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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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Ethical Standards II01:23

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Documentation in Long-Term and Home Healthcare Setting01:29

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Ethical Standards I01:25

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Patient perceptions of medium secure care.

Sharon Riordan1, Martin Humphreys

  • 1Division of Neurosciences, University of Birmingham, Reaside Clinic, Rubery, Birmingham B45 9DE. s.a.riordan@bham.ac.uk

Medicine, Science, and the Law
|March 10, 2007
PubMed
Summary

Patients in medium secure psychiatric services found care frightening but beneficial, with most admitted via the criminal justice system. Despite concerns about privacy and treatment duration, participants felt optimistic about their recovery and trust in medical professionals.

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Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Patient Experience

Background:

  • Research on patient experiences in medium secure psychiatric services is limited.
  • Growing emphasis on user involvement in mental health care.
  • Understanding patient perspectives is crucial for service improvement.

Purpose of the Study:

  • To explore patients' understanding of their admission pathways to medium secure psychiatric services.
  • To investigate patients' experiences during their stay in a medium secure unit.
  • To gather insights into patient perceptions of treatment and care.

Main Methods:

  • Qualitative study involving patient interviews.
  • Focus on patients' reflections on their journey into and time within secure care.
  • Data collected from patients in a West Midlands medium secure unit.

Main Results:

  • Most patients (65%) were admitted via the criminal justice system, with an average stay of 18 months.
  • Admission was often frightening, yet patients felt relief receiving help and trusted their doctors.
  • Positive relationships with multidisciplinary teams were reported, though concerns included privacy and length of stay uncertainty.

Conclusions:

  • Patients generally felt optimistic about medium secure care, viewing benefits as outweighing drawbacks, especially with stabilized mental states.
  • Despite initial fears, patients valued the therapeutic environment and professional support.
  • Addressing patient concerns regarding privacy and discharge certainty is essential for enhancing the medium secure care experience.