Managing High Security Psychiatric Care

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Jessica Kingsley Publishers, 1998 - Social Science - 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
10
1 Interlocking worlds in high security
14
2 Maslows hierarchy of needs
23
Brief History of the Special Hospitals
27
The Inheritance
39
1 Rampton Hospital staff in 1940s
41
Tackling the Culture
51
1 Catch 22 from the Broadmoor patients
64
referrals admissions
128
Resolving a Policy Crisis
136
1 Patient relationship in a special hospital some
148
A Chaplain Reflects
157
Freedom from Restraint
165
A Doctors View
181
Improving Care
193
Research and Development
204

A Chairman Remembers
67
Security and Therapy
75
1 Security drawing by John Lynch
81
The Physical Environment
85
1 Dormitory Weymouth Ward Broadmoor Hospital
90
2 Amber Ward Ashworth Hospital
96
Industrial Relations
99
Describing the Patients
111
1 Ten Tribunal Tips from the Broadmoor patients
113
Learning Disability in the Special Hospitals
123
The Mental Health Act Commission
215
Inquiries and Inspections
224
Press and Public Relations
245
1 Analysis of press coverage of Ashworth Hospital
250
Criminal Justice System
258
Achievements and the Future
271
Appendices
281
The contributors
289
Index
299
Copyright

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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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