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Long-term outcomes after discharge from medium secure care: A cause for concern

Davies, Steffan
; 
Clarke, Martin
; 
Hollin, Clive R.
; 
Duggan, Conor
Abstract
BACKGROUND: There are few long-term follow-up studies of patients discharged from medium secure units in the UK, even though these units were introduced over 20 years ago. AIMS: To describe mortality, rates of reconviction at different time periods; violent behaviour (not leading to conviction), readmission and employment, after discharge from a medium secure unit. METHOD: Of 595 first admissions over a 20-year period, 550 discharged cases were followed-up. Multiple data sources were used. RESULTS: Fifty-seven (10%) patients had died, of whom 18 (32%) died by suicide, and the risk of death was six times greater than in the general population. Almost half (49%) of those discharged were reconvicted and almost two-fifths (38%) of patients were readmitted to secure care. CONCLUSIONS: Community psychiatric services need to be aware that those discharged from medium secure care are a highly vulnerable group requiring careful follow-up if excess mortality, high levels of psychiatric morbidity and further offending are to be prevented.
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Date
2007
Type
Article
Subject
Cause of death
 Mental disorders
 Commitment of mentally ill
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NottsHC Secure Settings
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Davies, S., Clarke, M., Hollin, C. & Duggan, C. (2007). Long-term outcomes after discharge from medium secure care: A cause for concern. The British Journal of Psychiatry, 191 (1), pp.70-74.
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https://mider.dspace7.openrepository.com/handle/20.500.12904/11454
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© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
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