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Related Experiment Videos

First ever admission to medium security.

Elizabeth Hardwick1, Douglas Gray, Martin Humphreys

  • 1Reaside Clinic, Birmingham Great Park, Rubery, Birmingham B45 9BE.

Medicine, Science, and the Law
|December 6, 2003
PubMed
Summary

This study analyzed patients admitted to medium security for their first psychiatric inpatient care. Findings indicate an increase in older patients with first-episode psychosis over ten years, suggesting a role for secure facilities in early treatment.

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Area of Science:

  • Psychiatry
  • Forensic Psychiatry
  • Mental Health Services Research

Background:

  • Medium security units (MSUs) manage patients requiring a secure environment.
  • Understanding characteristics of first-episode psychosis (FEP) patients in secure settings is crucial for targeted interventions.
  • Limited data exists on FEP patients admitted to MSUs without prior inpatient history.

Purpose of the Study:

  • To characterize patients admitted to an MSU for the first time.
  • To compare these patients with a control group of readmitted psychiatric inpatients.
  • To identify trends and diagnostic patterns in this specific patient cohort over a decade.

Main Methods:

  • Retrospective analysis of a computerized database.
  • Inclusion of patients admitted to an MSU over a ten-year period with no prior psychiatric inpatient care.

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  • Comparison with a control group of psychiatric inpatients with previous admissions but not to medium secure conditions.

    • Main Results:

    • The first-ever admission group was generally older than the control group.
    • An increasing trend in admissions for this group was observed over the ten-year period.
    • The most common diagnosis for both groups was schizophrenia; the first-ever admission group had a shorter average length of stay.

    Conclusions:

    • Secure provision has a role in treating first-episode psychosis, particularly when initial contact is via the penal system.
    • The findings highlight the need for specialized management pathways for FEP patients in secure settings.
    • Further research into the long-term outcomes and specific treatment needs of this population is warranted.