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Results for “Broadmoor Hospital”

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At least 19 recordsLinked to original sources
PubMed2001

The use of trial leave for restricted special hospital patients.

INTRODUCTION: For England and Wales, Section 17 of the Mental Health Act 1983 allows for compulsorily detained patients to have trial leave (TL) between hospitals or from hospital to community to allow a period of testing readiness for a change in residency and/or legal status. The aim of this study was to document the use of TL for the largest sub-group of such patients within two discharge cohorts from one high security hospital and to test for correlates. METHOD: Data were collected from the special hospitals' case register for two Broadmoor Hospital discharge cohorts, 1984 and 1990-94, of offender patients with hospital orders under Home Office restrictions on discharge (Section 37/41). RESULTS: In 1984, only two of the 29 people leaving special hospital did so under trial leave arrangements, but by 1990 to 1994, 71% of restricted hospital order departures were under trial leave (92/130), a significant change in practice. Focusing on only the later cohort, women were disproportionately more likely to leave in this way. Trial leave was used more for patients with an index offence of homicide, similarly for violent offences but less so for sex offences. Nature of disorder did not have any bearing on the use of trial leave. Use of trial leave did not significantly shorten length of stay within the special hospital. CONCLUSION: Trial leave has become the most usual route out of special hospital, and is the departure route used almost exclusively for women patients, yet there appears to be no obvious advantage for the patient in shortening length of stay in high security. However, there is no way of knowing how long patients would have stayed had the option of trial leave not been available to them. Furthermore, no advantage for the public was found in the preferential use of TL for discharges to the community.

Journal Article↗
PubMed1996

Young 'psychopaths' in special hospital: treatment and outcome.

BACKGROUND: The 'Young Persons Unit' (YPU) at Broadmoor Hospital offers psychotherapeutic treatment for young adult male patients. The study objective was to report background details, treatment and outcome of the ward's personality disordered patients. METHODS: The sample consisted of 49 patients, with the legal classification of psychopathic disorder, treated on the unit for at least one year. Data were collected from existing case records. Outcome was recorded until discharge from statutory supervision. Outcome measures were recidivism and a variety of social factors. RESULTS: At follow-up 10 patients had reoffended, with four having committed serious violent or sexual offenses. Two patients had died. A history of sex offending was the strongest predictor of subsequent reoffending. No patients with good social outcome reoffended. CONCLUSION: 'Young patients with personality disorder can be successfully treated on the YPU. The management of sex offenders in this group requires further attention. Successful social integration within the community after discharge may help prevent future reoffending.

Adult↗
PubMed1990

A comparison of male admissions to a special hospital 1970-71 and 1987-88.

Characteristics of 109 male patients admitted over a two-year period to a Special Hospital are described and discussed. Comparison is made with the results from a previous study conducted in another Special Hospital (Broadmoor) some fifteen years ago. Admissions still originate mainly from the courts, the penal system, and the NHS. However, the pattern of admissions has changed, influenced in part by the advent of the Regional Secure Unit programme, and the 1983 revision of the Mental Health Act. Very few admissions were diagnosed as suffering from a primary affective disorder. Patients suffering from psychopathic disorder had committed few crimes of murder and manslaughter. Possible reasons for these and other findings are discussed. It is concluded that the Special Hospitals continue to play a distinct and essential role.

Admitting Department, Hospital↗
PubMed2006

The forensic mental health nurse - a literature review.

Forensic mental health nursing has developed in the UK since the commissioning of Broadmoor Hospital in 1863. Little has been documented about the role until the early 1990s. There is debate over the usefulness of defining the role. It is suggested here that in order to meet the multifaceted, complex needs of the mentally disordered offender (MDO) patient group, the role of forensic mental health nurses (FMHNs) needs to be further developed, and this process is assisted by understanding its current status. This literature review examines the FMHN role in England and Wales. The literature pertinent to issues of task-orientated competence, knowledge and skills required, and desirable personal qualities that the role demands are examined. The latter of these attributes concerned with attitudes, values and morals is likely to be the most difficult to assess. Being able to isolate the composite elements of the role of FMHNs will enable the development of a competency framework, which will ensure quality assurance in contemporary health care for the thousands of FMHNs in practice and many more thousands of MDOs and other patients that the nurse has the potential to affect.

Clinical Competence↗
PubMed1978

The contingent negative variation in antisocial behaviour: a pilot study of Broadmoor patients.

Using a classical click/flash paradigm, the CNV was recorded from the following three groups of subjects at Broadmoor Hospital: (1) 14 'psychopathic' patients selected by use of the 4/9 MMPI profile and confirmed by independent clinical diagnosis; (2) 15 'non psychopathic' patients, all psychotic and mainly schizophrenic; (3) 14 healthy staff control subjects. All three groups were matched for age and sex; the two patients groups were also matched for length of stay. Two series of 32 paired stimuli were used, separated by an interval of 30 minutes. The mean CNV voltage was significantly lower in the 'non-psychopathic' patients. The amplitude of the 'psychopath's' CNV response did not differ significantly from that of the staff controls, but the response variability between the first and second series of trials was much greater in the 'psychopathic' patients than in the other two subject groups. The 'psychopathic' subjects tended to show more rapid initial development of the CNV.

Adult↗
PubMed1984

The contingent negative variation, personality and antisocial behaviour.

Using a classical click/flash paradigm the contingent negative variation (CNV) was recorded from 60 consecutive male admissions to Broadmoor Hospital. Clinical and psychometric Minnesota Multiphasic Personality Inventory (MMPI) assessments were made independently of the electroencephalography (EEG) data. A trend for higher amplitude CNV's to be recorded from patients with a clinical diagnosis of antisocial (psychopathic) personality was observed. Patients with a Mental Health Act diagnosis of psychopathic disorder had significantly higher voltage CNV's than those in the mental illness category. These CNV differences were only found in the primary (non-anxious, sociable) psychopaths. Secondary (neurotic, unsociable) psychopaths did not differ from staff controls. A positive association between CNV voltage and the personality factor of sociability(sociable-shy dimension) was observed. A weak, negative correlation between CNV amplitude and impulsivity (impulsive-controlled dimension) was also apparent. All subjects showed an habituation effect across trials. No difference in response variability between successive series of trials was apparent in any of the patient groups.

Antisocial Personality Disorder↗
PubMed1994

Prevalence of Asperger's syndrome in a secure hospital.

BACKGROUND: The hypothesis that Asperger's syndrome (AS) may go unrecognised in forensic populations was examined by ascertaining the prevalence in Broadmoor Special Hospital. METHOD: The entire male patient population was screened by examination of case notes. Identified cases were subject to the next stage of the study, which involved observation and interviewing of patients, and a semi-structured interview of key staff. RESULTS: A prevalence of 1.5% (0.6% to 3.3%, 95% CI) was found. The addition of equivocal cases increased the prevalence to 2.3%. CONCLUSION: The prevalence of AS in Broadmoor Hospital is greater than that reported for the general population.

Adult↗
PubMed1984

The clinical EEG and personality in mentally abnormal offenders.

A retrospective survey was undertaken of the clinical EEG in a series of consecutive admissions to Broadmoor Special Hospital (N = 265). Following reporting of the records by visual inspection, the EEGs were classified according to 4 descriptive categories: predominantly monorhythmic; low voltage fast, 'choppy'; dysrhythmic with excess theta; and dysrhythmic with paroxysmal features. The last 3 categories constituted EEG patterns with atypical or anomalous features. The EEGs of patients with high scores on Welsh's MMPI Anxiety scale ('withdrawers') were compared with those of patients with low scores ('approachers'). Lateralization of paroxysmal EEG features was studied with reference to MMPI personality measures (Blackburn's Impulsivity and Sociability and Welsh's Anxiety), legal diagnosis, type of offence, and relationship to victim. The EEGs were studied in a further sample of 29 admissions who had been assessed, using Hare's Research Scale for the Assessment of Psychopathy (Hare, 1980). While the overall incidence of atypical EEG features reported in the present study (around 60% of cases) was comparable with that reported previously for offender populations, they occurred significantly more frequently in 'withdrawers' than in 'approachers'. This suggests that the high frequency of atypical EEG features in abnormal offenders may be due to the preponderance of 'withdrawers' in this population. Patients who had committed violent offences against strangers, as opposed to people known to them, tended to have bilateral paroxysmal features in their EEG. High scores on Hare's Psychopathy scale were significantly associated with prominent Posterior Temporal Slow Activity. The study offers some prospect that the combined use of EEG and personality assessments may be of potential value in the assessment of dangerousness.

Adult↗
PubMed1980

ECT at Broadmoor.

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Electroconvulsive Therapy↗