The transition from high secure, to medium secure, services for people with personality disorder: Patients and clinicians experiences
Tetley, Amanda C. Evershed, Sue Krishnan, Gopi
Tetley, Amanda C.
Evershed, Sue
Krishnan, Gopi
Abstract
This study explored patients' and receiving clinicians' experience of the transition process from high secure, to medium secure, services. Sixteen patients and 20 receiving clinicians participated in semistructured interviews, which were subjected to qualitative thematic analyses. Six themes emerged from patient interviews: (1) lack of/ inappropriate pre-transfer information, (2) culture shock, (3) threat of return to the high secure service, (4) 'feels like starting treatment again', (5) boredom factor and (6) gains in medium security. Five complementary themes emerged from clinician interviews: (1) patients' fears and frustrations, (2) challenging and inappropriate behaviours, (3) motivational and engagement problems, (4) limited communication between services and (5) requirement for greater patient preparation. On the basis of these findings, it is concluded that the transition process should be improved by enhancing preparation for patients and by encouraging greater liaison/integration between the two facets of secure care. © 2011 Taylor & Francis.
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Date
2011
Type
Article
Subject
Personality disorders, High security facilities, Medium security facilities, Referral and consultation, Attitude of health personnel
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Citation
Tetley, A. C., Evershed, S. & Krishnan, G. (2011). The transition from high secure, to medium secure, services for people with personality disorder: Patients and clinicians experiences. Journal of Forensic Psychiatry and Psychology, 22 (3), pp.321-339.