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Ageing in forensic psychiatric secure settings: the views of members of staff

Di Lorito, Claudio; Dening, Tom; Völlm, Birgit

Authors

TOM DENING Tom.Dening@nottingham.ac.uk
Clinical Professor in Dementia Research

Birgit Völlm



Abstract

Background: Although the prevalence of older patients in forensic psychiatric services is increasing, research around service provision for this population is very limited. We aimed to gather the views of members of staff on how well secure services are meeting the challenges of an ageing population.

Methods: Three focus groups were carried out with 13 members of staff working with older patients in secure services. A topic guide, based on the research team’s previous research, guided the sessions. The focus groups were audio-recorded, transcribed and analysed through thematic analysis.

Results: Two themes were identified: (1) Identifying patients’ needs, which focused on how promptly any emerging issues in the older patients are identified and reported; (2) addressing patients’ needs, which focused on how the unique needs of the older patients are addressed, once established.

Conclusions: There are unique age-related issues that may have an impact on the older patients’ opportunities for recovery, including a lack of specialist training for members of staff, prolonged stay in secure care and a limited number of age-relevant activities. Far from optimal, provision requires improvement through the active involvement of the primary stakeholders.

Journal Article Type Article
Publication Date Mar 4, 2019
Journal The Journal of Forensic Psychiatry & Psychology
Print ISSN 1478-9949
Electronic ISSN 1478-9957
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 30
Issue 2
Pages 270-285
APA6 Citation Di Lorito, C., Dening, T., & Völlm, B. (2019). Ageing in forensic psychiatric secure settings: the views of members of staff. Journal of Forensic Psychiatry and Psychology, 30(2), 270-285. https://doi.org/10.1080/14789949.2018.1542449
DOI https://doi.org/10.1080/14789949.2018.1542449
Keywords Clinical Psychology; Psychiatry and Mental health
Publisher URL https://www.tandfonline.com/doi/full/10.1080/14789949.2018.1542449
Additional Information This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Forensic Psychiatry & Psychology on 6 Dec 2018, available online: http://www.tandfonline..../14789949.2018.1542449.

Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline....ope&journalCode=rjfp20; Received: 2018-07-11; Accepted: 2018-10-19; Published: 2018-12-06

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