Presentation on theme: "Female Forensic Mental Health Services in Scotland"— Presentation transcript:
1 Female Forensic Mental Health Services in Scotland John Crichton
2 Policy ContextScottish Office (1998) Women offenders: A safer way: A review of communitydisposals and the use of custody for women offenders in Scotland. Edinburgh: Social Work Services InspectorateScottish Executive (2002) A better way. Report of the ministerial group on women’soffending Edinburgh: Scottish ExecutiveScottish Executive (2006) Reducing Reoffending: National Strategy for the Management of Offenders Edinburgh: Scottish ExecutiveScottish Government (2008) Equally Well: report of the ministerial task force on healthinequalities Edinburgh: Scottish GovernmentScottish Government (2009a) Equal Opportunities Committee Report; SP Paper 332Edinburgh: Scottish GovernmentScottish Government (2009b) Safer Lives: Changed Lives A Shared Approach to Tackling Violence Against Women In Scotland Edinburgh: Scottish GovernmentScottish Prison Service (2010) SPS Strategy Framework for the Management of WomenOffenders in Custody Edinburgh: Scottish Prison ServiceCommission on Women Offenders: Final Report April 2012
3 Claire Lamza’s MSc1. Difficulty in finding in-patient places for female forensic patients.2. Particular difficulty of finding secure beds for anyone not suitable for conditions of special security.3. The need to manage deliberate self-harm and the sequelae of childhood sexual abuse.4. The lack of resources to meet these treatment needs.5. The difficulties of managing men and women in the same environment: the women’s needs are not met and they are seen as disruptive of the overall service.6. The importance of and the lack of suitable supported community placements.
4 FORENSIC MENTAL HEALTH SERVICES MANAGED CARE NETWORK REPORT OF THE SERVICES FOR WOMEN WORKING GROUP 2004Dedicated multidisciplinary teams responsible for providing Forensic Psychiatry Services for Women should be established within local Forensic Services across Scotland. As a minimum there should be at least one such service within each of the 4 regional groupings. These should provide, direct secure and open inpatient care as well as community care. They should also be a source of support and expert advice to other local services. All of Scotland should be covered by such a service.
5 High secure careUntil Secure Services for Women are available Scotland-wide, the Women’s Service at the State Hospital should continue as a high quality service. It should not, in the meantime be run down. Where service improvements are required (for instance development of the rehabilitation service and standard of accommodation) these should be made. Only once there is clearly no need for the service, should it be closed.
6 Developments closure of high secure female services. Referral pathway now in place to RamptonTwo Medium secure sitesLD services RowanbankLow secure patchy with use of private sector
7 Challenges Remand high secure patients Length of high secure referrals Differences in models of care – seclusion SUSAdapting Orchard Clinic to single sex and pdFollow on care