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Tilting the balance: the first long-term medium secure unit in the NHS in England and Wales

  • Niamh Power (a1), Dawn Harwood and Akintunde Akinkunmi (a2)
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Rollo May Ward, a long-term medium secure facility integrated within the West London Mental Health National Health Service (NHS) Trust, is the first dedicated long-term NHS medium secure unit to have opened in England. It caters for a group of men with complex clinical needs and risk assessment issues who had previously been inappropriately detained within high secure services owing to a lack of suitable, less secure placement facilities. We describe the background to the development of the long-term medium secure service, the referral and assessment processes, the structure of the ward and the therapeutic programmes available to patients. We also outline the characteristics of the first 21 patients to be admitted to the ward and offer advice for similar future developments.

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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 and Others Requiring Similar Services. Final Summary Report (Cm 2088). London: Stationery Office.
Department of Health (2000a) The NHS Plan: A Plan for Investment, a Plan for Reform. London: Department of Health.
Department of Health (2000b) Report of the Review of Security at the High Secure Hospitals. London: Department of Health.
Maden, A., Curle, C., Meux, C., et al (1995) The treatment and security needs of patients in the Special Hospitals. Criminal Behaviour and Health, 3, 290306.
Reed, J. (1997) Review of Health and Social Services for Mentally Disordered Offenders and Others Requiring Similar Services, vol.2: Service Needs. London: Stationery Office.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Tilting the balance: the first long-term medium secure unit in the NHS in England and Wales

  • Niamh Power (a1), Dawn Harwood and Akintunde Akinkunmi (a2)
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