The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales
This evidence-based opinion piece explores the totalising risk averse nature of secure and forensic mental health services and associated iatrogenic harms in England and Wales. Drawing on the research literature I consider the various influences, both external and internal which impact on the provis...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:d7c4744f226a4dfb928820279822db5f2021-11-08T06:27:35ZThe Totalising Nature of Secure and Forensic Mental Health Services in England and Wales1664-064010.3389/fpsyt.2021.789089https://doaj.org/article/d7c4744f226a4dfb928820279822db5f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.789089/fullhttps://doaj.org/toc/1664-0640This evidence-based opinion piece explores the totalising risk averse nature of secure and forensic mental health services and associated iatrogenic harms in England and Wales. Drawing on the research literature I consider the various influences, both external and internal which impact on the provision of such services and how both the therapeutic alliance and recovery potential for patients may be improved. Especial attention is paid to the deployment of restrictive practise, practitioner attitudes, the potential for non-thinking, and how these may impact on decision-making and the care and treatment of mentally disordered offenders.Sarah MarkhamFrontiers Media S.A.articleforensic—psychiatric practiseethics—institutionalethics—clinicalriskrights activismPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021) |
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forensic—psychiatric practise ethics—institutional ethics—clinical risk rights activism Psychiatry RC435-571 |
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forensic—psychiatric practise ethics—institutional ethics—clinical risk rights activism Psychiatry RC435-571 Sarah Markham The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales |
description |
This evidence-based opinion piece explores the totalising risk averse nature of secure and forensic mental health services and associated iatrogenic harms in England and Wales. Drawing on the research literature I consider the various influences, both external and internal which impact on the provision of such services and how both the therapeutic alliance and recovery potential for patients may be improved. Especial attention is paid to the deployment of restrictive practise, practitioner attitudes, the potential for non-thinking, and how these may impact on decision-making and the care and treatment of mentally disordered offenders. |
format |
article |
author |
Sarah Markham |
author_facet |
Sarah Markham |
author_sort |
Sarah Markham |
title |
The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales |
title_short |
The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales |
title_full |
The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales |
title_fullStr |
The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales |
title_full_unstemmed |
The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales |
title_sort |
totalising nature of secure and forensic mental health services in england and wales |
publisher |
Frontiers Media S.A. |
publishDate |
2021 |
url |
https://doaj.org/article/d7c4744f226a4dfb928820279822db5f |
work_keys_str_mv |
AT sarahmarkham thetotalisingnatureofsecureandforensicmentalhealthservicesinenglandandwales AT sarahmarkham totalisingnatureofsecureandforensicmentalhealthservicesinenglandandwales |
_version_ |
1718442952034877440 |