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The management of the secure psychiatric services is under increasing scrutiny. The book illustrates the problems faced by the Special Hospitals, the techniques and action employed to effect major change in these large, enclosed institutions, difficulties and obstacles encountered which dominate and influenced management and clinical initiatives.
`Remorse, or rather the lack of it, frequently features in banner headlines. But there is little systematic study of this important interdisciplinary topic whose relevance has extensive social ramifications. The complex relationship between remorse, shame guilt and attempts at reparation, are discussed in this authoritative work. This volume is the first comprehensive attempt to bring together both forensic clinicians and those working within the criminal justice system.' - New Life `Familiar though they are in literature, religion and philosophy, the phenomena of remorse and reparation are rarely explored in either the theory or practice of forensic psychotherapy. This book begins to addres...
Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- Dedication -- Preface -- List of contributors -- Acknowledgements -- Introduction -- 1 Honesty without discrimination -- 2 Community teams: outreach and intervention -- 3 Homelessness and disorder: the challenge of the antisocial and the societal response -- 4 Moving on from the National Service Framework for Mental Health: the social inclusion agenda -- 5 A GP's view: interview with Dr Helen Pelendrides -- 6 Dual diagnosis -- 7 Advocacy: does it really work? -- 8 Prejudice and progress -- 9 Clients as colleagues: part of the path to recovery? -- 10 A personal account: from my life -- 11 Working with young people: 24 hours in the life of The Highfield Family and Adolescent Unit, Oxford -- 12 Creating a small community -- 13 A space for creativity and healing: Artists in Mind and the mental health system -- 14 Enhancing the healing environment -- 15 The Retreat: an alternative perspective from the independent sector -- Index
Forensic Psychiatry has expanded over the last twenty years with a dramatic increase in forensic psychiatry posts and medium secure unit beds. There has been increased concern with the treatment, which is seen by many to be of great importance, and management of mentally ill offenders which has led to more interest in understanding.
Violent crimes committed by the mentally disordered attract academic and public attention. They raise issues of moral responsibility and public protection. This study systematically analyses the principles underlying those legal and medical devices which enable the courts to make special arrangements for the mentally disordered. Buchanan examines three fundamental precepts in criminal law: justification, excuse and mitigation. A defendant who has been proved guilty can usually have his or her sentence reduced only where one of these three principles applies. The way that the courts interpret notions of responsibility and choice may influence the outcome considerably. For mentally disordered ...
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This work traces and anticipates past, present and future changes in mental health services to assess the impact both of developments in care, and of the implications of new organisational change. It includes contributions and perspectives of those involved in services at all levels, including service users, to draw upon their experience to give a fuller picture of today and help sketch in tomorrow. It balances academic scrutiny with personal involvement, to reflect both national trends and local initiatives.Overall this work is in two volumes, each of which can stand alone: the companion book Part 1 focuses on the realities of offering and receiving care at a practical and local level; this Part 2 reviews policy and practice from national and international perspectives. Together these books provide essential information and views on mental health services for professionals throughout health and social care, managers, policy planners and policy shapers including those in the third sector and patient groups, academics and the media.
The first comprehensive account of forensic nursing and its role within the wider professional team, the aim of this book is to provide a multidisciplinary perspective on the training needed to work with mentally disordered patients, as well as to examine the key characteristics of the forensic nursing role. An international group of contributors, from a wide range of disciplines, provides a well-rounded, comparative view of the forensic nursing profession. The chapters are a rich contribution of cross-cultural thinking on the many dilemmas and challenges facing nurses, psychiatrists, psychologists and other health care practitioners, working with specific client groups. Each contributor has...
People from ethnic minorities are overrepresented in secure psychiatric care, and have been reported to receive differential treatment from staff. It has been suggested that these people (especially Afro-Caribbean groups) suffer from prejudicial legal, criminal justice and psychiatric system. This text questions whether Western, white-oriented practice and systems of belief can, or should, be applied to service users from other cultural, racial, ethical or spiritual backgrounds.
This book explores current and emerging interventions in forensic nursing and the care of the mentally disordered offender, with an emphasis on clinical practice and clinical competence. It explores the practical issues facing forensic nurses, such as environment and safety issues, as well as the possible emotional trauma of such a role.