ArticleBMC psychiatry2013
Prospective study of factors influencing conditional discharge from a forensic hospital: the DUNDRUM-3 programme completion and DUNDRUM-4 recovery structured professional judgement instruments and risk.
Article in BMC psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Randomised Controlled Trial to Evaluate the Efficacy of Cognitive Remediation Within a Secure Forensic Setting for Schizophrenia Spectrum Patients
Dundrum Forensic Redevelopment Evaluation Study: D-FOREST Study.
Who cites it
21 citing papers in PubMed.
- A randomized controlled trial of cognitive remediation for a national cohort of forensic patients with schizophrenia or schizoaffective disorder.BMC psychiatry · 2019Trial
- Italian Evaluation and Excellence in REMS (ITAL-EE-REMS): appropriate placement of forensic patients in REMS forensic facilities.International journal of mental health systems · 2024Article
- Markers of predicting discharge from forensic psychiatric hospitals in Czechia.The International journal of social psychiatry · 2024Article
- Article
- Factors Affecting Length of Inpatient Forensic Stay: Retrospective Study From Czechia.Frontiers in psychiatry · 2022Article
- Forensic psychiatry and Covid-19: accelerating transformation in forensic psychiatry.Irish journal of psychological medicine · 2021Article
- Outcome measures of risk and recovery in Broadmoor High Secure Forensic Hospital: stratification of care pathways and moves to medium secure hospitals.BJPsych open · 2020Article
- Security needs among patients referred for high secure care in Broadmoor Hospital England.BJPsych open · 2020Article
- Perceptions of procedural justice and coercion among forensic psychiatric patients: a study protocol for a prospective, mixed-methods investigation.BMC psychiatry · 2020Article
- The appropriateness of DUNDRUM-3 and DUNDRUM-4 for Māori in forensic mental health services in New Zealand: participatory action research.BMC psychiatry · 2020Article
- Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services.Frontiers in psychiatry · 2019Article
- Prospective observational cohort study of 'treatment as usual' over four years for patients with schizophrenia in a national forensic hospital.BMC psychiatry · 2018Observational
- The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state.BMC psychiatry · 2018Article
- Predictors of Mental Health Review Tribunal (MHRT) outcome in a forensic inpatient population: a prospective cohort study.BMC psychiatry · 2017Article
- Web-Based Violence Risk Monitoring Tool in Psychoses: Pilot Study in Community Forensic Patients.Journal of forensic psychology practice · 2016Article
- Factors affecting length of stay in forensic hospital setting: need for therapeutic security and course of admission.BMC psychiatry · 2015Article
- Functional mental capacity, treatment as usual and time: magnitude of change in secure hospital patients with major mental illness.BMC research notes · 2015Article
- Triage, decision-making and follow-up of patients referred to a UK forensic service: validation of the DUNDRUM toolkit.BMC psychiatry · 2015Article
- Recovery and concordance in a secure forensic psychiatry hospital - the self rated DUNDRUM-3 programme completion and DUNDRUM-4 recovery scales.BMC psychiatry · 2015Observational
- The virtual institution: cross-sectional length of stay in general adult and forensic psychiatry beds.International journal of mental health systems · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe set out to examine whether structured professional judgement instruments DUNDRUM-3 programme completion (D-3) and DUNDRUM-4 recovery (D-4) scales along with measures of risk, mental state and global function could distinguish between those forensic patients detained in a secure forensic hospital (not guilty by reason of insanity or unfit to stand trial) who were subsequently discharged by a mental health review board. We also examined the interaction between these measures and risk, need for therapeutic security and eventual conditional discharge.
methodsA naturalistic observational cohort study was carried out for 56 patients newly eligible for conditional discharge. Patients were rated using the D-3, D-4 and other scales including HCR-20, S-RAMM, START, SAPROF, PANSS and GAF and then observed over a period of twenty three months during which they were considered for conditional discharge by an independent Mental Health Review Board.
resultsThe D-3 distinguished which patients were subsequently discharged by the Mental Health Review board (AUC = 0.902, p < 0.001) as did the D-4 (AUC = 0.848, p < 0.001). Item to outcome analysis showed each item of the D-3 and D-4 scales performed significantly better than random. The HCR-20 also distinguished those later discharged (AUC = 0.838, p < 0.001) as did the S-RAMM, START, SAPROF, PANSS and GAF. The D-3 and D-4 scores remained significantly lower (better) for those discharged even when corrected for the HCR-20 total score. Item to outcome analyses and logistic regression analysis showed that the strongest antecedents of discharge were the GAF and the DUNDRUM-3 programme completion scores.
conclusionsStructured professional judgement instruments should improve the quality, consistency and transparency of clinical recommendations and decision making at mental health review boards. Further research is required to determine whether the DUNDRUM-3 programme completion and DUNDRUM-4 recovery instruments predict those who are or are not recalled or re-offend after conditional discharge.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.