Psychiatry in a prison or secure unit Flashcards
Community forensic care model where inpatient and community care are provided by the same service at the same time
Parallel care model
Community forensic care model where the patient is discharge from a secure unit and then outpatient care is provided by general adult teams
Integrated care model
Community forensic care model where the patient is discharged from a secure unit and outpatient care is provided by general adult teams but with a period of shared care initially
Hybrid model
Service which aims to join up prison and probation services
National offender management service
Framework for interagency collaboration to manage violent and sexual offenders
Multi-agency public protection arrangements (MAPPA)
Three main types of security found in a psychiatric hospital
Physical
Relational
Procedural
Examples of elements of physical security in a psychiatric hospital
Fences
Locks
Soft cutlery
Removal of glassware
Anti-ligature fittings
Examples of elements of relational security in a psychiatric hospital
Training
Good communication
Purposeful activity
Examples of elements of procedural security in a psychiatric hospital
Searches
Staff pre-employment checks
Critical incident reviews
Risk management
Section used in England and Wales for a period of leave from a secure unit
Section 17 leave
Most common personality disorder among prisoners
Antisocial personality disorder
Most common method of suicide in prisons
Hanging
Rate of completed suicide among prisoners compared to the general population
8x higher among prisoners
Prisoners at particularly high risk of suicide
Prisoners on remand
Young offenders
Prisoners with substance misuse issues
Violent offenders
Strongest risk factor for completed suicide of a prisoner
Occupying a single cell
