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Service innovations: the Orchard Clinic: Scotland's first medium secure unit

  • D. Nelson (a1)
Extract

The development of forensic psychiatry provision in Scotland lags behind that in other parts of the United Kingdom. Until recently, there were no medium secure units in the country and mentally disordered offenders (MDOs) requiring such care had to be managed in intensive psychiatric care unit (IPCU) settings. In November 2000, The Orchard Clinic, a medium secure unit sited at the Royal Edinburgh Hospital, was opened. This paper discusses the background to this development, the government policies setting out plans for the care, services and support of MDOs in Scotland, progress and work of the new unit to date and plans for developments in other parts of Scotland.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health & Home Office (1992) Review of Health and Social Services for Mentally Disordered Offenders (Reed report) (Cm 2088). London: HMSO.
Department of Health and Social Security (1974) Working Party Report on Security in NHS Psychiatric Hospitals (Glancy report). London: HMSO.
Home Office & Department of Health and Social Security (1975) Report of the Committee on Mentally Abnormal Offenders (Butler report) (Cmnd 6244). London: HMSO.
Mental Welfare Commission for Scotland (1999) Annual Report: 1998–1999. Edinburgh: Mental Welfare Commission.
Scottish Development Centre for Mental Health (2001) Achieving a Balance: Care, Treatment and Security. Review of the Implementation Policy for Mentally Disordered Offenders in Scotland. Edinburgh: The Scottish Development Centre for Mental Health.
Scottish Executive (2001) Services, Care, Support and Accommodation for Mentally Disordered Offenders in Scotland: Care Pathway Document. Edinburgh: HMSO.
Scottish Office (1997) Framework for Mental Health Services in Scotland. Edinburgh: HMSO.
Scottish Office (1999) Health, Social Work and Related Services for Mentally Disordered Offenders in Scotland. Edinburgh: HMSO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Service innovations: the Orchard Clinic: Scotland's first medium secure unit

  • D. Nelson (a1)
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