e begin this issue of to counter this risk the detection associated with previous attempts the British Journal of and documentation of previous at suicide, a history of abuse and WForensic Practice with ADRs are essential, but a personality disorder traits. The a paper by Karen D’Silva, Tim baseline audit suggested poor authors also note a number of Calton and Conor Duggan levels of documentation of ADRs factors that were compromising looking at the often-neglected in the forensic mental health effective through-care to the issue of the impact of training. setting studied. However, a community, including lack of They report a pilot study to number of relatively simple accommodation and of access to investigate the impact of single- measures were undertaken which primary care services on release. day training events, intended to improved performance in this Brian McKenzie and Helen disseminate good practice. The area of practice. Curr look at the value of the results six months after attending Michael Loughran and HCR-20 Scale in predicting the training suggested only a Kishane Seewoonarain report the incidents of in-patient violence modest effect on practice; 54% results of research looking at during a stay on a medium of respondents reported a change need and risk characteristics secure ward, based on a in at least one of the ﬁve among women offenders referred retrospective analysis of 94 domains of practice asked about. to a mental health in-reach admissions. They report mixed The authors go on to question service. In line with much of the ﬁndings for the value of this whether such traditional models previous research on prison and structured assessment as a means and approaches to training are in offender populations, high levels of predicting such risks. We fact the most effective way of of mental health need and conclude this issue with a review disseminating good practice. complexity were identiﬁed. This by Nathan Gregory on the, often Simon Gibbon and Najat included mental health contentious, area of offender Khalifa look at another area that problems, personality disorder, proﬁling. is often neglected – adverse drug substance misuse and social As ever, we hope that you reactions (ADRs), which, they factors that led to exclusion after enjoy this issue of the journal, note, are often major release. Levels of substance and we would encourage you to contributors to morbidity and misuse were found to be high, contribute both research papers mortality. In addition they point and many women were involved and practice and viewpoint out that psychiatric patients, and in multi-drug use. The papers. perhaps especially those in prevalence of intentional self- David Crighton forensic units, may be at injury was high, and they report Graham Towl increased risk of ADRs. In order that it was signiﬁcantly (CO-EDITORS) The British Journal of Forensic Practice • VOLUME 7 • ISSUE 3 • AUGUST 2005 © Pavilion Publishing Brighton Ltd
The British Journal of Forensic Practice – Emerald Publishing
Published: Aug 1, 2005
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