By Clark, Tom; Rooprai, Dharjinder Singh
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Additional info for Practical Forensic Psychiatry
2007) HoNOS-secure: a reliable outcome measure for users of secure and forensic mental health services. Journal of Forensic Psychiatry and Psychology 18(4), 507–14 *Gudjonsson G, Young S. (2007) The role and scope of forensic clinical psychology in secure unit provisions: a proposed service model for psychological therapies. Journal of Forensic Psychiatry and Psychology 18(4), 534–56 Harty M-A, Shaw J, Thomas S, Dolan M, Davies L, Thornicroft G, et al. (2004) The security, clinical and social needs of patients in high secure psychiatric hospitals in England.
3. 3 Reconviction rates from Coid et al. 5 15 These studies suggest that factors associated with increased risk of reoffending are: • • • • • • • • • • male gender younger age early age of onset of offending number of previous convictions diagnosis of PD history of alcohol or drug problems history of sexual abuse having lost contact with services longer period of detention prior to discharge restriction order. Davies et al. (2007) also reported: • 10% of their sample had died • 38% had been readmitted to secure care • a six-fold increase in mortality compared with general population: – the standard mortality rate was highest for suicide, followed by unnatural death, followed by natural death.
It may be renewed for 6 months in the ﬁrst instance, and then annually. Section 45A – Hospital direction and limitation direction A defendant convicted of an offence punishable with imprisonment, other than murder. Where a Crown court ‘considers making a hospital order … before deciding to impose a sentence of imprisonment’, and: • is satisﬁed on the written or oral evidence of two RMPs, one s12(2) approved, and one of whom gives oral evidence: – ‘that the offender is suffering from mental disorder’ – ‘of a nature or degree which makes it appropriate for him to be detained in hospital for medical treatment’ and – appropriate treatment is available for him • is satisﬁed on the evidence of the RC or representative of the managers of the hospital that they will be admitted within 28 days.
Practical Forensic Psychiatry by Clark, Tom; Rooprai, Dharjinder Singh