Examining the need for a high level of therapeutic security at a regional forensic mental health service in Aotearoa New Zealand.

Autor:	Jewell M; Auckland Regional Forensic Psychiatry Services, Auckland, Aotearoa New Zealand., Pillai K; Auckland Regional Forensic Psychiatry Services, Auckland, Aotearoa New Zealand., Cavney J; Auckland Regional Forensic Psychiatry Services, Auckland, Aotearoa New Zealand., Garrett N; Auckland University of Technology, Auckland, Aotearoa New Zealand., McKenna B; Auckland Regional Forensic Psychiatry Services, Auckland, Aotearoa New Zealand.; Auckland University of Technology, Auckland, Aotearoa New Zealand.; Centre for Forensic Behavioural Science, Swinburne University of Technology, Victoria, Australia.
Jazyk:	angličtina
Zdroj:	Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law [Psychiatr Psychol Law] 2023 May 31; Vol. 31 (2), pp. 293-310. Date of Electronic Publication: 2023 May 31 (Print Publication: 2024).
DOI:	10.1080/13218719.2023.2192261
Abstrakt:	The ceiling of therapeutic security in Aotearoa New Zealand is medium security. The aim of this study is to identify and characterise a putative cohort of high-secure patients at a medium-secure regional forensic mental health service. A retrospective review of all admissions to a specific service was conducted over 3.75 years. The Dangerousness Understanding, Recovery and Urgency Manual, Triage Security Scale (DUNDRUM-1) was used to identify patients with high-secure care needs. A multiple logistic regression analysis was used to identify the local needs of this cohort. We found a significant incidence (an admission every 55 days) and prevalence (11%) of mixed-gendered and culturally diverse patients with high-secure care needs. The cohort had a high prevalence of psychosis and violent offences, and relatively short length of stay. There is also an indication that the cohort was subject to more restrictive practice. A solution is proposed to meet the needs of this cohort. Competing Interests: Michael Jewell has declared no conflicts of interest. Krishna Pillai has declared no conflicts of interest. James Cavney has declared no conflicts of interest. Nick Garrett has declared no conflicts of interest. Brian McKenna has declared no conflicts of interest. (© 2023 The Australian and New Zealand Association of Psychiatry, Psychology and Law.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu