Care for older forensic mental health patients: A consensus guidance document
Abstract Background It is important to investigate the needs, experiences, and outcomes of older forensic mental health inpatients. In this consensus document, we offer practitioners working with older forensic inpatients recommendations to meet the unique older-age-related needs of this group. Met...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823024136/type/journal_article |
| _version_ | 1797797849949274112 |
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| author | Jack Tomlin Kate Walker Jen Yates Tom Dening Kris Goethals Birgit Völlm Chris Griffiths |
| author_facet | Jack Tomlin Kate Walker Jen Yates Tom Dening Kris Goethals Birgit Völlm Chris Griffiths |
| author_sort | Jack Tomlin |
| collection | DOAJ |
| description | Abstract
Background
It is important to investigate the needs, experiences, and outcomes of older forensic mental health inpatients. In this consensus document, we offer practitioners working with older forensic inpatients recommendations to meet the unique older-age-related needs of this group.
Method
We report on the findings of a scoping review of service provision and age-responsive interventions for this population. We complement this with a review of qualitative studies investigating staff and patient views on age-responsive inpatient care.
Results
The guidance synthesizes this evidence into sections on: epidemiological studies of demographic, clinical, and legal profiles; qualitative studies; investigations of patient need; evidence for interventions tailored to this patient group; future directions for research; and finally, recommendations for practice. Forensic patients over the age of 50 years have a different set of psychological and physical health needs from their peers. There is a dearth of dedicated interventions and support to assist patients through secure services and into the community.
Conclusions
We suggest service providers involve older patients in treatment and service organization decisions, adapt interventions to be responsive to this group, train staff to recognize physical vulnerabilities and cognitive decline, and embrace methods of communication developed in other areas of care, such as dementia Care.
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| first_indexed | 2024-03-13T03:54:34Z |
| format | Article |
| id | doaj.art-2450e198e3754addaf1d9fdebae4379a |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-13T03:54:34Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-2450e198e3754addaf1d9fdebae4379a2023-06-22T06:12:18ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-01-016610.1192/j.eurpsy.2023.2413Care for older forensic mental health patients: A consensus guidance documentJack Tomlin0https://orcid.org/0000-0002-7610-7918Kate Walker1https://orcid.org/0000-0002-9796-2200Jen Yates2Tom Dening3https://orcid.org/0000-0003-3387-4241Kris Goethals4Birgit Völlm5https://orcid.org/0000-0003-4571-3410Chris Griffiths6https://orcid.org/0000-0002-6377-907XSchool of Law and Criminology, University of Greenwich, London, UKResearch & Innovation Northamptonshire Healthcare NHS Foundation Trust, Northampton, UKMental Health & Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UKMental Health & Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UKUniversity Forensic Center, Department of Psychiatry, Campus University Hospital Antwerp, Antwerp, BelgiumDepartment of Forensic Psychiatry, Rostock University Medical Centre, Rostock, GermanyResearch & Innovation Northamptonshire Healthcare NHS Foundation Trust, Northampton, UKAbstract Background It is important to investigate the needs, experiences, and outcomes of older forensic mental health inpatients. In this consensus document, we offer practitioners working with older forensic inpatients recommendations to meet the unique older-age-related needs of this group. Method We report on the findings of a scoping review of service provision and age-responsive interventions for this population. We complement this with a review of qualitative studies investigating staff and patient views on age-responsive inpatient care. Results The guidance synthesizes this evidence into sections on: epidemiological studies of demographic, clinical, and legal profiles; qualitative studies; investigations of patient need; evidence for interventions tailored to this patient group; future directions for research; and finally, recommendations for practice. Forensic patients over the age of 50 years have a different set of psychological and physical health needs from their peers. There is a dearth of dedicated interventions and support to assist patients through secure services and into the community. Conclusions We suggest service providers involve older patients in treatment and service organization decisions, adapt interventions to be responsive to this group, train staff to recognize physical vulnerabilities and cognitive decline, and embrace methods of communication developed in other areas of care, such as dementia Care. https://www.cambridge.org/core/product/identifier/S0924933823024136/type/journal_articleconsensus guidanceforensic mental healthforensic psychiatrygerontologyolder patients |
| spellingShingle | Jack Tomlin Kate Walker Jen Yates Tom Dening Kris Goethals Birgit Völlm Chris Griffiths Care for older forensic mental health patients: A consensus guidance document European Psychiatry consensus guidance forensic mental health forensic psychiatry gerontology older patients |
| title | Care for older forensic mental health patients: A consensus guidance document |
| title_full | Care for older forensic mental health patients: A consensus guidance document |
| title_fullStr | Care for older forensic mental health patients: A consensus guidance document |
| title_full_unstemmed | Care for older forensic mental health patients: A consensus guidance document |
| title_short | Care for older forensic mental health patients: A consensus guidance document |
| title_sort | care for older forensic mental health patients a consensus guidance document |
| topic | consensus guidance forensic mental health forensic psychiatry gerontology older patients |
| url | https://www.cambridge.org/core/product/identifier/S0924933823024136/type/journal_article |
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