A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and Wales
Background Little is known about the transition process for those returned to prison following treatment in secure psychiatric services. This study is the first internationally to explore the process of discharge/aftercare planning for this population. Aim To identify the current national discha...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-05-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472425000262/type/journal_article |
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| author | Sarah Leonard Jana Bowden Matilda Minchin Ruth McDonald Neil Allen Jane Senior Jennifer Shaw |
| author_facet | Sarah Leonard Jana Bowden Matilda Minchin Ruth McDonald Neil Allen Jane Senior Jennifer Shaw |
| author_sort | Sarah Leonard |
| collection | DOAJ |
| description |
Background
Little is known about the transition process for those returned to prison following treatment in secure psychiatric services. This study is the first internationally to explore the process of discharge/aftercare planning for this population.
Aim
To identify the current national discharge and aftercare planning procedures for people returned to prison in England and Wales.
Methods
A national survey of current service discharge planning and aftercare arrangement practices in low- and medium-secure psychiatric services and prison mental health teams in England and Wales.
Results
We had a 72% response rate across prison-based and secure mental health services. A summative contents analysis highlighted that outstanding priority areas for improvement, include (a) relationship building to improve communication and understanding between secure psychiatric services, prison mental health services, and the prison estate and (b) significant reform and additional resources to achieve the expected standard of care and to provide people returned to prison with a care package tailored to meet their specific needs.
Conclusion
Effective care planning and management of return to prison from secure psychiatric services has the potential to improve patient health and well-being in prison and up to and beyond their subsequent prison release, with far-reaching effects on prevention of relapse, hospital readmission, reoffending and other adverse events.
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| format | Article |
| id | doaj-art-6c0e8369c1cb4b2ea49a3ec3d9f0ef12 |
| institution | DOAJ |
| issn | 2056-4724 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-6c0e8369c1cb4b2ea49a3ec3d9f0ef122025-08-20T02:59:11ZengCambridge University PressBJPsych Open2056-47242025-05-011110.1192/bjo.2025.26A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and WalesSarah Leonard0https://orcid.org/0000-0002-1729-0556Jana Bowden1Matilda Minchin2Ruth McDonald3Neil Allen4Jane Senior5Jennifer Shaw6Centre for Mental Health and Safety, University of Manchester, Manchester, UKCentre for Mental Health and Safety, University of Manchester, Manchester, UKCentre for Mental Health and Safety, University of Manchester, Manchester, UKNIHR ARC NENC Multimorbidity, Ageing and Frailty Theme, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKCentre for Mental Health and Safety, University of Manchester, Manchester, UKCentre for Mental Health and Safety, University of Manchester, Manchester, UKCentre for Mental Health and Safety, University of Manchester, Manchester, UK Background Little is known about the transition process for those returned to prison following treatment in secure psychiatric services. This study is the first internationally to explore the process of discharge/aftercare planning for this population. Aim To identify the current national discharge and aftercare planning procedures for people returned to prison in England and Wales. Methods A national survey of current service discharge planning and aftercare arrangement practices in low- and medium-secure psychiatric services and prison mental health teams in England and Wales. Results We had a 72% response rate across prison-based and secure mental health services. A summative contents analysis highlighted that outstanding priority areas for improvement, include (a) relationship building to improve communication and understanding between secure psychiatric services, prison mental health services, and the prison estate and (b) significant reform and additional resources to achieve the expected standard of care and to provide people returned to prison with a care package tailored to meet their specific needs. Conclusion Effective care planning and management of return to prison from secure psychiatric services has the potential to improve patient health and well-being in prison and up to and beyond their subsequent prison release, with far-reaching effects on prevention of relapse, hospital readmission, reoffending and other adverse events. https://www.cambridge.org/core/product/identifier/S2056472425000262/type/journal_articleMental Health Act 1983secure servicesprison mental health services |
| spellingShingle | Sarah Leonard Jana Bowden Matilda Minchin Ruth McDonald Neil Allen Jane Senior Jennifer Shaw A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and Wales BJPsych Open Mental Health Act 1983 secure services prison mental health services |
| title | A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and Wales |
| title_full | A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and Wales |
| title_fullStr | A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and Wales |
| title_full_unstemmed | A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and Wales |
| title_short | A national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in England and Wales |
| title_sort | national survey of current discharge planning and aftercare arrangement practices for those returned to prison from secure psychiatric services in england and wales |
| topic | Mental Health Act 1983 secure services prison mental health services |
| url | https://www.cambridge.org/core/product/identifier/S2056472425000262/type/journal_article |
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