Article1999

Outcome of admission to a medium secure psychiatric unit

Anthony Maden · S. C. Rutter · Caroline Friendship · John C. Gunn

76 citations0/0 files storedThe British Journal of Psychiatry

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Psychopathy, Forensic Psychiatry, Sexual Offending Historical Psychiatry and Medical Practices Psychiatric care and mental health services

Abstract

BACKGROUND: This is the first long-term follow-up of patients discharged from a medium secure unit. AIMS: To describe the short- and long-term outcomes of admission for all patients discharged during a 14-year period. METHOD: A longitudinal cohort study of all 234 patients discharged from the Denis Hill Unit, Bethlem Royal Hospital, between 1980 and 1994, followed for an average 6.6 years. RESULTS: Although 48% of admissions were from prison, only 8% returned there, with most being transferred to another psychiatric bed. One-fifth of patients spent none of the follow-up time in the community; 75% of patients had at least one readmission; only 24% were convicted of further offences. CONCLUSIONS: Re-offending rates are comparable with those for patients discharged from high-security hospitals, and much lower than those for released prisoners. The high readmission rates indicate the need for a range of services to maintain former patients in the community.

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References

1991Treatment needs of prisoners with psychiatric disorders.1997Increased incidence of psychotic disorders in migrants from the Caribbean to the United Kingdom 1996Point prevalence of mental disorder in unconvicted male prisoners in England and Wales 1994Failure in community care: psychiatry's dilemma

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2010A systematic review of outcome measures used in forensic mental health research with consensus panel opinion 2002Clinical and forensic outcome 2 years and 5 years after admission to a medium secure unit 2018Characteristics and Pathways of Long-Stay Patients in High and Medium Secure Settings in England; A Secondary Publication From a Large Mixed-Methods Study

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