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Article
Publication date: 9 January 2018

Birgit Völlm, Shaz Majid and Rachel Edworthy

The purpose of this paper is to describe service users’ perspectives on the difference between high secure long-stay forensic psychiatric services in the Netherlands and high…

196

Abstract

Purpose

The purpose of this paper is to describe service users’ perspectives on the difference between high secure long-stay forensic psychiatric services in the Netherlands and high secure forensic psychiatric care in England. These perspectives are relevant in considering the benefits of a similar long-stay service in England.

Design/methodology/approach

A current in-patient detained in a high secure hospital in England and other mental health service users and carers with experience in forensic-psychiatric settings were asked to watch a documentary on a Dutch high secure long-stay service. Then they were invited to make comparisons between this service and high secure care in England. These perspectives were gained in the context of their membership of the Service User Reference Group of an externally funded study on long-stay in forensic-psychiatric settings in England.

Findings

The small group of participants highlighted the importance of relational security, meaningful occupation, autonomy, positive therapeutic relationships with staff and a homely environment for those with lengthy admissions and perceived these to be better met in the Dutch service. These factors might contribute to improved quality of life that services should strive to achieve, especially for those with prolonged admissions.

Practical implications

Perspectives of service users with lived experience of long-stay in forensic settings are important in informing service developments. Lessons can be learnt from initiatives to improve the quality of life in long-stay services in other countries and consideration be given on how to best manage this unique group.

Originality/value

To the authors’ knowledge this is the first study asking service users about their view on forensic services in other countries. The findings suggest that service users have valuable contributions to make to aid service developments and should be involved in similar such exercises in the future.

Details

Journal of Forensic Practice, vol. 20 no. 2
Type: Research Article
ISSN: 2050-8794

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Article
Publication date: 4 February 2014

Rachel Edworthy and Najat Khalifa

The purpose of this paper is to present the arguments for sustaining a clinical database, assess its feasibility in a low-secure service, examine the data that can be captured and…

306

Abstract

Purpose

The purpose of this paper is to present the arguments for sustaining a clinical database, assess its feasibility in a low-secure service, examine the data that can be captured and discuss what this means for practice implications and service development. The paper aims to demonstrate how a clinical database can provide information on three key areas: what patients are like before admission, what is done with them whilst they are in hospital and what happens to them when they are discharged. The paper also aims to examine the practical, legal and ethical implications of building such a database.

Design/methodology/approach

This is conducted in the form of a feasibility study charting the development and implementation of an inpatient clinical database for a low-secure inpatient service.

Findings

The feasibility of creating and maintaining a clinical database in a low-secure service has been assessed and the paper has found that they are an invaluable source of data that all mental health services should strive to develop. They will enable services to track their own outcome measures and tailor their service and interventions according to the needs of service users. However, ethical and legal issues surrounding building clinical databases are complex and require careful consideration.

Research limitations/implications

This is a small-scale study that captured the experience of one service. Ideally this research should be expanded with nationwide clinical database development.

Practical implications

This paper includes implications for the implementation of a clinical database, the resources needed for the running of this and the development of standardised outcome measures for mental health services.

Originality/value

This is potentially an innovative way of developing a clinical database for a low-secure unit and some of the first research into the feasibility of a database for this population. Its practical application is relatively new and potentially innovative in how it is applied.

Details

Journal of Forensic Practice, vol. 16 no. 1
Type: Research Article
ISSN: 2050-8794

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Article
Publication date: 20 October 2010

Andy Mantell and Patti Simonson

31

Abstract

Details

Social Care and Neurodisability, vol. 1 no. 3
Type: Research Article
ISSN: 2042-0919

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Article
Publication date: 27 February 2009

Ricardo Codinhoto, Patricia Tzortzopoulos, Mike Kagioglou, Ghassan Aouad and Rachel Cooper

The purpose of this paper is to present a conceptual framework that categorises the features and characteristics of the built environment that impact on health outcomes.

6116

Abstract

Purpose

The purpose of this paper is to present a conceptual framework that categorises the features and characteristics of the built environment that impact on health outcomes.

Design/methodology/approach

An extensive literature review was carried out. A total of 1,163 abstracts were assessed, leading to 92 papers being reviewed.

Findings

There is a considerable amount of evidence linking healthcare environments to patients' health outcomes, despite the lack of clarity in relation to cause‐effect relationships.

Originality/value

The paper proposes a theoretical framework linking different built environment characteristics to health outcomes. This framework provides a structure to group causal effects according to their relation with design features, materials and ambient properties, art and aesthetic aspects and use of the built environment.

Details

Facilities, vol. 27 no. 3/4
Type: Research Article
ISSN: 0263-2772

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