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The supervision register: 19 months after its introduction

  • Charles Hindler (a1)
Abstract
Aims and method

To examine whether, 19 months after its introduction, the goals of the supervision register have been met. A matched case-control study of patients on the supervision register and Care Programme Approach was conducted.

Results

Cases and controls demonstrated similar socio-demographic characteristics, primary diagnoses and community psychiatric care. The supervision register group were more likely to use concurrent alcohol and/or illicit drugs (P=0.001) or suffer with an accompanying personality disorder (P=0.0001), and were less likely to have experience of a long-term relationship (P=0.003). Nineteen months after registration, the supervision register group were more likely to be violent to others (P=0.002) or involved in serious threatening behaviour to others (P=0.0007). Relapse of mental illness was the only significant predictor of future violence in the supervision register group (P<0.01).

Clinical implications

Patients with a history of violence to others were found to be appropriately placed on the supervision register but continued to demonstrate aggressive behaviour after registration, indicating that the goal of the supervision register to prioritise most appropriate care and treatment for this group of patients has not been met.

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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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Abram, K. M. & Teplin, L. A. (1991) Co-occurring disorders among mentally ill detainees. American Psychologist, 46, 10361045.
Bottomley, V. (1994) Supervision Registers: the College's response - reply from the Secretary of State. Psychiatric Bulletin, 18, 385388.
Coid, J. W. (1996) Dangerous patients with mental illness: increased risks warrant new policies, adequate resources, and appropriate legislation. British Medical Journal, 312, 965969.
Department of Health (1990) Health and Social Services Development ‘Caring for People’, The Care Programme Approach/or People with a Mental Illness referred to the Specialist Psychiatric Services , Joint Health/Social Services Circular, HC(90)23/LASSL(90)11. London: HMSO.
Feldman, D. S. Jr, Hofmann, R., Gagnon, J., et al (1987) Statview II, Statview SE and Graphics. Berkeley, CA: Abacus Conceptus Inc.
Link, B. G. & Stueve, A. (1995) Evidence bearing on mental illness as a possible cause of violent behaviour. Epidemiology Review, 17, 110.
MacArthur Foundation Research Network on Mental Health and the Law (1996) Violence, Competence and Coercion: Pivotal Issues in Mental Health Law. Oxford: Wadham College.
McCarthy, A., Roy, D., Holloway, F., et al (1995) Supervision Registers and the Care Programme Approach: a practical solution. Psychiatric Bulletin, 19, 195199.
Mulvey, E. P. (1994) Assessing the evidence of a link between mental illness and violence. Hospital and Community Psychiatry, 45, 663668.
Royal College of Psychiatrists (1996) Assessment and Clinical Management of Risk of Harm to Other People (Council Report CR53). London: Royal College of Psychiatrists.
Swanson, J. W., Holzer, C. E., Ganju, V. K., et al (1990) Violence and psychiatric disorder in the community: evidence from the epidemiologic catchment area surveys. Hospital and Community Psychiatry, 41, 761770.
Toner, B. B., Shugar, G., Campbell, B., et al (1991) Pattern of substance abuse in psychiatric inpatients. Canadian Journal of Psychiatry, 36, 381383.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The supervision register: 19 months after its introduction

  • Charles Hindler (a1)
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