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How secure are the secure psychiatric units in New South Wales?
Jonathon Adams1, Stuart Thomas2, Tobias Mackinnon3
1Staff Specialist Forensic Psychiatrist, Custodial Mental Health Service, Justice Health & Forensic Mental Health Network, Sydney, NSW, Australia.
Objectives::
To evaluate the therapeutic security characteristics of the secure forensic mental health inpatient units in New South Wales, Australia.
Methods::
This study evaluated all eight secure inpatient units in New South Wales using a validated tool, the Security Needs Assessment Profile.
Results::
A pattern of decreasing therapeutic security across the secure units was found, consistent with their intended security levels, from high security through to open security. However, important inconsistencies across and between levels of security were highlighted.
Conclusions::
This study clarifies the therapeutic security structure of the New South Wales forensic mental health service, which is an essential first step in service development and reform.
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