Chapter 14: The interface with forensic services

A patient on a Psychiatric Intensive Care Unit with violent behaviour, who has committed actual bodily harm and possession of an offensive weapon, has not yet responded to medication, but there is no concern that violence will escalate.  What is an appropriate course of action?

 
 
 
 
 

What approximate percentage of patients were detained under the legal category psychopathic disorder in special hospitals in 1998?

 
 
 
 
 

According to Gunn and Taylor (1993) the percentage of inpatients within medium secure units transferred from general psychiatric services was less than …

 
 
 
 
 

The number of patients on restriction orders has had a significant impact on the ability to discharge patients and has led to a decrease in the average duration of admission …

 
 

Which of the following are key characteristics of ‘parallel’ forensic community service teams alongside generic services?

 
 
 
 
 

It is realistic for the forensic psychiatric services to manage all violent patients …

 
 

There is a pronounced increase in hospital episodes in which of the following groups compared to 20 years ago?

 
 
 
 
 

The Ministry of Justice can dictate that a patient be admitted to medium secure care even if the clinicians involved feel that his/her risk to others does not warrant this …

 
 

A patient on a Psychiatric Intensive Care Unit with violent behaviour, who has committed grievous bodily harm, hasn’t responded to neuroleptic medication prescribed in an adequate dose and duration.  What is an appropriate course of action?

 
 
 
 
 

If you feel a patient is inappropriately placed in psychiatric intensive care and warrants an admission to medium secure care, which of the following pieces of information should be provided in your referral?

 
 
 
 
 

Which of the following come under behaviour category 3 of secure care admission criteria (Eastman and Bellamy 1998)?

 
 
 
 
 

Which of the following criteria must be established to meet the admission criteria for dangerous severe personality disorder?

 
 
 
 
 

Which of the following come under behaviour category 1 of secure care admission criteria (Eastman and Bellamy 1998)?

 
 
 
 
 

Put this list in a hierarchy of supervision and security within the English Hospital System, according to Gunn and Taylor (1993) with 1 being the highest level of supervision and security and 8 being the lowest:

A. PICU
B. Unsupervised community care
C. Challenging behaviour unit
D. Open ward
E. No care
F. Regional secure unit
G. Community care with supervision
H. Special hospital

 
 
 
 
 

Epidemiological studies on offenders who develop major mental illness have shown that there are two distinct groups: early starters and late starters. Compared to late starters, early starters …