A new NHS service has launched to help people with learning disabilities and/or autism moving back into the community from a forensic hospital.
The Forensic Outreach Liaison Service (FOLS) supports people aged 18 years and above who have a learning disability or autism (or both) that are at risk of or have come in to contact with the criminal justice system or been admitted to a secure hospital setting.
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American Journal of Orthopsychiatry (Nov 8, 2018). DOI:10.1037/ort0000316
Individuals with psychiatric disabilities who are involved in the criminal justice system face a number of challenges to community integration upon release. There is a critical need to develop and evaluate interventions for these individuals that connect them to the community by enhancing naturalistic social connections and helping them to participate meaningfully in valued roles. The purposes of this article are to describe, provide a theoretical rationale, and propose a conceptual model for the use of a particular restorative justice model, circles of support and accountability, to meet this need. We describe the principles of restorative justice (repairing harm, stakeholder involvement, and the transformation of community and governmental roles and relationships) and how these map on to elements of the circles intervention.. To read the full article, log in using your MPFT NHS OpenAthens details.
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There is limited literature describing innovative models for forensic care. This paper describes the patient group, the model of care, and outcomes for residents in a 24-h supported hostel for mentally disordered offenders leaving secure setting over 13 years.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Open access. Recovery-orientated care is becoming generally accepted as the best practice, and continued development in the ways it is practiced is necessary to ensure improvement of ongoing care. Forensic patients often experience double stigmatization (the dual stigma of mental illness and offending behaviour) and during admission to hospital may lose touch with their community supports. While working through their personal recovery, patients develop therapeutic relationships with their multidisciplinary team members. When positive, these relationships can enhance a patient’s recovery.
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Persistent psychiatric symptoms can serve as a major barrier to the successful reintegration of parolees with mental illness. Thus, it is important to identify factors that might impact their mental health recovery, such as low adherence to their treatment regimen. The strength of the clinician/patient working alliance has been found to be significantly associated with psychiatric medication adherence in prior research, but this relationship has not been assessed in a parolee population. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The team’s ‘Five Ways to Wellbeing’ programme aims to aid those who come in to contact with the criminal justice system and support people through the first six weeks following leaving custody.
Understandings of personal recovery have emerged as an alternative framework to traditional ideas of clinical progression, or symptom remission, in clinical practice. Most research in this field has focussed on the experience of individuals suffering with psychotic disorders and little research has been conducted to explore the experience of individuals with a personality disorder diagnosis, despite the high prevalence of such difficulties. The nature of the personality disorder diagnosis, together with high prevalence rates in forensic settings, renders the understanding of recovery in these contexts particularly problematic. The current study seeks to map out pertinent themes relating to the recovery process in personality disorder as described by individuals accessing care in either community or forensic settings.
Bradford District Care NHS Foundation Trust has launched a new training programme to support people in low secure mental health services on their journey towards recovery.
Included in the programme is a training filmed called ‘I’m a service user get me out of here’ which plays on the popular reality TV programme and features ex-service users who have lived experiences of mental illness requiring care and treatment in secure services.
Conclusions: Diagnosis appears to differentially impact on reconviction, readmission and mortality rates. Services could tailor pathways to prioritise symptom management and promoting healthy lifestyles for patients with MI, and reducing reoffending for patients with PD. Login using your SSSFT NHS OpenAthens details for full text.
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The forensic service and forensic recovery college are provided by South West Yorkshire Partnership NHS Foundation Trust.
Within low secure services Activity Coordinator Leah Brown has been successfully delivering mosaic sessions for a group of service users.
The team vastly improved the way care is delivered for women in the Trust’s medium secure unit, Newton Lodge. Their work has seen a typical stay drop by 3.4 years since 2015, meaning women are recovering quicker and are able to return to their communities and families sooner.
This included developing a separate rehabilitation ward area specifically for women who are ready to start developing the practical and social skills needed for more independent daily living.