Outcome measures of risk and recovery in Broadmoor High Secure Forensic Hospital: stratification of care pathways and moves to medium secure hospitals

BJPsych Open
Samantha McCulloughMary Davoren

Abstract

Placements within high secure forensic hospitals consist of wards providing various different levels of relational security. They should form a coherent pathway through secure care, based on individual patient risks and needs. Moves to less secure wards within high secure forensic hospitals and moves on to lower secure hospital settings have rarely been systematically studied. The aim of this study was to ascertain if placements within Broadmoor High Secure Hospital and moves from Broadmoor to medium secure hospitals corresponded to measures of violence risk, programme completion and recovery. A 13-month prospective cohort study was completed. Patients (n = 142) were rated at baseline for violence risk (Historical, Clinical and Risk - 20), therapeutic programme completion and recovery (DUNDRUM tool) and overall functioning (Global Assessment of Functioning). Placements on the care pathway and moves on to medium secure hospitals were observed. Placements on the care pathway within the high secure hospital were associated with dynamic violence risk (F = 16.324, P<0.001), therapeutic programme completion (F = 4.167, P = 0.003), recovery (F = 2.440, P = 0.050) with better scores on these measures being found in the rehabilitation w...Continue Reading

References

Apr 18, 2001·Psychological Medicine·J CoidB Jarman
Mar 15, 2011·Lancet·Simon WilsonAndrew Forrester
Sep 10, 2014·International Journal of Mental Health Nursing·Gregg Shinkfield, James Ogloff
Jun 23, 2015·Criminal Behaviour and Mental Health : CBMH·Laura E O'SheaGeoffrey L Dickens
Feb 2, 2018·Social Psychiatry and Psychiatric Epidemiology·Laurie Hare DukeBirgit Angela Völlm
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Software Mentioned

HCR
SPSS
SPJ
20
Broadmoor
DUNDRUM

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