Introduction to Forensic Psychiatry - Northern Deanery

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What do we do?• Secure Hospitals– Special Hospitals– Medium Secure Hospitals– Low Secure• Community Forensic Psychiatry Services• Prison• Specialised Forensic Services– DSPD– SBU– Deaf– LD• Expert witnessPratish Thakkar
Secure Hospitals• 3 types of security:– physical security;– procedural security; and,– relational/therapeutic security• Physical– Perimeter fence– Locked doors, air lock– Escape proof windows• Procedural– Policies like room searches,– Rules for escorts and visits• Relational/ Therapeutic– High staff-patient ratio– Knowledge of the patient, rapport with the patientPratish Thakkar
Page 1 and 2: Forensic Psychiatry:an introduction
Page 3 and 4: History• The Act for the Safe Cus
Page 5 and 6: History- Broadmoor• 1863- 400 men
Page 7: Insanity• Daniel McNaughton- Scot
Page 11 and 12: Special Hospital• Mental health s
Page 13 and 14: Community Forensic Psychiatry Servi
Page 15 and 16: Prison Psychiatry• Historically p
Page 17 and 18: Single casesMichael StoneLin & Mega
Page 19 and 20: DSPD• DSPD intended to address: T
Page 21 and 22: MAPPA• 3 categories of offenders
Page 23 and 24: Expert witness• Psychiatric defen
Page 25 and 26: Risk Assessment‘Risk assessment
Page 27 and 28: Process of Risk Assessment• The a
Page 29 and 30: Approaches to Risk Assessment• Un
Page 31 and 32: Actuarial• Formal / equation-form
Page 33 and 34: AnamesticProcess of gathering detai
Page 35 and 36: Standardized Risk Assessment Tools
Page 37 and 38: The factors• Historical: previous
Page 39 and 40: No risk assessment should rely sole
Page 41: Thank you !Pratish Thakkar

Introduction to Forensic Psychiatry - Northern Deanery

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