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  • Royal College of Psychiatrists  (3)
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  • Royal College of Psychiatrists  (3)
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  • 1
    Online Resource
    Online Resource
    Royal College of Psychiatrists ; 2000
    In:  British Journal of Psychiatry Vol. 177, No. 3 ( 2000-09), p. 241-247
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 177, No. 3 ( 2000-09), p. 241-247
    Abstract: Persons of African – Caribbean origin are more frequently imprisoned, and increasing evidence suggests they are detained more frequently in psychiatric hospitals, following offending behaviour. Aims To estimate population-based prevalence rates of treated mental disorder in different ethnic groups compulsorily admitted to secure forensic psychiatry services. Method A survey was recorded of 3155 first admissions, from 1988 to 1994, from half of England and Wales, with 1991 census data as the denominator adjusted for under-enumeration. Results Compulsory admissions for Black males were 5.6 (CI 5.1–6.3) times as high as, and for Asian males were half, those for White males; for Black females, 2.9 (CI 2.4–4.6) times as high and for Asian females one-third of those for White females. Admissions of non-Whites rose over the study period. Patterns of offending and diagnoses differed between ethnic groups. Conclusions Variations in compulsory hospitalisation cannot be entirely attributed to racial bias. Community-based services may be less effective in preventing escalating criminal and dangerous behaviour associated with mental illness in African–Caribbeans.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    RVK:
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2000
    detail.hit.zdb_id: 2021500-9
    Location Call Number Limitation Availability
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  • 2
    Online Resource
    Online Resource
    Royal College of Psychiatrists ; 2001
    In:  British Journal of Psychiatry Vol. 178, No. 1 ( 2001-01), p. 55-61
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 178, No. 1 ( 2001-01), p. 55-61
    Abstract: Regional medium secure developments have proceeded unevenly, with wide variations in resources to deliver services. Aims To compare patients admitted to seven (pre-reorganisation) regional services and styles of service delivery. Method A record survey of a complete sample of 2608 patients admitted on 3403 occasions between 1 January 1988 and 31 December 1994. Results Services differed according to location of patients before admission, their legal basis for detention, criminal and antisocial behaviour, diagnosis, security needs and length of stay. Regions with more resources and lower demand provided a wider range of services. Thames services were relatively under-provided during the study period, with North East Thames substantially reliant on admissions to private hospitals. Conclusions Uncoordinated development led to under-provision despite high demand. Certain regions prioritised offender patients and did not support local psychiatric services. New standards are required for service specification and resource allocation to redress inequality. Traditional performance measures were of limited usefulness in comparing services.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    RVK:
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2001
    detail.hit.zdb_id: 2021500-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 3
    Online Resource
    Online Resource
    Royal College of Psychiatrists ; 1999
    In:  British Journal of Psychiatry Vol. 175, No. 6 ( 1999-12), p. 528-536
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 175, No. 6 ( 1999-12), p. 528-536
    Abstract: Treatment of patients with personality disorder remains controversial and severe mental illness is prioritised in secure forensic psychiatry services. Aims To compare patients with personality disorder and mental illness according to demography, referral, criminality, previous institutionalisation and diagnostic comorbidity. Method A record survey of 511 patients with personality disorder and 2575 with mental illness admitted to secure forensic psychiatry services between 1 January 1988 and 31 December 1994 from half of England and Wales. Results Personality disorder admissions declined over time; more were female, White, younger and extensively criminal (specifically, sexual and arson offences). Personality disorder was highly comorbid; antisocial, borderline, paranoid and dependent personality disorder were most prevalent. Conclusions Patients with personality disorder were highly selected and previously known to psychiatric services. Referrer, diagnostic comorbidity and behavioural presentation determined their pathways into care. Future research must determine whether their continuing admission represents effective use of scarce resources and whether new services are required.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    RVK:
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 1999
    detail.hit.zdb_id: 2021500-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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