首页> 外文期刊>The journal of forensic psychiatry & psychology >What do the experts by experience tell us about 'what works' in high secure forensic inpatient hospital services?
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What do the experts by experience tell us about 'what works' in high secure forensic inpatient hospital services?

机译:专家根据经验告诉我们关于高安全性法医住院医院服务的“有效方法”是什么?

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摘要

The evidence base for 'what works' for patients detained in high secure hospitals has predominantly been established from a clinical perspective, with the voices of those at the centre of care, the expert by experience, absent. Neglecting this voice renders an important source of information for evidence-based practice inaccessible to outcome evaluators. Twelve high secure patients considered 'ready' to be discharged were interviewed to explore what in their view had helped or hindered their progress to this stage. Thematic analysis steps were applied to interviews and eight themes were generated that represented valued elements of high security: temporary suspension of responsibility, collaboration in care, learning from others, supportive alliances, specific interventions (medical and psychotherapeutic), a safe environment and opportunities for work. Narratives demonstrated the complementary and unique contribution of the patient experience in informing 'what works', and are discussed alongside existing theories relevant to promoting clinical change and risk reduction.
机译:主要是从临床角度为在高安全性医院中被拘留的患者建立“行之有效”的证据基础,缺乏在治疗中心的声音,也没有经验丰富的专家。忽视这种声音使得结果评估者无法获得基于证据的实践的重要信息来源。采访了十二名被认为“准备好”出院的高安全性患者,以探讨他们认为哪些因素有助于或阻碍了他们到该阶段的进展。专题分析步骤应用于访谈,并生成了八个主题,这些主题代表了高度安全的重要要素:暂时中止责任,护理合作,向他人学习,支持性联盟,特定干预措施(医疗和心理治疗),安全的环境以及获得治疗的机会工作。叙述展示了患者经验在告知“行之有效”方面的补充和独特贡献,并与与促进临床变化和降低风险相关的现有理论一起进行了讨论。

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