Characteristics and needs of long stay patients in high and medium secure care: implications for service organisation (C.A.N.L.I.S.)
Forensic-‐psychiatric high and medium secure services are costly to the NHS and very restrictive for patients. Clinical experience and the limited research available in this area indicate that they are not always used in the most cost-‐efficient way, e.g. that some patients stay for too long periods of time in highly restrictive and expensive secure settings. However, a proportion of patients may require long-‐term, potentially life-‐long, secure forensic-‐psychiatric care but their mental health, psychosocial and service needs may not be met by existing service provision designed for faster throughput. We have defined those patients who stay for 10 years and over in high secure care and for 5 years and over in medium secure care as ‘long stay patients’.
Aim of the Project
The overall aim of this project is to improve the quality and cost-efficiency of care and management of patients who stay for prolonged periods in high and medium secure forensic-psychiatric settings. This will be achieved through providing essential data for service planning, including:
- A survey of long-‐stay patients
- An analysis of their characteristics, needs and treatment pathways using detailed case analyses and clinician interviews
- Qualitative interviews with patients
- Extensive consultation of stakeholders (responsible clinicians, managers, commissioners, policy makers and service users) challenges of this unique patient group and are acceptable to service users. Particular attention will be paid to the translation of findings into clinical service innovation and its potential hindrances. Potential service models will be developed with a view of future evaluation.
We will provide details of workshops as they become available.