress disorder (PTSD) symptoms to increased risk for intimate partner violence (IPV) perpetration. However, little is known about the impact that PTSD may have on treatment engagement or violence recidivism following treatment for IPV. The current study examined whether PTSD predicts treatment engagement and criminal recidivism in a 20-session, community-based, cognitive–behavioral abuse intervention program. . To read the full article, log in using your NHS OpenAthens details.
One of the five overarching principles of the Mental Health Act: Code of Practice is to provide patients with care and treatment which is least restrictive whilst encouraging recovery and promoting independence. However, there is limited research which explores the application of these principles within a medium secure unit. The aims of the research were to explore what are patient’s experiences of least restrictive practices and to what extent do they perceive that least restrictive practices maximise their independence and recovery.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The primary aim of this study was to explore motivations underpinning aggression among men detained within conditions of high security.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Genetic/biological evidence is increasingly introduced into courtrooms but findings regarding its impact are mixed. This study integrates research on psychopathy and the use of genetic evidence in legal contexts by considering how information on genetic causal accounts of psychopathy affect perceptions of culpability, recidivism, amenability to treatment, and sentencing severity In a U.S context. Perpetrator gender was examined as a moderator.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Psychopathy and ADHD are highly comorbid disorders, possibly linked to the underlying trait of impulsivity. It is therefore likely that ADHD symptoms are also of importance when studying cognitive functioning linked to psychopathy. Few studies of psychopathy and cognitive functioning have taken ADHD symptoms into account. In this cross-sectional study, male offenders (n = 201 of whom 105 were neuropsychologically tested) were recruited from all high security correctional facilities in Sweden. The aim of the study was to investigate if self-reported ADHD symptoms and cognitive functioning could predict specific subcomponents of psychopathy in offenders.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Bluebird House is a mixed-gender adolescent medium-secure forensic unit. There is a paucity of data available about this unique patient group. We aimed to explore the demographic, clinical and personality characteristics of the first 100 patients admitted to a mixed-gender adolescent medium-secure forensic unit. We used a retrospective cross-sectional study of the first 100 consecutive patients admitted to Bluebird House.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Somnophilia has previously been recognised by some as a sleep disorder rather than, correctly, as a sexual paraphilic disorder. Correct recognition, however, then necessitates cognisance of the overlap between somnophilia and arousal to rape and sexually violent acts (biastophilia and raptophilia). Such overlap needs to be recognised by clinicians when the ramifications of the comorbidity and intersection of these paraphilias, left unchecked, can stretch as far as homicide.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Open access. Evidence is accumulating that Cognitive Remediation Training (CRT) is effective for ameliorating cognitive deficits experienced by patients with schizophrenia and accompanying functional impairment. There has been no randomized controlled trial of CRT using a nationally representative population of forensic patients, despite the significant cognitive deficits frequently present within this group.
Open access. To examine the effectiveness of the New South Wales (Australia) court diversion programme in reducing re-offending among those diagnosed with psychosis by comparing the treatment order group with a comparison group who received a punitive sanction.
Open access. Night-time confinement, currently imposed as a blanket restriction on all patients on wards in UK high secure hospitals, constitutes an arbitrary restriction of liberty, not being based on any therapeutic purpose for those so restricted, nor serving a need for the protection of others. Its imposition constitutes a form of ‘degrading’ treatment as well as an unjustified restriction of ‘residual’ liberty. Persons who are vulnerable, especially those who are involuntarily detained as in this case, are particularly at risk of suffering human rights abuses. A compelling case can be made, based on ethics, law and accepted practice standards, for ruling out night-time confinement as an acceptable measure.
Open access. Night-time confinement is the practice of routinely locking patients in their rooms at night unless there is a contrary clinical indication. It is used in high-secure psychiatric hospitals. This article argues in favour of this practice on the basis of realistic medicine, an individual human rights based approach, the principles of mental health legislation in Scotland and England and cost effectiveness. This is not an academic debate. There is a real danger that those advocating against night-time confinement, if successful, will at best make little difference to the lives of our patients as they sleep, and at worst may hugely impoverish their lives because of reduced daytime activities.
Open access. Night-time confinement, locking patients in their bedrooms overnight, is practiced within high-secure hospitals in the UK. This article provides context, sets out the history and reviews the ethical and pragmatic issues at stake. Thought is given to the future, where we appear to be moving toward a different approach.
Locating social workers in hospital teams, or co-location, can improve relationships between professionals but at the expense of some professional values. Aim: This study examines the effect on communication of co-locating a social work team in a secure mental health service in Scotland. To read the full article, log in using your MPFT NHS OpenAthens details.