Topic B - Forensic Psychiatry > Section B.3.0. Forensic Systems/Services > Unit.B.3.2. Forensic Psychiatric Mental Health Services
Readings
Required Readings | Recommended Readings | Forensic References | Resources Video | Resources (Web) | Forensic Websites

 

The required readings for this unit are:

Australia
Required Reading(s)

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Canada
Required Reading(s)

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International
Required Reading(s)
Taborda, J. G. V., Bertolote, J. M., Cardoso, R. G., & Blank, P. (1999). The impact of primary mental health care in a prison system in Brazil. Canadian Journal of Psychiatry, 44(2), 180-182. Retrieved December 12, 2002, from Academic Search Premier database:
http://search.epnet.com/direct.asp?an=1898867&db=aph
  • Presents information on a study which analyzed the impact of a psychiatric service in a prison general hospital in Porto Alegre, Brazil that refers prisoners with mental disorders to a separate forensic psychiatric hospital. Information on the general hospital and the prisoners; Methodology of the study; Results and discussions on the study; Clinical implications

 

United Kingdom
Required Reading(s)
Abbott, P. (2002). Reconfiguration of the high-security hospitals: Some lessons from the mental hospital retraction and reprovision programme in the United Kingdom, 1960-2000. Journal of Forensic Psychiatry, 13(1), 107-122. Retrieved December 20, 2002, from
Academic Search Premier datbase:
http://search.epnet.com/direct.asp?an=6726245&db=aph
  • The high-security hospitals of England and Wales are entering a phase of major retraction, with local security services embarking upon the reprovision of services for patients with longer-term needs who do not require high security. The large area mental hospitals underwent similar changes and the lessons that may be learnt from this process are relevant to proposed changes in forensic services. These lessons include: (1) the risk of over-optimistic predictions concerning the time-scale and resources required for major bed reduction; (2) the problems associated with 'creaming off', with the risk of increasing acuity in the residual inpatient population accompanied by deterioration in the quality of the retracting services; (3) the risk of 'silting up' in the reprovided services in the absence of an appropriate community infrastructure; and (4) the importance of quality of life for longer-stay secure inpatients. This paper urges caution in view of the potentially serious clinical and organizational risks associated with these major changes in forensic services


Fioritti, A.., Melega, V., Ferriani, E., Rucci, P., Scaramelli, A. R., Venco, C., & Santarini, F. (2001). Crime and mental illness: An investigation of three Italian forensic hospitals. Journal of Forensic Psychiatry, 12(1), 36-51. Retrieved December 20, 2002, from Academic Search Premier database: http://search.epnet.com/direct.asp?an=4422987&db=aph

  • Maximum-security forensic hospitals, or Ospedali Psichiatrici Giudiziari (OPGs), are the only facilities in Italy providing care and custody for mentally ill offenders. This article aims to describe clinical, criminological and psychosocial features of their population. The method was an assessment of 118 patients admitted to three forensic hospitals and a matched control group from community non-forensic services. Of the subjects, 72% had a diagnosis of non-affective psychosis, and 75.2% had committed serious crimes against other people; 54% of these crimes were homicide or attempted homicide. At the time of committing the index crime, 60% were being treated by a community service, and 68.9% had been compulsorily admitted previously. OPG inmates more frequently had a history of substance abuse, had committed more crimes and had lower social disability than controls. The needs and problems of this population seem quite specific and often fall beyond the scope of ordinary psychiatric services. The project was funded by the Regione EmiliaRomagna and by the Istituto Superiore di Sanità


Polczyk-Przybyla, M. & Gournay, K. (1999). Psychiatric nursing in prison: The state of the art? Journal of Advanced Nursing, 30(4), 893-900. Retrieved December 12, 2002, from Academic Search:
http://search.epnet.com/direct.asp?an=5866941&db=aph

  • This paper outlines the development of British psychiatric services in prisons. It then describes the HCC in Her Majesty's prison (HMP) Belmarsh and reports on recent radical changes in the management structure of this service
  • Psychiatric nursing in prisons has received criticism from within and outside the profession in recent years. In England and Wales this amongst other issues has prompted a review of forensic health care by the United Kingdom Central Council for Nursing, Midwifery & Health Visiting (UKCC). The status of forensic psychiatric nursing as a specialty has also been disputed in the literature and the role of nurses working in this field is seen by some to be more about social control than caring. These arguments are set in the present situation of increasing numbers of mentally ill individuals in the prison system and a crisis in the availability of beds in secure units, a situation that is paralleled throughout the western world. The standard expected of health care services in prisons is equivalence with the service the public receives from the National Health Service (NHS). The number of prisoners needing transfer to hospital has increased during the last decade, resulting in competition for a limited number of suitable beds. The effect on health care centres (HCCs) in English prisons is that they now must provide long-term care for seriously mentally ill prisoners. This paper outlines the development of British psychiatric services in prisons. It then describes the HCC in Her Majesty's prison (HMP) Belmarsh and reports on recent radical changes in the management structure of this service. The aim of these changes is to produce a clinical environment in which psychiatric nurses can deliver high quality care in an area beset with difficulties for clinicians and managers and to further progress towards the goal of equivalence. These advances have been achieved through a shift of emphasis in management structure that increases the number of clinical posts and minimizes administrative and security-based responsibilities held by clinical grades. We conclude that although external contracts are necessary, much can be achieved through internal review and changes in policies (Polczyk-Przybyla,& Gournay, 1999, 893).


 

United States
Required Reading(s)

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Databases
For the full text article online, sleuth the 'University of Calgary/ Library/ Article Indexes':

Directions:

  • Select - Indexes and abstracts with links to full text articles
  • Select - Academic Search Premier or Expanded Academic ASAP
  • Select - Connect
  • Fill in User ID and Pin
  • Fill in search words:
    • forensic and psychiatric and systems
    • forensic and psychiatric and services
    • forensic and mental health care and systems
    • forensic and mental health care and services

 

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The 'recommended only' readings for this unit are the following:

 
Australia
Recommended Reading(s)

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Canada
Recommended Reading(s)

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International
Recommended Reading(s)
Rask, M., & Hallberg, I. R. (1999). Moral psychiatry: Justice in the modern world, in Hebraic civilisation and in psychiatric practice, Part 3. Mental Health, Religion & Culture, 2(2), 135-143. Retrieved December 12, 2002, from Academic Search Premier database:
http://search.epnet.com/direct.asp?an=6673201&db=aph
  • In the earlier parts of this monograph, the author discussed and illustrated the principles of applying the principles of justice in psychiatric practice. The outcomes of his attempts, and their implications were described. Here the author describes attempts to apply justice in other contexts, and discusses the role of justice in the legal system and in medico-legal psychiatry, again with illustrations.

 

United Kingdom
Recommended Reading(s)
Evans, N. (2000). Developing forensic nursing. Nursing Management, 6(10), 14-17. Retrieved July 2, 2002 from ProQuest database.
  • Note - Two years into the job, Nicola Evans describes how her lecturer practitioner post in forensic nursing is working out. A LECTURER practitioner post was created between the South Wales Forensic Psychiatric Service, at Caswell Clinic and the School of Care Sciences at the University of Glamorgan.

Kurtz. A. (2002). A psychoanalytic view of two forensic mental health services. Criminal Behaviour & Mental Health, Supplement, 12(2), S68-80. Retrieved December 20, 2002, from Academic Search Premier database:
http://search.epnet.com/direct.asp?an=8588411&db=aph

  • RSU and community Forensic Mental Services

Mason, T. (1999). The psychiatric "supermax"? Long-term, high-security psychiatric services. International Journal of Law and Psychiatry, 22(2), 155-166.

Mercer, D., Mason, T., & Richman, J. (1999). Good & evil in the crusade of care: Social constructions of mental disorders. Journal of Psychosocial Nursing & Mental Health Services, 37(9) 13- 17. Retrieved July 2, 2002 from ProQuest database.
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  • From their inception, the design and organization of these special hospitals paralleled the centralized administration of the penal system as a governmental responsibility. Despite frequent reform and managerial changes, this trend has remained a feature of their development until recent times. It is only within the present decade that large-scale restructuring has attempted to incorporate high-security care within the regionalized National Health Service (NHS) provision (Mercer, Mason & Richman, 1999).

Morrison, P. & Burnard, P. (1997). Nurses' and patients' perceptions of the social climate in a forensic unit in Wales. International Journal of Offender Therapy & Comparative
Criminology, 4(1), 65-78. Retrieved December 20, 2002, from Academic Search Premier database: http://search.epnet.com/direct.asp?an=9706095555&db=aph

  • Explores the social climate of a newly established forensic unit in Wales using the short form of the Correctional Institute Environmental Scale (CIES). Views of patients and nursing staff on hospital social climate; Factors that influence the social climate of a hospital ward; Nine subscales of CIES important in correctional treatment environment.

Richman, J., & Mercer, D. (2002). Nurse managers and external consultants at Ashworth Mental Health Nursing, 21(4), 16-20. Retrieved July 1, 2002, from ProQuest database.

  • Working in a 'special' - one of the three special high security hospitals - is demanding. The institution's operation is likely to face public, political and media pressure. Joel Richman and Dave Mercer in the first part of a two part article describe the developments of the ward manager role at Ashworth in the wake of the BlomCooper inquiry.

 

United States
Recommended Reading(s)

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Additional references for this unit can be found in 'forensic references' of the forensic sourcebooks.

  • Sleuth 'forensic reference' database for:
    • forensic - psychiatric - systems
    • forensic - psychiatric - services
    • forensic - mental health care - systems
    • forensic - mental health care - services
Kent-Wilkinson, A. (2002). Forensic Sourcebooks: Forensic References.

Retrieved May 28, 2002, from the Forensic Education Website: http://www.forensiceducation.com/sourcebooks/experts/Experts_database.html/refs

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Video's recommended for this unit are:

Resources (Video)

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The required websites to sleuth for this unit are the following:

Australia
Resources (Web)

Forensicare. (2002). Forensicare Institute of Mental Health in Melbourne, Australia. Retrieved May 20, 2002 from: http://www.forensicare.vic.gov.au/

Canada
Resources (Web)

Correctional Service Canada (2002). Regions. Retrieved May 20, 2002 from: http://www.csc-scc.gc.ca/text/region/regions_e.shtml

  • Note the 5 regions of Canada where there are Forensic Psychiatric Services.

The Clarke Institute of Psychiatry (2002). The Clark Institute of Psychiatry, Toronto, Ontario. Retrieved May 20, 2002 from: http://www.keithn.com/clarke/index.html

  • Note the history of this historical site.
International
Resources (Web)

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  • Note in this website
United Kingdom
Resources (Web)

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  • Note in this website
United States
Resources (Web)

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  • Note in this article

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For additional websites on this unit, sleuth 'forensic websites' in the forensic sourcebooks.

  • forensic - psychiatric - systems
  • forensic - psychiatric - services
  • forensic - mental health care - systems
  • forensic - mental health care - services

Kent-Wilkinson, A. (2002). Forensic Sourcebooks: Forensic Websites.

Retrieved May 28, 2002, from the Forensic Education Website: http://www.forensiceducation.com/sourcebooks/experts/Experts_database.html/websites

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Readings