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Exploring Secure Recovery Knowledge, Skills, and Education Needs of Forensic Staff
Shaheen A Darani1, Stephanie R Penney2, Genevieve Walker2
1Dr. Darani is Director of Faculty Development and Mentorship, Dr. Darani, Dr. Penney, and Dr. Wilkie are associate professors of psychiatry, and Dr. Simpson is Chair of Forensic Psychiatry and a professor of psychiatry, University of Toronto, Toronto, Ontario, Canada. Dr. Darani is a forensic psychiatrist, Dr. Penney is a psychologist, Ms. Walker is a research assistant, Ms. Brennan is an occupational therapist, Dr. Islam is Manager of Education Evaluation and Quality Improvement, and Dr. Wilkie is Chief of Forensic Services, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Dr. Mangaoil is a professor of nursing, Cambrian College, Sudbury, Ontario, Canada. shaheen.darani@camh.ca.
Forensic care staff need more training on recovery-oriented care principles and tools in secure settings. This study highlights gaps in knowledge and skills for effective implementation of secure recovery practices.
Area of Science:
- Forensic mental health
- Psychiatric rehabilitation
- Healthcare education
Background:
- Recovery-oriented models are under-taught to care providers.
- Implementing recovery-oriented care in secure settings presents practical challenges.
- Limited understanding exists regarding consistent and faithful application of these models in forensic environments.
Purpose of the Study:
- To identify the knowledge, skills, and education needs of forensic care staff.
- To explore the practical challenges in implementing recovery-oriented care in secure forensic settings.
- To inform the development of a tailored educational curriculum for forensic staff.
Main Methods:
- A mixed-methods approach was employed, combining a needs assessment survey and focus groups.
- Survey data was collected from 108 forensic care staff members.
- Focus groups explored conceptual domains of knowledge, skills, and education needs in depth.
Main Results:
- While most staff reported good knowledge of recovery-oriented care, less than half felt confident using risk and recovery assessment tools.
- Focus group data revealed varied understanding of secure recovery principles and practical application.
- Staff reported a lack of training and support, particularly concerning specific risk and recovery tools.
Conclusions:
- There are significant gaps in the training and practical skills of forensic care staff regarding secure recovery.
- A tailored educational curriculum is needed to improve the implementation of recovery-oriented care in forensic settings.
- Addressing these needs will enhance the quality of care for forensic patients.
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