The Barriers and Benefits to Developing Forensic Rotations for Psychiatry Residents [2018]

Psychiatry residents’ experiences in forensic psychiatry vary greatly across the country, and many psychiatry programs meet the Accreditation Council for Graduate Medical Education requirements for a forensic experience through general psychiatry rotations (e.g., on a consult-liaison service) or classroom-based activities. Forensic clinical experiences during psychiatry residency are important for preparing

Modern forensic psychiatric hospital design: clinical, legal and structural aspects [2018]

Forensic psychiatric care must be provided within the least restrictive setting possible, whilst simultaneously maintaining appropriate levels of security. This presents particular challenges for the design of forensic psychiatric hospitals, which are required to provide both a therapeutic and a safe material environment, often for extended periods of treatment and

Mapping Systematic Reviews on Forensic Psychiatric Care: A Systematic Review Identifying Knowledge Gaps [2018]

Background: Forensic psychiatric care treats mentally disordered offenders who suffer mainly from psychotic disorders, although comorbidities such as personality disorders, neurodevelopmental disorders, and substance abuse are common. A large proportion of these patients have committed violent crimes. Their care is involuntary, and their caregivers’ mission is complex: not only to

Perceptions of Social Climate and Aggressive Behavior in Forensic Services: A Systematic Review [2018]

Social climate is a term used to describe the environment of a particular setting which may influence the moods and behaviors of the people inhabiting that setting. This review explores perceptions of social climate in secure forensic services and the associations with aggression. Article searches were conducted using electronic databases,

LGB Q&A: An investigation of the influence of sexual orientation on professional practice among LGBQ-affiliated forensic mental health professionals [2018]

Recent decades have seen an increase in research examining the experiences of Lesbian, Gay, Bisexual, Queer, and other-identifying (LGBQ) individuals in the workplace, including surveys and empirical studies exploring how an individual’s sexual orientation influences their work, instances of workplace discrimination due to sexual orientation, and the impact of antidiscrimination

Exploring forensic environments: how do environmental factors influence individual outcomes for residents and staff? A systematic review [2018]

Purpose Increasing attention is focusing on the role of environments in the rehabilitation of offenders, with a range of reported outcomes in the literature. The purpose of this paper is to explore forensic environments and the outcomes and changes that result, in order to assess the current knowledge in this

Schizophrenia in a high-security hospital: long-term forensic, clinical, administrative & social outcomes [2017]

Objective: To determine forensic, clinical, social and administrative outcomes of high-security patients. Method: Prospective year follow-up study of 169 patients with schizophrenia, 1992–1993. Results: By the end of the study, 46 (27.2%) patients were in high security, 43 (25.5%) in medium- or low-secure units, 35 (20.7%) in an open ward,

Intellectual and developmental disabilities and Ontario’s forensic inpatient system: a population-based cohort study [2017]

Individuals with intellectual and developmental disabilities (IDD) in forensic inpatient beds are both complex and understudied. Previous studies have been limited and largely based on smaller clinical samples. We used data from a population-based cohort of Ontario adults with IDD (H-CARDD cohort, n = 66,000) to describe their prevalence in forensic inpatient

Measuring the organisational recovery climate in a forensic high-secure service [2017]

The authors seek to build on an ongoing annual service evaluation, to measure commitment to providing recovery–based care. This study used two subscales of the Developing Recovery Enhancing Environments Measure (DREEM). These two measures, recovery markers (patients) and the organisational climate—recovery (staff), generate both qualitative and quantitative data which enable

A comparison of staff descriptions of their current work setting in a high-secure hospital [2016]

The occupational therapy and rehabilitation therapy services working at Broadmoor Hospital, West London Mental Health Trust (WLHMT), have recently come together under one management structure. This merger led to the idea of measuring the work environment of both services to establish any differences or commonalities to provide a baseline measurement

Staff support procedures in a low-secure forensic service [2018]

Purpose Staff working in forensic inpatient settings are at increased risk of harm perpetrated by patients. Support offered in response to such incidents can have a significant impact on how staff recover. The purpose of this paper is to explore how staff support procedures implemented in one low-secure forensic service

Burnout symptoms in forensic mental health nurses: Results from a longitudinal study [2018]

Burnout in nursing staff is a major cause for turnover and absenteeism. Identifying risk and protective factors may be helpful in decreasing burnout symptoms. Moreover, research indicates that ambulatory assessments of the autonomic nervous system might be helpful in detecting long‐term stress and burnout symptoms. One hundred and ten forensic

Taking parents seriously: The experiences of parents with a son or daughter in adult medium secure forensic mental health care [2018]

Adult forensic mental health services provide care and treatment to individuals with complex offending and mental health histories. However, little attention has been paid to the parents of those receiving care within them. This research explored the experiences of parents with an adult son or daughter with mental illness in

Multidisciplinary team functioning and decision making within forensic mental health [2018]

Purpose The purpose of this paper is to investigate the operation of multidisciplinary team (MDT) meetings within a forensic hospital in England, UK. Design/methodology/approach Mixed methods, including qualitative face to face interviews with professionals and service users, video observations of MDT meetings and documentary analysis. Data were collected from 142

Building from the ground up: exploring forensic mental health staff’s relationships with patients [2018]

Recovery-orientated care is becoming generally accepted as the best practice, and continued development in the ways it is practiced is necessary to ensure improvement of ongoing care. Forensic patients often experience double stigmatization (the dual stigma of mental illness and offending behaviour) and during admission to hospital may lose touch