Assessing Forensic Mental Health Need: Policy, Theory and ResearchRCPsych Publications, 2000 - 228 sivua Mentally disordered offenders (MDOs) have dominatd the recent political agenda for mental health care emphasised by cases such as those of Christopher Clunis and Michael Stone. Yet successive governments have constrained the development of all health and social services by the requirement that they must be demonstrated as capable of benefiting those to whom they are applied. This book analyses the development of government policy for services for MDOs since the important Butler report in 1975 and provides a theoretical framework for adjudging research which purports to demonstrate a need and outcome. Finally, it emphasises the subjective and value-laden nature of all needs assessments and their interpretation and poses the crucial questions of whose need it is that we address through MDO services, those of the patient or of society. This book will be valuable to clinicians and researchers working in mental health services, policy-makers, service commissioners and managers. Features:
|
Sisältö
The key informant approach and the community | 6 |
Definitions | 31 |
Figures and tables | 45 |
Needs assessment methods and common questions | 62 |
The survey approach | 66 |
Main findings of the Office of National Statistics | 75 |
Estimated immediate security needs of a | 82 |
The ratesundertreatment approach | 104 |
The social indicator approach | 126 |
A comprehensive conceptual framework for | 159 |
| 202 | |
| 215 | |
| 221 | |
Yleiset termit ja lausekkeet
ability to benefit admission agencies approach to needs argued Ashworth Hospital assessment of need behaviour Broadmoor Hospital Chapter clinical commissioners commissioning court diversion schemes criminal justice system defined definition of need DoH/Home Office emphasised epidemiological facilities forensic psychiatric further health and social Hence high security Home Office identified in-patient individual intervention key informants London long-stay MDO needs MDO services measure medium-secure units medium-security beds Mental Health Act mental health services mentally ill motivational interviewing needs assessment needs of MDOS NHS Management Executive outcome particular personality disorder point prevalence population problems psychiatric disorder psychiatric hospitals psychiatric morbidity psychiatric patients psychiatric services rates recommended Reed report regional remand prisoners require Robinson & Elkan schizophrenia secure services self-harm service utilisation services for MDOS social services special hospital patients specialist specifically Stevens & Raftery studies substance misuse survey therapeutic community transfer treatment unmet need