Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Secure units. Safety measures.

J Rooney1

  • 1Rampton Hospital, UK.

The Health Service Journal
|December 22, 1997
PubMed
Summary
This summary is machine-generated.

Despite the Butler report recommendations over 20 years ago, medium-secure unit bed shortages persist. A survey revealed significant variations in unit size and staffing, highlighting a need for national leadership and planning in forensic mental health services.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Antimicrobial peptides in nematode secretions - Unveiling biotechnological opportunities for therapeutics and beyond.

Biotechnology advances·2025
Same author

Smoked drug use in patients with TB is associated with higher bacterial burden.

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease·2023
Same author

Gas1 Regulates Patterning of the Murine and Human Dentitions through Sonic Hedgehog.

Journal of dental research·2021
Same author

Merkel cell carcinoma of the head and neck in the south-east of England.

The British journal of oral & maxillofacial surgery·2021
Same author

Respiratory measurements and airway clearance device prescription over one year in amyotrophic lateral sclerosis.

Amyotrophic lateral sclerosis & frontotemporal degeneration·2019
Same author

Exploring the disclosure decisions made by physiotherapists with a specific learning difficulty.

Physiotherapy·2018
Same journal

Clouds, Silver Linings and Storm Desmond.

The Health service journal·2018
Same journal

Time to Nurture Better Services.

The Health service journal·2018
Same journal

Let Patient Experience Take Centre Stage.

The Health service journal·2018
Same journal

First Do No Harm.

The Health service journal·2018
Same journal

Sepsis Faces a New Front.

The Health service journal·2018
Same journal

Back to the Drawing Board.

The Health service journal·2018
See all related articles

Area of Science:

  • Forensic Psychiatry
  • Mental Health Services Research

Background:

  • The Butler report (published over two decades ago) recommended the establishment of medium-secure units.
  • Implementation of the report's recommendations has been incomplete.
  • A persistent shortage of medium-secure unit beds remains a critical issue.

Purpose of the Study:

  • To assess the current state of medium-secure units in England and Wales.
  • To identify variations in unit size and staffing ratios.
  • To evaluate the implementation status of the Butler report's recommendations.

Main Methods:

  • A survey was conducted on 18 out of 25 medium-secure units in England and Wales.
  • Data collected included unit size and staffing ratios.
  • Analysis focused on identifying variations and implementation gaps.

Related Experiment Videos

Main Results:

  • Significant variations in unit size were observed across the surveyed facilities.
  • Staffing ratios also showed considerable divergence between units.
  • Many key recommendations from the Butler report remain unimplemented.

Conclusions:

  • There is an ongoing shortage of medium-secure beds.
  • Inconsistent unit sizes and staffing ratios suggest a lack of standardized care.
  • Improved national leadership and strategic planning are essential for effective forensic mental health service provision.