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The use of seclusion is controversial. Using routinely collected data from low and medium secure service provider in the United Kingdom (n = 347) this study compared secluded and non-secluded Asperger’s syndrome, paranoid schizophrenia, organic personality disorder and emotionally unstable personality disorder patients.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Coercive measures like mechanical restraint (MR) are widely used in psychiatry but may collide with bioethical autonomy principles, damage those involved, and harm patient–staff relations. Reductions in usage are desirable and addressing illegitimate MR would be an obvious starting point. As one important reason for instigating MR is dangerous patient behavior this attracts special attention. In this complaints audit the role of threats, violence, and contextual characteristics was examined in decisions concerning MR completed by the Danish Psychiatric Patient Complaint Board system from 2007 to 2014. Login using your SSSFT NHS OpenAthens details for full text.
Mental health care personnel have one of the highest rates of workplace violence of any occupational class in the United States, with psychiatric aides having a rate that is 69 times higher than the national mean; furthermore, aggression on the part of psychiatric patients that targets other patients is a substantial component of morbidity and even mortality rates in inpatient psychiatric institutions. Much research has focused on such topics as the demographic characteristics of staff most likely to be victimized and the identification of patients most likely to become aggressive, but very little attention has been devoted to the temporal architecture of aggressive behavior. This study examined the temporal patterning of violent and aggressive behavior on an inpatient psychiatric ward over a one-year period. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
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Open access. With the increase in the number of risk assessment tools and clinical algorithms in many areas of science and medicine, this Perspective article provides an overview of research findings that can assist in informing the choice of an instrument for practical use. We take the example of violence risk assessment tools in criminal justice and forensic psychiatry, where there are more than 200 such instruments and their use is typically mandated. We outline 10 key questions that researchers, clinicians and other professionals should ask when deciding what tool to use, which are also relevant for public policy and commissioners of services. These questions are based on two elements: research underpinning the external validation, and derivation or development of a particular instrument. We also recommend some guidelines for reporting drawn from consensus guidelines for research in prognostic models.
Absconding is a potentially risky event that has wide reaching consequences both for the institution and greater community; however, few studies have examined the characteristics of clients who abscond, their motivations, and details about their absconding event, especially within a forensic context. The purpose of this research was to determine if risk factors could be identified that might predict absconding behavior.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
One of the five overarching principles of the Mental Health Act: Code of Practice is to provide patients with care and treatment which is least restrictive whilst encouraging recovery and promoting independence. However, there is limited research which explores the application of these principles within a medium secure unit. The aims of the research were to explore what are patient’s experiences of least restrictive practices and to what extent do they perceive that least restrictive practices maximise their independence and recovery.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai