Stability and change in subjective quality of life of adolescents in secure residential care

Subjective quality of life (QoL) is an outcome measure often used in the field of psychiatry. While upcoming strength-based rehabilitation theories place strong emphasis on subjective QoL, it has hardly ever been investigated in adolescents with severe psychiatric problems who are admitted to secure residential care. Therefore, the aim of this study was to investigate the stability and change of subjective QoL of adolescents with severe psychiatric problems. Additionally, the effect of discharge and re-entering society on subjective QoL was studied. In a four-wave longitudinal study, the subjective QoL of 172 male adolescents with severe psychiatric problems was examined. Five subjective QoL domains remained stable over time, while five other domains changed. A decrease in satisfaction with family relations and social participation was observed for discharged adolescents. These results warrant for continuing guidance of adolescents in order for them to positively adapt to a new life outside secure residential care.     

Working with personality disordered women in secure care: the challenge of gender-based service delivery

Abstract

Working with women in secure services is an infrequent subject of research and discussion in the forensic mental health literature. There are several reasons for this, which will be considered in the introduction to this paper. However, a consequence of this situation is that there remains a lack of clarity in key areas of practice in relation to working with women in secure services, and working with women with personality disorder specifically: how women with personality disorder may present in secure services compared to men, therefore, the particular skills required of the practitioners who work with women and the main design features of the services within which they are managed. The body of this paper attempts to summarise important issues in each of these areas in order to inform future debate and developments in the field.     

Using the National Diabetes Audit to improve the care of diabetes in secure hospital in-patient settings in the UK

To examine the ability of two forensic units, one high secure and one medium secure, to meet the NICE (National Institute for Health and Care Excellence) standards of care for diabetes. We applied the National Diabetes Audit programme, which uses as standards the NICE guidelines, to assess the quality of care provided for patients in two forensic units. Of the 500 patients, 200 in high secure and 300 in medium secure, 88 (17.6%) had type 2 diabetes. None had Type 1 diabetes. Of those with Type 2 diabetes, the care of 74 (84%) met all 8 NICE recommended standards. Glucose levels were lower in the medium/low secure unit compared to the higher security environment. Whilst achievement of process-based outcomes was higher than those reported nationally, achieving clinical outcomes was more challenging. High-quality diabetic care can be provided for patients in forensic units. Benchmarking physical health outcomes against national criteria in mental health inpatients is a potential method of improving outcomes.     

Food security and secure food in the Anthropocene

Delinquency in middle class areas (and why it is low) has been a neglected topic in criminology. The book by Singer [1] advances knowledge about this topic, focussing on Amherst (NY), but also comparing it with the high crime area of Newark (NJ). The book discusses various community and neighborhood factors that might have contributed to the low crime rate in Amherst, but also emphasizes the importance of parenting and juvenile justice processing. The book highlights the need for more research on community/neighborhood effects on offending after controlling for individual and family factors. It also highlights the need for more research on self-reported delinquency versus court processing of middle class versus lower class youth, and on possible juvenile justice system biases after controlling for characteristics of offenses and offenders. Its main policy implications are that more programs and opportunities are needed for youth in lower class areas, there should be more efforts to increase collective efficacy in these areas, and juvenile court processing should be minimized as much as possible.     

Older adults in secure mental health care: health,social wellbeing and security needs measured with HoNOS-secure across different age groups

The number of older offenders is rapidly increasing in the United Kingdom and some older adults with mental health issues are referred to secure care services. It is therefore important to understand their unique characteristics in order to develop services based on their individual needs rather than chronological age. This study explored wellbeing and security needs of younger and older patients admitted to a secure psychiatric hospital. HoNOS-secure assessment at admission and discharge was extracted and used to build an anonymous data-set. Group comparison and score change during admission were conducted for six age groups: 18–24, 25–34, 35–44, 45–54, 55–64 and 65+. Younger patients improved on most measures whereas older patients aged 55–65+ showed little improvement or deterioration over time. This finding suggests that the subscales are sensitive to age difference although the needs measured by HoNOS-secure are less likely to inform the decision to discharge.     

Problems of female patients in a secure psychiatric hospital

Abstract

The problems experienced by a sample of 30 female offender-patients in a secure psychiatric hospital were surveyed using the Behavioral Coding System (BCS). Common problems are emotional difficulties, antisocial behaviors, auditory hallucinations, and self-injury. Problem profiles derived from medical records, key workers' reports, and patients' self reports differed. The survey revealed the necessity of revising the BCS better to identify relevant concerns in this particular population.     

Women in Law Enforcement

ABSTRACT

Despite equal employment opportunity laws, affirmative action policies, and studies which demonstrate the capability of females, women account for only 8% of all municipal police officers in this country. The underrepresentation of social groups in policing is not a new phenomenon and can be explained through the “denial hypothesis.” The present study uses tobit regression techniques to examine the variation in female employment as law enforcement officers in municipal police departments within the State of Florida. The findings indicate that the distribution of sworn female officers does not resemble local labor market conditions. Neither the degree of parity between men and women in local economic conditions nor the availability of a qualified female applicant pool affect agency gender composition.     

法律职业中的女性

女性参与法律职业的历史告诉我们,女性曾经被拒之于法律职业的门外。但是经过相当长时间的历史发展,现在女性人数在司法界快速增长,比例提高,女性在法律职业和法学研究中的地位不断提高,从而使更多的女性价值和女性经验得以实现。女性及女性思维给法律和司法带来了新鲜空气和变革力量,法律和司法的形象和理念也在发生微妙的变化。     

Outcomes in a low secure unit: pre-admission and post-discharge comparisons

Empirical research seldom reports on clinical outcomes within low secure services. By comparing outcome measures prior to admission and following discharge this study aimed to investigate the care pathways of patients admitted to a low secure unit (LSU). The study was conducted in an LSU and consisted of 70 patients (54 male, 16 female). Data were collected retrospectively and analysed in relation to placement security (upon admission and discharge) and admissions to hospital. Results revealed that admissions to hospital and time spent in hospital decreased post-discharge in comparison with pre-admission. Forensic patients were found to have fewer admissions than civil patients prior to LSU admission. Some differences were also observed within gender and Mental Health Act (MHA) section status for placement security. The findings demonstrated that following treatment in a LSU, care pathways may be less restrictive than prior to admission. Further, more robust research on the outcomes of LSUs is required.     

Violence Against Women in Jordan

This study aimed to describe the social and cultural etiology of violence against women in Jordan. A sample of houses was randomly selected from all 12 Governorates in Jordan, resulting in a final sample of 1,854 randomly selected women. ANOVA analysis showed significant differences in violence against women as a result of women’s education, F?=?4.045, α?=?0.003, women who work, F?=?3.821, α?=?0.001, espouser to violence F?=?17.896, α?=?0.000, experiencing violence during childhood F?=?12.124, α?=?0.000, and wife’s propensity to leave the marital relationship F?=?12.124, α?=?0.000. However, no differences were found in violence against women because of the husband’s education, husband’s work, or having friends who belief in physical punishment of kids. Findings showed women experienced 45?% or witnessed 55?% violence during their childhood. Almost all 98?% of the sample was subjected to at least one type of violence. Twenty-eight percent of the sample believed a husband has the right to control a woman’s behavior and 93?% believed a wife is obliged to obey a husband. After each abusive incidence, women felt insecure, ashamed, frightened, captive and stigmatized.     

Women in transnational organized crime

The last two decades have seen a number of publications showing that women play an important role in transnational organized crime. The recent focus on this subject has revealed a growing body of evidence to suggest that women have been active as members and leaders of criminal organizations around the world in various periods of history. This evidence has cast doubt on the prevailing idea of a ‘sudden rise’ of female power and could provide us with new explanations for the rise of women to the top of the criminal world. This article shows that the transnational and fluid opportunities and the attractive image of crime (associated with wealth, power and freedom) seduce women into entering the criminal world. The changing character of organized crime provides women with new criminal markets and clients.     

Women in Crime and Justice

ABSTRACT

Drawing upon feminist research on women in crime and justice, this study examines patterns of female crime in Israel over four decades and the criminal justice response to female offenders over two decades. The data show that crime patterns of Israeli women and the criminal justice response to their transgressions show remarkable resemblance to those discerned in other western countries. The article concludes that feminist insights and explanatory mechanisms suggested in other western countries are congruent with findings about women in crime and justice in Israel.     

The grief process in those admitted to regional secure units following homicide

Although there is considerable literature on grief and grief work, there have been few studies of the grief process in those who have killed someone. This paper reviews the scope of this problem in England and Wales and examines a number of issues in connection with the grieving process in those who have killed but, because they were found to be suffering from an "abnormality of mind" at the time of the offence, were found not guilty of murder. Increasingly, these patients are referred for treatment to Regional Secure Units, under hospital orders of the Mental Health Act of 1983.     

Little Women

Abstract

Despite the growing trend of waiving youth to adult/criminal court, little is known about how convicted youth experience adult prison. To date, no research has been published about girls in adult prisons. In this study, intensive interviews were conducted with 22 girls serving time in a women's prison in the Midwest, as well as four staff working in the girls ' unit. The findings describe the complex lives of girls housed in an adult women's prison, in particular, their difficulties in gaining access to adequate schooling, work training, counseling, and health care. We also address the girls' contact with adult women prisoners, as well as their relationships with staff at the prison. Beyond improving their conditions of confinement, our research highlights the need to consider the appropriateness of placing girls in adult institutions.