Perspectives on recovery and recall to hospital in forensic mental health

<p>People who are mentally unwell and have committed a criminal offence are cared for by forensic mental health services. Their treatment is provided in secure hospitals so that any risks to the public are minimised. The complex nature of the mental health difficulties experienced by this cl...

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Bibliographic Details
Main Author: Rye, O
Other Authors: Churchman, C
Format: Thesis
Language:English
Published: 2017
Subjects:
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author Rye, O
author2 Churchman, C
author_facet Churchman, C
Rye, O
author_sort Rye, O
collection OXFORD
description <p>People who are mentally unwell and have committed a criminal offence are cared for by forensic mental health services. Their treatment is provided in secure hospitals so that any risks to the public are minimised. The complex nature of the mental health difficulties experienced by this clinical population means that they are typically treated in secure hospitals for several years, incurring high economic and personal costs. The need for meaningful approaches to treatment and management of these individuals is therefore paramount. The first paper systematically reviewed eighteen qualitative research papers that explored stakeholder perspectives on the personal recovery approach to care in forensic contexts. Principles of personal recovery were perceived to be meaningful and applicable in forensic contexts if adaptations were made to overcome inherent barriers such as restrictions due to risk management. Methodological quality of the reviewed studies was limited by shortcomings in the transparency of study procedures. The second paper explored the experiences of a significant subpopulation of forensic service users who were discharged to the community subject to conditions including ongoing monitoring, then recalled back to a secure hospital due to a relapse in their mental state or other indicators of increased risk. Using grounded theory, a theoretical model was developed of how these individuals make sense of being recalled. This was found to be a recursive process influenced by their perceptions of events before their recall, during the recall itself, and their subsequent experiences.</p>
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spelling oxford-uuid:3bd28a0b-26e6-42db-b692-d9709791068b2024-12-07T15:16:01ZPerspectives on recovery and recall to hospital in forensic mental healthThesishttp://purl.org/coar/resource_type/c_db06uuid:3bd28a0b-26e6-42db-b692-d9709791068bClinical PsychologyMental healthEnglishORA Deposit2017Rye, OChurchman, CHarrison, SCouldrey, C<p>People who are mentally unwell and have committed a criminal offence are cared for by forensic mental health services. Their treatment is provided in secure hospitals so that any risks to the public are minimised. The complex nature of the mental health difficulties experienced by this clinical population means that they are typically treated in secure hospitals for several years, incurring high economic and personal costs. The need for meaningful approaches to treatment and management of these individuals is therefore paramount. The first paper systematically reviewed eighteen qualitative research papers that explored stakeholder perspectives on the personal recovery approach to care in forensic contexts. Principles of personal recovery were perceived to be meaningful and applicable in forensic contexts if adaptations were made to overcome inherent barriers such as restrictions due to risk management. Methodological quality of the reviewed studies was limited by shortcomings in the transparency of study procedures. The second paper explored the experiences of a significant subpopulation of forensic service users who were discharged to the community subject to conditions including ongoing monitoring, then recalled back to a secure hospital due to a relapse in their mental state or other indicators of increased risk. Using grounded theory, a theoretical model was developed of how these individuals make sense of being recalled. This was found to be a recursive process influenced by their perceptions of events before their recall, during the recall itself, and their subsequent experiences.</p>
spellingShingle Clinical Psychology
Mental health
Rye, O
Perspectives on recovery and recall to hospital in forensic mental health
title Perspectives on recovery and recall to hospital in forensic mental health
title_full Perspectives on recovery and recall to hospital in forensic mental health
title_fullStr Perspectives on recovery and recall to hospital in forensic mental health
title_full_unstemmed Perspectives on recovery and recall to hospital in forensic mental health
title_short Perspectives on recovery and recall to hospital in forensic mental health
title_sort perspectives on recovery and recall to hospital in forensic mental health
topic Clinical Psychology
Mental health
work_keys_str_mv AT ryeo perspectivesonrecoveryandrecalltohospitalinforensicmentalhealth