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Secure Units (secure + unit)
Selected AbstractsDelirium unit: Our experienceAUSTRALASIAN JOURNAL ON AGEING, Issue 4 2009Dorothy Milly Wong Tin Niam The optimal model of care for patients with delirium in tertiary institutions is unknown. The aim of this project was to assess whether managing delirious patients in a secure unit could improve quality of care without significantly increasing the cost. We set up a delirium and surveillance unit at a tertiary hospital in Western Australia. The key elements of the unit were to provide a secure environment with staff trained and committed to delirium care. Patient care was based on comprehensive geriatric principles. The activities and outcomes were audited over an initial period after the establishment of the unit and a second audit was conducted following improvements based on the results of the initial audit. Managing patients in a delirium unit improves quality of care of patients and is cost-effective. The best model appears to be one where there is a dedicated consultant-led unit with ongoing staff education. [source] HOVIS , The Hertfordshire/Oxfordshire Violent Incident StudyJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 2 2002K. Spokes msc bsc(hons) Violence in psychiatric inpatient units is a major and growing problem. Research interest has primarily focussed on patient characteristics. The role of staff factors and the antecedents of violent incidents has been neglected, despite the fact that staff factors and behaviour may be more readily amenable to change than patient characteristics. The HOVIS study sought to obtain the views of a sample of mental health nurses in current clinical practice about staff-related factors, which they perceive to contribute to, or protect against, the occurrence of violent incidents. A total of 108 nurses working in psychiatric acute admission, intensive care and low secure units, in two NHS Trusts were interviewed using a specially designed semistructured interview schedule. These nurses identified a variety of behaviours, clinical skills, personal characteristics and interpersonal skills that they believe impact on the occurrence of violent incidents. These findings are discussed in relation to their possible training and managerial implications. [source] Cognitive-behavioural interventions for adolescents in residential child care in Scotland: an examination of practice and lessons from researchCHILD & FAMILY SOCIAL WORK, Issue 3 2004Irene Stevens ABSTRACT This paper sets out to examine the basis and use of cognitive-behavioural interventions with adolescents in residential child care. The paper outlines the results of a survey of the use of cognitive-behavioural interventions in Scotland. The survey indicates that such interventions are used widely in residential schools and secure units in Scotland. The paper then reviews some of the studies relating to cognitive-behavioural interventions, which appear to be most relevant to residential child care. The review revealed many of the positive outcomes of cognitive-behavioural interventions. However, there are some cautionary notes highlighted by the survey and the review. These relate to issues about generalization of learning and the meaning of the intervention for the young person and for the staff. The paper discusses the importance of other factors in determining the success of cognitive-behavioural interventions. These factors include the importance of accurate assessment, the role of staff training and the need to ensure that interventions are always in the best interests of the child. [source] Breakdown of teenage placements in Swedish foster and residential careCHILD & FAMILY SOCIAL WORK, Issue 2 2004Marie Sallnäs ABSTRACT This article deals with the problem of breakdown in different types of out-of-home care (foster care/residential care) for Swedish teenagers. How often are such placements prematurely terminated against the wishes and intentions of child welfare authorities? Which factors appear to increase or decrease the risk of placement breakdown? The sample consists of a national cohort of 776 youths who started 922 placements during 1991. Every placement was followed in municipal case files for a maximum period of five years. Between 30 and 37% of all placements were prematurely terminated, the exact figure depending on whether a narrow or wide definition of breakdown was applied. The lowest rates of breakdown were found in kinship care and secure units, the highest in non-kinship foster homes. Teenagers who display antisocial behaviour and/or have mental health problems constitute a high-risk category for most types of out-of-home care, but especially in non-kinship foster homes. Risk factors in relation to breakdown were analysed in the four main forms of Swedish out-of-home care separately (foster homes, privately/publicly run residential care and secure units). The analysis pointed out that risk factors are not the same in all types of care, but antisocial behaviour at time of placement increased the risk in most forms of care. Prior research indicates that placement breakdown is a major problem of child welfare in other countries, and this study found that Sweden is no exception. [source] | ||||||||||