• Rampton - A special hospital

      Street, D. R. K.; Tong, John E. (1960)
    • Patients with sex chromatin abnormality in two state hospitals

      Casey, M. D.; Segall, L. J.; Blank, C. E. (1968)
      The incidence of sex‐chromatin subnormality in two special hospitals for subnormal patients requiring special security on account of violent and aggressive behaviour was found to be significantly higher than the incidence in other institutionalized populations of the mentally subnormal. It is suggested that two factors account for this raised incidence: the higher mean intelligence level in the special hospital population, and the high proportion of sex‐chromatin‐positive males in these hospitals with an additional Y chromosome. We thank Dr J. N. McDougall, Medical Superintendent of Moss Side Hospital, for permission to study the patients in his care and the Medical and Nursing Staffs of Rampton and Moss Side Hospitals for their full co‐operation. This investigation was supported in part by a grant from the National Spastics Society. Copyright © 1968, Wiley Blackwell. All rights reserved
    • Special education

      Tuddenham, Paul H. (1988)
      There are four special hospitals Broad- moor, Rampton, Mosside and Park Lane. They provide the same range of therapeutic services as ordinary psychiatric hospitals but they are intended by virtue of the NHS Act 1987 for the treatment of patients who are detainable under the Mental Health Act and who, in the opinion of the Secretary of State, require this treatment and special security because of their dangerous violent or criminal propensities. The regime of care and observation are such that they can only be justified when the highest level of security is required and no lessor degree of security would provide a resonable safeguard to the public.'
    • A preliminary study of violent incidents in a special hospital (Rampton)

      Larkin, Emmet P.; Murtagh, Sylvester; Jones, Sue (1988)
      A six-month prospective study of violent incidents was carried out in a Special Hospital (Rampton). Comparisons were made with results from earlier studies in general psychiatric hospitals. As might be expected, incidents occurred more frequently in the Special Hospital. These incidents were also more serious in nature and resulted in greater injury. Although more patients in the Special Hospital were involved in incidents, only a small number of patients accounted for the majority of these. Female patients, who comprised 25% of the Special Hospital population, were involved in 75% of the incidents. Nursing staff were three times as likely to be assaulted as patients.
    • Outcome of referrals from rampton hospital to local mental health services, 1988-90

      Shubsachs, Alexander P. W.; Larkin, Emmet P. (1992)
      The Special Hospitals need to be able to transfer patients who no longer present a grave and immediate danger to the public and hence no longer require treatment in conditions of maximum security. Delay in progressing these patients is a cause of concern for the patients and their families, and also reduces the ability of the Special Hospitals to provide the service for which they were established. © 1992 Taylor & Francis Group, LLC.
    • Milieu and Mutilation - A case for special treatment?

      Larkin, Emmet P. (1992)
      Special hospitals are principally concerned with the treatment of patients of dangerous, violent or criminal propensities referred from the courts and prisons. However, patients can be transferred from local NHS hospitals. The case of one such patient illustrates the potential benefits of such a transfer, even for patients who are not of immediate danger to others.
    • A study of absconding by special hospital patients: 1976 to 1988

      Shubsachs, Alexander P. W. (1993)
      Absconding by Special Hospital patients is taken seriously and attracts considerable attention; however, there has been no published research on the topic. The present study looks at the demographic details of Special Hospital absconders over a 13-year period and at characteristics of the absconding events. The absconding group was compared with a control group admitted during the same period. Absconding was rare, In most cases the duration was short, with all absconders being eventually found, 33 per cent returning of their own accord. There was an excess of patients with a classification of psychopathic disorder in the absconding group and fewer with a classification of mental illness. Absconders rarely offended whilst at liberty and with two exceptions such offences were trivial in nature. There was a preponderance of patients with psychopathic disorder in the group that offended whilst at liberty. Apart from the group who offended when at large the absconsion did not seem to hinder subsequent discharge. Predictors for absconding were not found. Overall the study endorsed the security measures taken by the Special Hospitals. © 1993 Taylor & Francis Group, LLC.
    • Alcohol-related offending in male special hospital patients

      Thomas, Glen; McMurran, Mary (1993)
      In a sample of 61 male Special Hospital patients, 11 (18%) were identified as having alcohol-related problems prior to admission. Ten of these alcohol-abusers were interviewed to gather further information about their drinking, offending, and the relationship between the two. Alcohol abusers showed more serious criminality than non-abusers, having significantly more previous convictions and being responsible for a disproportionately high number of offences of murder and manslaughter. Alcohol-related problems appear to have developed quickly in adolescence culminating in the index offence at around 30 years of age. At this time, the mean self-reported weekly alcohol consumption was 240 units (one unit = 8.5gm alcohol). All but one man admitted to a relationship between alcohol and crime, and most showed motivation to change their future drinking behaviour.
    • Assessment of criminal behaviours of clients in secure settings

      McMurran, Mary (1994)
      Valid assessment of crime and related behaviours is important in predicting future risk, designing intervention programmes and evaluating outcome. Common sources of error are presented and suggestions for enhancing the validity of assessment are given. © 1994, Taylor & Francis Group, LLC. All rights reserved.
    • The closure of a long-stay psychiatric hospital: A longitudinal study of patients' behavior

      Francis, Valerie M.; Vesey, Patrick; Lowe, Gail (1994)
      This paper summarises longitudinal data based on repeat assessments of the behavioural functioning of 90 long-stay psychiatric patients. Data were gathered over a period of 4-5 years that spanned a hospital closure and the resettlement of patients in various alternative settings. Time-series analyses of individual data sets showed that resettlement led to no significant behavioural change in the majority of patients. However, some significant behavioural improvements were evidenced for approximately 20% of the group, while behavioural deterioration occurred in approximately 12%. Supplementary findings showed that following resettlement the quality of care provided significantly improved in many respects. However, access to social, recreational or vocational activities was reduced. In addition, the level of physical health symptomatology was shown to increase for this group of patients.;
    • Male Afro-Caribbean patients admitted to Rampton Hospital between 1977 and 1986--a control study

      Shubsachs, Alexander P. W.; Huws, R. W.; Close, Angela A.; Larkin, Emmet P. (1995)
      All Afro-Caribbean patients admitted to the Mental Illness Division of Rampton Hospital (a Special Hospital) between 1977 and 1986 and a randomly selected control cohort of Non Afro-Caribbean patients admitted in the same period, were compared on a variety of sociodemographic, psychiatric, criminological, treatment and outcome variables. Significantly, fewer of the Afro-Caribbean patients attracted the legal classification of Psychopathic Disorder. Detailed analysis was thus restricted to mentally ill patients in the two ethnic groupings. Similarities outweighed differences. There was no difference between the groups in terms of index offence, previous custodial sentence, in-patient psychiatric admission (including previous Special Hospital admission), admission source, Mental Health Act section, length of admission (including readmission) to Special Hospitals, likelihood of discharge or place to which discharged. Medication history in Special Hospitals was similar at one year and three years after admission. Afro-Caribbean patients had a lower incidence of childhood institutional care, a decreased likelihood of a previous supervision order, an increased likelihood of a previous Court appearance and received higher doses of antipsychotic medication four weeks after admission to Special Hospital.
    • Problems of female patients in a secure psychiatric hospital

      McMurran, Mary (1996)
      The problems experienced by a sample of 30 female offender-patients (mean age 37.2 yrs) in a secure psychiatric hospital were surveyed using the Behavioral Coding System (BCS). Common problems were emotional difficulties, antisocial behaviors, auditory hallucinations, and self-injury. Problem profiles derived from medical records, key workers' reports, and patients' self-reports differed. The survey revealed the necessity of revising the BCS better to identify relevant concerns in this particular population. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
    • Performing well? Referrals to Rampton Hospital in 1993

      Larkin, Emmet P.; Close, Angela A. (1996)
      The three Special Hospitals of England and Wales are provided for patients subject to detention on account of their dangerous, violent, or criminal propensities. Each referral to a Special Hospital is assessed by a consultant psychiatrist. Recommendations are scrutinized by a multidisciplinary local admissions panel before a decision is made to offer a bed. A performance indicator set by the Special Hospitals Service Authority suggested that referrals be assessed within 14 days. A second indicator addressed the number of recommendations made by the responsible medical officer (RMO) not supported by the local admissions panel. These performance indicators formed the basis of an audit of referrals to Rampton Hospital. From July to December 1993, the average length of time from the date of referral to the date of the assessment visit was 19 days. The length of time from the date of referral to the date of the local admissions panel meeting was 39 days and for those patients admitted (35) the average length of time from the date of referral to the date of admission was 41 days. These results are considered in the context of medical manpower shortages in the Special Hospitals.
    • Forensic nursing: A review of concepts and definitions

      Whyte, Lawrence (1997)
      This article considers the evidence for the existence of forensic nursing as a sub-specialty in mental health care. Using definitions and concepts described in nursing literature from the UK and the US, the author argues that forensic nursing as a distinctive branch of nursing does not in fact exist. [References: 18]
    • Developing a behavioral status index to assess patient dangerousness

      Robinson, David K. (1997)
      Risk assessment is fundamental to forensic mental health care and, with the shift to community-focused treatment, to the rehabilitation and maintenance of all vulnerable and high-risk patients. STUART HENDERSON and DAVID ROBINSON describe a current project at Rampton Hospital to develop a systematic instrument for continuous assessment of patient dangerousness. This behavioural status index should not only improve care planning in the high security hospital, but also be of benefit to the treatment and continuing care of all vulnerable patients, through hospital admission and into the community setting.
    • Celebrating good practice in forensic health care

      Robinson, David K.; Collins, Mick (1997)
    • Quality of life measures in a high security environment

      Robinson, David K.; Whyte, Lawrence; Fidler, Ian (1997)
      In 1995, Rampton Hospital was designated as the national centre for people with learning disabilities requiring secure care. Since then, the nursing research unit at Rampton Hospital has examined quality of care and patient satisfaction with some of this client group (Fisher 1994, Robinson 1996, Robinson and Reed 1996). This article reports the findings of an exploratory study to measure the quality of life for people with learning disabilities based on a study carried out at the Elwyn Community Learning Disability Unit in the United States.
    • Secure units. Safety measures

      Rooney, James (1998)
      More than 20 years after the publication of the Butler report which led to the establishment of medium-secure units, many of its recommendations have not been implemented. There is still a shortage of beds in medium-secure units. A survey of 18 of the 25 units in England and Wales has revealed wide variations in size as well as staffing ratios. National leadership and more coherent planning is needed.