Developing a Dynamic Understanding of Risk Factors for People Admitted to Long-term High Dependency Units
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Published:2024-02-14
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ISSN:2198-9834
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Container-title:Journal of Psychosocial Rehabilitation and Mental Health
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language:en
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Short-container-title:J. Psychosoc. Rehabil. Ment. Health
Author:
Simpson Adelabu JonathanORCID, Meaden Alan, Fox AndrewORCID
Abstract
AbstractEven with developments in supporting people with enduring psychosis, some people living with these difficulties still require specialised care in inpatient rehabilitation facilities. To optimise the support provided a service evaluation was conducted for people admitted to a Long-term High Dependency Unit service. Data collected routinely with the Short-Term Assessment for Risk and Treatability tool was used to identify dynamic risk factors for the residents. Completed assessments were analysed for frequency and severity of risk behaviours; historic prevalence of risk behaviours; judgements on future risk; and strengths and vulnerabilities. The evaluation indicated a picture of a group of people who have a variety of historic risks and currently engage regularly in aggression and self-neglect, whilst experiencing limited insight, social exclusion, and limited coping abilities. Strengths and vulnerabilities linked to risk behaviours were also grouped into conceptually similar domains to aid intervention. Recommendations are made for using such data to enhance recovery.
Publisher
Springer Science and Business Media LLC
Reference39 articles.
1. Ajnakina, O., Lally, J., Di Forti, M., Kolliakou, A., Gardner-Sood, P., Lopez-Morinigo, J., Dazzan, P., Pariante, C. M., Mondelli, V., MacCabe, J., David, A. S., Gaughran, F., Murray, R. M., & Vassos, E. (2017). Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 study. Social Psychiatry and Psychiatric Epidemiology, 52(9), 1101–1111. https://doi.org/10.1007/s00127-017-1417-6 2. Barnett, P., Mackay, E., Matthews, H., Gate, R., Greenwood, H., Ariyo, K., Bhui, K., Halvorsrud, K., Pilling, S., & Smith, S. (2019). Ethnic variations in compulsory detention under the Mental Health Act: A systematic review and meta-analysis of international data. The Lancet Psychiatry, 6(4), 305–317. https://doi.org/10.1016/S2215-0366(19)30027-6 3. Bhugra, D., Hilwig, M., Hossein, B., Marceau, H., Neehall, J., Leff, J., Mallett, R., & Der, G. (1996). First-Contact Incidence Rates of Schizophrenia in Trinidad and One-Year Follow-up. British Journal of Psychiatry, 169(5), 587–592. https://doi.org/10.1192/bjp.169.5.587 4. Brooks, H., Devereux-Fitzgerald, A., Richmond, L., Bee, P., Lovell, K., Caton, N., Cherry, M. G., Edwards, B. M., Downs, J., Bush, L., Vassilev, I., Young, B., & Rogers, A. (2022). Assessing the effectiveness of social network interventions for adults with a diagnosis of mental health problems: A systematic review and narrative synthesis of impact. Social Psychiatry and Psychiatric Epidemiology, 57(5), 907–925. https://doi.org/10.1007/s00127-022-02242-w 5. Care Quality Commission. (2018). Mental Health Act – The rise in the use of the MHA to detain people in England. https://www.cqc.org.uk/sites/default/files/20180123_mhadetentions_report.pdf
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