Managing High Security Psychiatric Care

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Charles Kaye, Alan Franey
Jessica Kingsley Publishers, 1998 - Medical - 302 pages
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The management of the secure psychiatric services is under increasing scrutiny. In Managing High Security Psychiatric Care the contributors examine the management of these services in the light of their experiences and involvement with the Special Hospitals throughout the lifetime of the Special Hospitals Service Authority.The book illustrates the problems faced by the Special Hospitals and the techniques and action employed to effect major change in these large, enclosed institutions. It illustrates the difficulties and obstacles encountered and focuses on themes which dominated and influenced management and clinical initiatives. Key messages that emerge include close collaboration between managers and clinicians, planning and delivering real change in institutional settings, challenging and restructuring unacceptable attitudes influencing the wider debate about care for mentally disordered offenders.The book provides a realistic description of the role and purpose of the High Security Psychiatric Service and the key dilemmas it still faces. It also makes suggestions concerning the direction any future service needs to pursue.The book will be of interest to all those involved in the forensic psychiatric service, other large, closed institutions, and the Criminal Justice system.
  

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Contents

List of figures
8
Brief History of the Special Hospitals
27
The Inheritance
39
Tackling the Culture
51
A Chairman Remembers
67
Security and Therapy
75
The Physical Environment
85
Industrial Relations
99
A Doctors View
181
Improving Care
193
Research and Development
204
The Mental Health Act Commission
215
Inquiries and Inspections
224
Press and Public Relations
245
Criminal Justice System
258
Achievements and the Future
271

Describing the Patients
111
Learning Disability in the Special Hospitals
123
Resolving a Policy Crisis
136
A Chaplain Reflects
157
Freedom from Restraint
165
Appendices
281
The contributors
289
Index
299
Charles Kaye and Alan Franey
305
Copyright

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Managing High Security Psychiatric Care -- Swartz 51 (3): 396 ...
Yet Managing High Security Psychiatric Care is an informative book that accomplishes its objective of chronicling how enormously complex systems of care can ...
psychservices.psychiatryonline.org/ cgi/ content/ full/ 51/ 3/ 396

Managing high security psychiatric care. Edited by Charles Kaye ...
Managing High Security Psychiatric Care. Edited by Charles Kaye and Alan Franey. Scotland votes ‘Yes’ to devolution and thereby gained the opportunity to ...
doi.wiley.com/ 10.1002/ cbm.451

Reviews : Managing High Security Psychiatric Care Charles Kaye and ...
Automatic download [Begin manual download]. Downloading the PDF version of: Probation Journal Cameron 45 (4): 244. (120K) ...
prb.sagepub.com/ cgi/ reprint/ 45/ 4/ 244

Therapeutic uses of security: mapping forensic mental health ...
In Managing High Security Psychiatric Care (eds C. Kaye & A. Franey). London: Jessica Kingsley. Home Office & Department of Health and Social Services ...
apt.rcpsych.org/ cgi/ content/ full/ 8/ 6/ 433

Definition of security levels in psychiatric inpatient facilities ...
In Managing High Security Psychiatric Care (eds C. Kaye & A. Franey). London: Jessica Kingsley. Madden A, Curle C, Meux C et al (1993) The Treatment and ...
www.forensicnetwork.scot.nhs.uk/ documents/ hdl/ LevelsofSecurityReport.pdf

About the author (1998)

Charles Kaye was Chief Executive of the Special Hospitals Service Authority and is a fellow of the Institute of Health Service Managers. Alan Franey was the Chief Executive of Broadmoor Special Hospital and a member of the Institute of Health Service Managers.

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