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Assessing the security needs of patients in medium secure psychiatric care in Northern Ireland

  • Rowan James McClean (a1)
Abstract
Aims and method

To determine the security needs of patients in medium secure services in Northern Ireland and to identify those requiring long-term secure care. Patients were rated on the Security Needs Assessment Profile.

Results

Fifteen patients (45%) could be managed in conditions of low security. Twelve patients (36%) require over 5 years' further treatment in secure care. Particular security needs include relational nursing skills, restricted access to alcohol and drugs, and robust physical security.

Clinical implications

This study should be replicated across the UK to determine whether forensic services are responding to patients' needs. Pathways out of medium security need to be better developed, with regional expansion of low secure services.

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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.
Corresponding author
Rowan James McClean (rowanmcclean@doctors.org.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Department of Health and Social Security. Revised Report of the Working Party on Security in NHS Psychiatric Hospitals (Glancy Report). HMSO, 1974.
2 Office, Home, Department of Health and Social Security. Report of the Committee on Mentally Abnormal Offenders, CMND 6244 (Butler Report). HMSO, 1975.
3 Beer, MD. Psychiatric intensive care and low secure units: where are we now? Psychiatr Bull 2008; 32: 441–3.
4 Kennedy, HG. Therapeutic uses of security: mapping forensic mental health services by stratifying risk. Adv Psychiatr Treat 2002; 8: 433–43.
5 Shaw, J, Davies, J, Morey, H. An assessment of the security, dependency & treatment needs of all patients in secure services in a UK health region. J Forens Psychiatry Psychol 2001; 3: 610–37.
6 Turner, T, Salter, M. Forensic psychiatry and general psychiatry: reexamining the relationship. Psychiatr Bull 2008; 32: 26.
7 Pereira, SM, Sarsam, M, Bhui, K, Paton, C. The London Survey of Psychiatric Intensive Care Units: service provision and operational characteristics of National Health Service units. J Psychiatr Intensive Care 2005; 1: 715.
8 Collins, M, Davies, S. The Security Needs Assessment Profile: a multidimensional approach to measuring security needs. Int J Forens Ment Health 2005; 4: 3952.
9 Reed, J. The need for longer term psychiatric care in medium or low security. Crim Behav Ment Health 1997; 7: 201–12.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Assessing the security needs of patients in medium secure psychiatric care in Northern Ireland

  • Rowan James McClean (a1)
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