Pub Date : 2019-11-11DOI: 10.1108/jfp-05-2019-0020
C. McKenzie, Emma Tarpey
Purpose The purpose of this paper is to provide insight into the experiences of individuals with a criminal history of participating in a community life skills and work-readiness programme. Design/methodology/approach Semi-structured interviews were conducted with seven individuals that have a criminal history who were participating, or had previously participated, in a community life skills and work-readiness programme. This data was analysed by interpretative phenomenological analysis. Findings Four superordinate themes emerged, these were: “need to change”, “changing identity”, “giving back to the community” and “a sense of belonging”. These themes are discussed in relation to desistance literature and the Good Lives Model. Practical implications This research identifies through the participants’ narratives that engaging with the programme appeared to facilitate the desistance process. The importance of community programmes that provide participants skills and social integration must be acknowledged. Originality/value There is limited research on the experiences of forensic services users’ experiences of community programmes, especially those that are not aimed specifically at ex-offenders. The results of this research can be used to enhance services and identify further research areas.
{"title":"Exploring forensic service users’ experience of participating in a community life skills and work-readiness programme","authors":"C. McKenzie, Emma Tarpey","doi":"10.1108/jfp-05-2019-0020","DOIUrl":"https://doi.org/10.1108/jfp-05-2019-0020","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to provide insight into the experiences of individuals with a criminal history of participating in a community life skills and work-readiness programme.\u0000\u0000\u0000Design/methodology/approach\u0000Semi-structured interviews were conducted with seven individuals that have a criminal history who were participating, or had previously participated, in a community life skills and work-readiness programme. This data was analysed by interpretative phenomenological analysis.\u0000\u0000\u0000Findings\u0000Four superordinate themes emerged, these were: “need to change”, “changing identity”, “giving back to the community” and “a sense of belonging”. These themes are discussed in relation to desistance literature and the Good Lives Model.\u0000\u0000\u0000Practical implications\u0000This research identifies through the participants’ narratives that engaging with the programme appeared to facilitate the desistance process. The importance of community programmes that provide participants skills and social integration must be acknowledged.\u0000\u0000\u0000Originality/value\u0000There is limited research on the experiences of forensic services users’ experiences of community programmes, especially those that are not aimed specifically at ex-offenders. The results of this research can be used to enhance services and identify further research areas.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/jfp-05-2019-0020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48957835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-11DOI: 10.1108/jfp-04-2019-0015
L. Ramsay, Jamie S. Walton, G. Frost, Chloe Rewaj, Gemma Westley, H. Tucker, Sarah Millington, A. Dhar, Gemma Martin, C. Gill
Purpose The purpose of this paper is to outline the qualitative research findings of the effectiveness of Her Majesty’s Prison and Probation Service Programme Needs Assessment (PNA) in supporting decision making regarding selection onto high-intensity offending behaviour programmes. Design/methodology/approach Qualitative data analysis was used through the application of thematic analysis. Results were pooled using principles from meta-synthesis in order to draw conclusions as to whether the PNA was operating as designed. Findings Four overarching themes were identified, which have meaning in guiding decision making into, or out of high-intensity programmes. These were risk, need and responsivity, the importance of attitudes, motivation and formulation and planning. Research limitations/implications The majority of data were collected from category C prisons. Generalisability of findings to high-intensity programmes delivered in maximum security prisons and prisons for younger people aged 18–21 years is limited. The research team had prior knowledge of the PNA, whether through design or application. Procedures were put in place to minimise researcher biases. Practical implications Findings suggest that the PNA is effective in guiding clinical decision making. Practitioners and policy makers can be assured that the processes in place to select into high-intensity programmes are effective, and aligned with the What Works in reducing re-offending. Originality/value This is the first evaluation into the effectiveness of the PNA designed to support clinical decision making regarding participant selection onto accredited offending behaviour programmes. Implications for practice have been discussed.
{"title":"Evaluation of offending behaviour programme selection: the PNA","authors":"L. Ramsay, Jamie S. Walton, G. Frost, Chloe Rewaj, Gemma Westley, H. Tucker, Sarah Millington, A. Dhar, Gemma Martin, C. Gill","doi":"10.1108/jfp-04-2019-0015","DOIUrl":"https://doi.org/10.1108/jfp-04-2019-0015","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to outline the qualitative research findings of the effectiveness of Her Majesty’s Prison and Probation Service Programme Needs Assessment (PNA) in supporting decision making regarding selection onto high-intensity offending behaviour programmes.\u0000\u0000\u0000Design/methodology/approach\u0000Qualitative data analysis was used through the application of thematic analysis. Results were pooled using principles from meta-synthesis in order to draw conclusions as to whether the PNA was operating as designed.\u0000\u0000\u0000Findings\u0000Four overarching themes were identified, which have meaning in guiding decision making into, or out of high-intensity programmes. These were risk, need and responsivity, the importance of attitudes, motivation and formulation and planning.\u0000\u0000\u0000Research limitations/implications\u0000The majority of data were collected from category C prisons. Generalisability of findings to high-intensity programmes delivered in maximum security prisons and prisons for younger people aged 18–21 years is limited. The research team had prior knowledge of the PNA, whether through design or application. Procedures were put in place to minimise researcher biases.\u0000\u0000\u0000Practical implications\u0000Findings suggest that the PNA is effective in guiding clinical decision making. Practitioners and policy makers can be assured that the processes in place to select into high-intensity programmes are effective, and aligned with the What Works in reducing re-offending.\u0000\u0000\u0000Originality/value\u0000This is the first evaluation into the effectiveness of the PNA designed to support clinical decision making regarding participant selection onto accredited offending behaviour programmes. Implications for practice have been discussed.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/jfp-04-2019-0015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47875762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-11DOI: 10.1108/jfp-06-2019-0025
N. Gray, J. Tiller, R. Snowden
Purpose Wales Applied Risk Research Network (WARRN) is a formulation-based technique for the assessment and management of serious risk (e.g. violence to others, suicide, etc.) for users of mental health services which has been adopted across most Child and Adolescent Mental Health Services (CAMHS) across Wales. The paper aims to discuss this issue. Design/methodology/approach An online survey was disseminated to National Health Service clinicians in CAMHS to evaluate their perceptions of the use and effectiveness of WARRN. Data from 88 clinicians were analysed with both quantitative and qualitative methods. Findings Clinicians reported increased clinical skills, increased confidence in their assessment and management of risk and in safety planning, the increased safety of service users and the general public, and a belief that WARRN had saved lives. The qualitative data showed that clinicians thought a common risk evaluation instrument across Wales and different agencies had created a common language and understanding that improved communication. Practical implications WARRN appears well accepted in CAMHS services with the view that it is having a very positive effect on service user well-being and safety and could be implemented in other services. Originality/value This is the first report of a formulation-based approach to the management of serious problem behaviours in CAMHS services.
{"title":"WARRN – a formulation-based risk assessment procedure for Child and Adolescent Mental Health Services (CAMHS): the view of clinicians","authors":"N. Gray, J. Tiller, R. Snowden","doi":"10.1108/jfp-06-2019-0025","DOIUrl":"https://doi.org/10.1108/jfp-06-2019-0025","url":null,"abstract":"\u0000Purpose\u0000Wales Applied Risk Research Network (WARRN) is a formulation-based technique for the assessment and management of serious risk (e.g. violence to others, suicide, etc.) for users of mental health services which has been adopted across most Child and Adolescent Mental Health Services (CAMHS) across Wales. The paper aims to discuss this issue.\u0000\u0000\u0000Design/methodology/approach\u0000An online survey was disseminated to National Health Service clinicians in CAMHS to evaluate their perceptions of the use and effectiveness of WARRN. Data from 88 clinicians were analysed with both quantitative and qualitative methods.\u0000\u0000\u0000Findings\u0000Clinicians reported increased clinical skills, increased confidence in their assessment and management of risk and in safety planning, the increased safety of service users and the general public, and a belief that WARRN had saved lives. The qualitative data showed that clinicians thought a common risk evaluation instrument across Wales and different agencies had created a common language and understanding that improved communication.\u0000\u0000\u0000Practical implications\u0000WARRN appears well accepted in CAMHS services with the view that it is having a very positive effect on service user well-being and safety and could be implemented in other services.\u0000\u0000\u0000Originality/value\u0000This is the first report of a formulation-based approach to the management of serious problem behaviours in CAMHS services.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/jfp-06-2019-0025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49658782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-12DOI: 10.1108/JFP-04-2019-0012
V. de Vogel, P. Schaftenaar, Maartje Clercx
Purpose Continuity of forensic mental health care is important in building protective structures around a patient and has been shown to decrease risks of relapse. Realising continuity can be complicated due to restrictions from finances or legislation and difficulties in collaboration between settings. In the Netherlands, several programs have been developed to improve continuity of forensic care. It is unknown whether professionals and clients are sufficiently aware of these programs. The paper aims to discuss this issue. Design/methodology/approach The experienced difficulties and needs of professionals and patients regarding continuity of forensic care were explored by means of an online survey and focus groups. The survey was completed by 318 professionals. Two focus groups with professionals (15 participants), one focus group and one interview with patients (six participants) were conducted. Findings The overall majority (85.6 percent) reported to experience problems in continuity on a frequent basis. The three main problems are: first, limited capacity for discharge from inpatient to outpatient or sheltered living; second, collaboration between forensic and regular mental health care; and, third, limited capacity for long-term inpatient care. Only a quarter of the participants knew the existing programs. Actual implementation of these programs was even lower (3.9 percent). The top three of professionals’ needs are: better collaboration; higher capacity; more knowledge about rules and regulation. Participants of the focus groups emphasized the importance of transparent communication, timely discharge planning and education. Practical implications Gathering best practices about regional collaboration networks and developing a blueprint based on the best practices could be helpful in improving collaboration between setting in the forensic field. In addition, more use of systematic discharge planning is needed to improve continuity in forensic mental health care. It is important to communicate in an honest, transparent way to clients about their forensic mental health trajectories, even if there are setbacks or delays. More emphasis needs to be placed on communicating and implementing policy programs in daily practice and more education about legislation is needed Structured evaluations of programs aiming to improve continuity of forensic mental health care are highly needed. Originality/value Policy programs hardly reach professionals. Professionals see improvements in collaboration as top priority. Patients emphasize the human approach and transparent communication.
{"title":"Improving continuity of forensic mental health care","authors":"V. de Vogel, P. Schaftenaar, Maartje Clercx","doi":"10.1108/JFP-04-2019-0012","DOIUrl":"https://doi.org/10.1108/JFP-04-2019-0012","url":null,"abstract":"\u0000Purpose\u0000Continuity of forensic mental health care is important in building protective structures around a patient and has been shown to decrease risks of relapse. Realising continuity can be complicated due to restrictions from finances or legislation and difficulties in collaboration between settings. In the Netherlands, several programs have been developed to improve continuity of forensic care. It is unknown whether professionals and clients are sufficiently aware of these programs. The paper aims to discuss this issue.\u0000\u0000\u0000Design/methodology/approach\u0000The experienced difficulties and needs of professionals and patients regarding continuity of forensic care were explored by means of an online survey and focus groups. The survey was completed by 318 professionals. Two focus groups with professionals (15 participants), one focus group and one interview with patients (six participants) were conducted.\u0000\u0000\u0000Findings\u0000The overall majority (85.6 percent) reported to experience problems in continuity on a frequent basis. The three main problems are: first, limited capacity for discharge from inpatient to outpatient or sheltered living; second, collaboration between forensic and regular mental health care; and, third, limited capacity for long-term inpatient care. Only a quarter of the participants knew the existing programs. Actual implementation of these programs was even lower (3.9 percent). The top three of professionals’ needs are: better collaboration; higher capacity; more knowledge about rules and regulation. Participants of the focus groups emphasized the importance of transparent communication, timely discharge planning and education.\u0000\u0000\u0000Practical implications\u0000Gathering best practices about regional collaboration networks and developing a blueprint based on the best practices could be helpful in improving collaboration between setting in the forensic field. In addition, more use of systematic discharge planning is needed to improve continuity in forensic mental health care. It is important to communicate in an honest, transparent way to clients about their forensic mental health trajectories, even if there are setbacks or delays. More emphasis needs to be placed on communicating and implementing policy programs in daily practice and more education about legislation is needed Structured evaluations of programs aiming to improve continuity of forensic mental health care are highly needed.\u0000\u0000\u0000Originality/value\u0000Policy programs hardly reach professionals. Professionals see improvements in collaboration as top priority. Patients emphasize the human approach and transparent communication.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JFP-04-2019-0012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46754083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-12DOI: 10.1108/JFP-02-2019-0007
S. Ryan, F. Gordon, N. Gordon
Purpose The purpose of this paper is to gain an in-depth view into how participants perceived their experience of engaging in an enhanced Intensive Intervention and Risk Management Service (IIRMS), which is a part of the Offender Personality Disorder (OPD) pathway based within the community. Design/methodology/approach Five participants were interviewed. They were at different points of engagement with the service. Interviews were taped, transcribed and analysed using the grounded theory methodology. Findings Participants were able to provide in-depth reflections about their experiences at the service. The main issues centred upon “managing fragile relationships” and “an emerging self”. Subcategories linked to managing fragile relationships were: “letting people in and keeping them away”; “surviving the ruptures”; and “treating me like a person”. Subcategories linked to an emerging self were: “readiness to change” and “making new connections”. Research limitations/implications This study focused upon one enhanced IIRMS and findings are not necessarily generalisable to other services within the OPD pathway, although themes are likely to resonate for those leaving custody with complex interpersonal difficulties. Practical implications This study has provided access to participants’ perspectives on engaging with an IIRMS. Many factors impact upon the individual’s journey, which is central to the relational approach underpinning the pathway. Originality/value The findings have important messages for service providers and commissioners and crucially service user perspectives have been obtained that are integral to future development of the OPD pathway. The findings are also relevant for released prisoners attempting to reintegrate within the community.
{"title":"Relational fragility, development and an emerging self: service user views of engaging in an IIRMS in the OPD pathway","authors":"S. Ryan, F. Gordon, N. Gordon","doi":"10.1108/JFP-02-2019-0007","DOIUrl":"https://doi.org/10.1108/JFP-02-2019-0007","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to gain an in-depth view into how participants perceived their experience of engaging in an enhanced Intensive Intervention and Risk Management Service (IIRMS), which is a part of the Offender Personality Disorder (OPD) pathway based within the community.\u0000\u0000\u0000Design/methodology/approach\u0000Five participants were interviewed. They were at different points of engagement with the service. Interviews were taped, transcribed and analysed using the grounded theory methodology.\u0000\u0000\u0000Findings\u0000Participants were able to provide in-depth reflections about their experiences at the service. The main issues centred upon “managing fragile relationships” and “an emerging self”. Subcategories linked to managing fragile relationships were: “letting people in and keeping them away”; “surviving the ruptures”; and “treating me like a person”. Subcategories linked to an emerging self were: “readiness to change” and “making new connections”.\u0000\u0000\u0000Research limitations/implications\u0000This study focused upon one enhanced IIRMS and findings are not necessarily generalisable to other services within the OPD pathway, although themes are likely to resonate for those leaving custody with complex interpersonal difficulties.\u0000\u0000\u0000Practical implications\u0000This study has provided access to participants’ perspectives on engaging with an IIRMS. Many factors impact upon the individual’s journey, which is central to the relational approach underpinning the pathway.\u0000\u0000\u0000Originality/value\u0000The findings have important messages for service providers and commissioners and crucially service user perspectives have been obtained that are integral to future development of the OPD pathway. The findings are also relevant for released prisoners attempting to reintegrate within the community.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JFP-02-2019-0007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47902370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-12DOI: 10.1108/JFP-05-2019-0021
E. Glorney, S. Raymont, Amy Lawson, Jessica Allen
Purpose Religion and spirituality are well-researched concepts within the field of psychology and mental health yet they have rarely been researched in high-secure services within the UK. Research in mental health and prison contexts suggests benefits of religion/spirituality to coping, social support, self-worth, symptoms of depression and anxiety and behavioural infractions. The purpose of this paper is to investigate the role of religion/spirituality in high-secure service users’ personal recovery. Design/methodology/approach Semi-structured interviews were carried out with 13 male patients in a high-secure hospital, with primary diagnoses of mental illness (n=11) or personality disorder (n=2). Participants were from a range of religious/spiritual backgrounds and were asked about how their beliefs impact their recovery and care pathways within the hospital. Data were analysed using interpretative phenomenological analysis. Findings Three superordinate themes were identified: “religion and spirituality as providing a framework for recovery”; “religion and spirituality as offering key ingredients in the recovery process”; and “barriers to recovery through religion/spirituality”. The first two themes highlight some of the positive aspects that aid participants’ recovery. The third theme reported hindrances in participants’ religious/spiritual practices and beliefs. Each theme is discussed with reference to sub-themes and illustrative excerpts. Practical implications Religion/spirituality might support therapeutic engagement for some service users and staff could be more active in their enquiry of the value that patients place on the personal meaning of this for their life. Originality/value For the participants in this study, religion/spirituality supported the principles of recovery, in having an identity separate from illness or offender, promoting hope, agency and personal meaning.
{"title":"Religion, spirituality and personal recovery among forensic patients","authors":"E. Glorney, S. Raymont, Amy Lawson, Jessica Allen","doi":"10.1108/JFP-05-2019-0021","DOIUrl":"https://doi.org/10.1108/JFP-05-2019-0021","url":null,"abstract":"\u0000Purpose\u0000Religion and spirituality are well-researched concepts within the field of psychology and mental health yet they have rarely been researched in high-secure services within the UK. Research in mental health and prison contexts suggests benefits of religion/spirituality to coping, social support, self-worth, symptoms of depression and anxiety and behavioural infractions. The purpose of this paper is to investigate the role of religion/spirituality in high-secure service users’ personal recovery.\u0000\u0000\u0000Design/methodology/approach\u0000Semi-structured interviews were carried out with 13 male patients in a high-secure hospital, with primary diagnoses of mental illness (n=11) or personality disorder (n=2). Participants were from a range of religious/spiritual backgrounds and were asked about how their beliefs impact their recovery and care pathways within the hospital. Data were analysed using interpretative phenomenological analysis.\u0000\u0000\u0000Findings\u0000Three superordinate themes were identified: “religion and spirituality as providing a framework for recovery”; “religion and spirituality as offering key ingredients in the recovery process”; and “barriers to recovery through religion/spirituality”. The first two themes highlight some of the positive aspects that aid participants’ recovery. The third theme reported hindrances in participants’ religious/spiritual practices and beliefs. Each theme is discussed with reference to sub-themes and illustrative excerpts.\u0000\u0000\u0000Practical implications\u0000Religion/spirituality might support therapeutic engagement for some service users and staff could be more active in their enquiry of the value that patients place on the personal meaning of this for their life.\u0000\u0000\u0000Originality/value\u0000For the participants in this study, religion/spirituality supported the principles of recovery, in having an identity separate from illness or offender, promoting hope, agency and personal meaning.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JFP-05-2019-0021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48847550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-13DOI: 10.1108/JFP-03-2019-0008
Kim Liddiard, S. Morgan, B. Davies
Purpose Transitioning is an inevitable part of being in secure settings, yet little research exists focussing on the experiences of individuals and what interventions might help them to achieve optimal transitions. This seems surprising as the very people who find themselves in secure settings often have attachment difficulties, maladaptive coping strategies and complex mental health needs, which are the factors considered most likely to disadvantage individuals when transitioning. The paper aims to discuss this issue. Design/methodology/approach This study used a repeated design to explore the effectiveness of a person-centred intervention with 18 transitioning individuals in a medium-secure hospital. Three self-report questionnaires were used to capture data relating to anxiety, coping strategies and how individuals feel about the transition pre- and post-intervention. Whole data sets were achieved in 16 cases. Findings Following the transition intervention, individuals felt more at ease with the transition ahead of them, their use of adaptive coping strategies had significantly increased and their trait anxiety had significantly lowered. Research limitations/implications This study revealed that using a person-centred intervention with transitioning individuals was helpful. However, the study was not able to capture the impact of this intervention over time. Practical implications This study highlights the importance of attending to how individuals experience the transition, alongside offering interventions designed to help them adjust and cope to achieve optimal transitions. Originality/value Very little is known about what interventions might help individuals achieve a successful transition. Therefore, the findings offer new and significant contributions to this under-researched area.
{"title":"Evaluation of a transition intervention in a secure setting","authors":"Kim Liddiard, S. Morgan, B. Davies","doi":"10.1108/JFP-03-2019-0008","DOIUrl":"https://doi.org/10.1108/JFP-03-2019-0008","url":null,"abstract":"\u0000Purpose\u0000Transitioning is an inevitable part of being in secure settings, yet little research exists focussing on the experiences of individuals and what interventions might help them to achieve optimal transitions. This seems surprising as the very people who find themselves in secure settings often have attachment difficulties, maladaptive coping strategies and complex mental health needs, which are the factors considered most likely to disadvantage individuals when transitioning. The paper aims to discuss this issue.\u0000\u0000\u0000Design/methodology/approach\u0000This study used a repeated design to explore the effectiveness of a person-centred intervention with 18 transitioning individuals in a medium-secure hospital. Three self-report questionnaires were used to capture data relating to anxiety, coping strategies and how individuals feel about the transition pre- and post-intervention. Whole data sets were achieved in 16 cases.\u0000\u0000\u0000Findings\u0000Following the transition intervention, individuals felt more at ease with the transition ahead of them, their use of adaptive coping strategies had significantly increased and their trait anxiety had significantly lowered.\u0000\u0000\u0000Research limitations/implications\u0000This study revealed that using a person-centred intervention with transitioning individuals was helpful. However, the study was not able to capture the impact of this intervention over time.\u0000\u0000\u0000Practical implications\u0000This study highlights the importance of attending to how individuals experience the transition, alongside offering interventions designed to help them adjust and cope to achieve optimal transitions.\u0000\u0000\u0000Originality/value\u0000Very little is known about what interventions might help individuals achieve a successful transition. Therefore, the findings offer new and significant contributions to this under-researched area.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JFP-03-2019-0008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49528929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-13DOI: 10.1108/JFP-02-2019-0006
Philip Birch, Douglas Braun-Harvey
Purpose The purpose of this paper is to examine the relationship between sexual health principles and the procurement of sexual services. Most that has been written about sex work has been done so from the perspective of deviancy; in contrast, recent work examining the practice of sex work has explored and evidenced how emotional and intimacy needs are met through procurement. Recognising the conventional aspects of procuring sexual services, this paper seeks to examine and understand this social practice through applying Braun-Harvey and Vigorito’s (2015) six principles of sexual health. Design/methodology/approach Based on a mixed method approach, this paper presents findings from a survey consisting of a sample of 309 men who procure sexual services and 20 interviews from a sub-sample of the men who were surveyed and female sex workers who provide such services. Findings The findings illustrate the reasons for men’s procurement of sexual services, which corroborate with the accounts of women who sell the services and reflect how the procurement of sexual services align with principles of sexual health, which, in turn, challenge the stigma of buying sex. Practical implications The practical implications of this study are: provision of examining and understanding sex work through the principles of sexual health; provision of a framework to examine and understand sex work in a less stigmatising way; support for the growth of sexual health and criminal justice research; and provision of a platform for further research examining sexual health, sex work and decriminalisation. Originality/value This study is unique as it brings together principles of sexual health as a tool for examining the procurement of sexual services, a practice that is demonised in many parts of the globe. A consequence of this study is its presentation of a novel understanding for the social practice of procurement that aides in both challenging the stigmatisation and criminalisation of sex work.
{"title":"Sexual health principles and the procurement of sexual services: evidence of the interface between sexual health and criminal justice","authors":"Philip Birch, Douglas Braun-Harvey","doi":"10.1108/JFP-02-2019-0006","DOIUrl":"https://doi.org/10.1108/JFP-02-2019-0006","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to examine the relationship between sexual health principles and the procurement of sexual services. Most that has been written about sex work has been done so from the perspective of deviancy; in contrast, recent work examining the practice of sex work has explored and evidenced how emotional and intimacy needs are met through procurement. Recognising the conventional aspects of procuring sexual services, this paper seeks to examine and understand this social practice through applying Braun-Harvey and Vigorito’s (2015) six principles of sexual health.\u0000\u0000\u0000Design/methodology/approach\u0000Based on a mixed method approach, this paper presents findings from a survey consisting of a sample of 309 men who procure sexual services and 20 interviews from a sub-sample of the men who were surveyed and female sex workers who provide such services.\u0000\u0000\u0000Findings\u0000The findings illustrate the reasons for men’s procurement of sexual services, which corroborate with the accounts of women who sell the services and reflect how the procurement of sexual services align with principles of sexual health, which, in turn, challenge the stigma of buying sex.\u0000\u0000\u0000Practical implications\u0000The practical implications of this study are: provision of examining and understanding sex work through the principles of sexual health; provision of a framework to examine and understand sex work in a less stigmatising way; support for the growth of sexual health and criminal justice research; and provision of a platform for further research examining sexual health, sex work and decriminalisation.\u0000\u0000\u0000Originality/value\u0000This study is unique as it brings together principles of sexual health as a tool for examining the procurement of sexual services, a practice that is demonised in many parts of the globe. A consequence of this study is its presentation of a novel understanding for the social practice of procurement that aides in both challenging the stigmatisation and criminalisation of sex work.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JFP-02-2019-0006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43180430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-13DOI: 10.1108/JFP-11-2018-0045
H. Walker, Lindsay Tulloch, Karen Boa, G. Ritchie, John Thompson
Purpose A major difficulty identified many years ago in psychiatric care is the shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments which are behaviourally based and therefore appropriate for use in a variety of contexts. The aim of this project was to ascertain the utility of a forensic nursing risk assessment tool - Behavioural Status Index (BEST-Index). The paper aims to discuss these issues. Design/methodology/approach A multi-site cross-sectional survey was undertaken using mixed method design. Quantitative data was generated using BEST-Index to allow comparisons across three different levels of security (high, medium and low) in Scotland and Ireland. Qualitative data were gathered from patients and multi-disciplinary team (MDT) members using semi-structured interviews and questionnaire. Findings Measured over an 18-month period, there was a statistically significant improvement in behaviour, when comparing patients in high and medium secure hospitals. Two key themes emerged from patient and staff perspectives: “acceptance of the process” and “production and delivery of information”, respectively. The wider MDT acknowledge the value of nursing risk assessment, but require adequate information to enable them to interpret findings. Collaborating with patients to undertake risk assessments can enhance future care planning. Research limitations/implications Studies using cross-section can only provide information at fixed points in time. Practical implications The BEST-Index assessment tool is well established in clinical practice and has demonstrated good utility. Originality/value This project has served to highlight the unique contribution of BEST-Index to both staff and patients alike and confirm its robustness and versatility across differing levels of security in Scottish and Irish forensic mental health services.
{"title":"A multi-site survey of forensic nursing assessment","authors":"H. Walker, Lindsay Tulloch, Karen Boa, G. Ritchie, John Thompson","doi":"10.1108/JFP-11-2018-0045","DOIUrl":"https://doi.org/10.1108/JFP-11-2018-0045","url":null,"abstract":"\u0000Purpose\u0000A major difficulty identified many years ago in psychiatric care is the shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments which are behaviourally based and therefore appropriate for use in a variety of contexts. The aim of this project was to ascertain the utility of a forensic nursing risk assessment tool - Behavioural Status Index (BEST-Index). The paper aims to discuss these issues.\u0000\u0000\u0000Design/methodology/approach\u0000A multi-site cross-sectional survey was undertaken using mixed method design. Quantitative data was generated using BEST-Index to allow comparisons across three different levels of security (high, medium and low) in Scotland and Ireland. Qualitative data were gathered from patients and multi-disciplinary team (MDT) members using semi-structured interviews and questionnaire.\u0000\u0000\u0000Findings\u0000Measured over an 18-month period, there was a statistically significant improvement in behaviour, when comparing patients in high and medium secure hospitals. Two key themes emerged from patient and staff perspectives: “acceptance of the process” and “production and delivery of information”, respectively. The wider MDT acknowledge the value of nursing risk assessment, but require adequate information to enable them to interpret findings. Collaborating with patients to undertake risk assessments can enhance future care planning.\u0000\u0000\u0000Research limitations/implications\u0000Studies using cross-section can only provide information at fixed points in time.\u0000\u0000\u0000Practical implications\u0000The BEST-Index assessment tool is well established in clinical practice and has demonstrated good utility.\u0000\u0000\u0000Originality/value\u0000This project has served to highlight the unique contribution of BEST-Index to both staff and patients alike and confirm its robustness and versatility across differing levels of security in Scottish and Irish forensic mental health services.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JFP-11-2018-0045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41742887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-13DOI: 10.1108/JFP-10-2018-0038
Joanne E. Nulty, B. Winder, Sally Lopresti
Purpose The treatment and placement of transgender individuals within the UK prison system has garnered considerable political and media attention. The purpose of this paper is to present an analysis of the experiences of three transgender women located within a male, category C prison in England. Design/methodology/approach Participants were interviewed and their accounts analysed using interpretative phenomenological analysis. Findings Three overarching themes emerged from the data set: participants’ experiences of transition; their identity within custody and the challenges associated with presenting as female within a male establishment; and what they perceived as their fight against the prison system which encompassed a fight for their rights alongside a daily struggle against harassment, victimisation and discrimination. Research limitations/implications Three participants were interviewed which impacts the generalisability of the findings. Implications link to the care and management of transgender prisoners. Practical implications The care and management of transgender prisoners is a complex issue. This paper contributes to the discussion on how best to support and care for this group of service users who are arguably amongst the most vulnerable within the prison system. Social implications Findings are discussed in relation to policy, management and safeguarding of transgender prisoners within the UK prison system. Recommendations are made regarding their placement and management in prison. Originality/value There are limited accounts from transgender prisoners regarding their experiences in prison. This paper aims to address that gap.
{"title":"“I’m not different, I’m still a human being […] but I am different.” An exploration of the experiences of transgender prisoners using interpretative phenomenological analysis","authors":"Joanne E. Nulty, B. Winder, Sally Lopresti","doi":"10.1108/JFP-10-2018-0038","DOIUrl":"https://doi.org/10.1108/JFP-10-2018-0038","url":null,"abstract":"\u0000Purpose\u0000The treatment and placement of transgender individuals within the UK prison system has garnered considerable political and media attention. The purpose of this paper is to present an analysis of the experiences of three transgender women located within a male, category C prison in England.\u0000\u0000\u0000Design/methodology/approach\u0000Participants were interviewed and their accounts analysed using interpretative phenomenological analysis.\u0000\u0000\u0000Findings\u0000Three overarching themes emerged from the data set: participants’ experiences of transition; their identity within custody and the challenges associated with presenting as female within a male establishment; and what they perceived as their fight against the prison system which encompassed a fight for their rights alongside a daily struggle against harassment, victimisation and discrimination.\u0000\u0000\u0000Research limitations/implications\u0000Three participants were interviewed which impacts the generalisability of the findings. Implications link to the care and management of transgender prisoners.\u0000\u0000\u0000Practical implications\u0000The care and management of transgender prisoners is a complex issue. This paper contributes to the discussion on how best to support and care for this group of service users who are arguably amongst the most vulnerable within the prison system.\u0000\u0000\u0000Social implications\u0000Findings are discussed in relation to policy, management and safeguarding of transgender prisoners within the UK prison system. Recommendations are made regarding their placement and management in prison.\u0000\u0000\u0000Originality/value\u0000There are limited accounts from transgender prisoners regarding their experiences in prison. This paper aims to address that gap.\u0000","PeriodicalId":44049,"journal":{"name":"Journal of Forensic Practice","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JFP-10-2018-0038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43719472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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