ArticleFrontiers in psychiatry2019
Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services.
Article in Frontiers in psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Establishing standards of care for forensic mental health: an international Delphi consensus-building study.Frontiers in psychiatry · 2026Article
- "What about that violence?" Transforming the discourse on violence in mental health research and services.Frontiers in psychiatry · 2026Article
- The role, challenges, and impact of occupational therapists in custodial settings: A scoping review.Australian occupational therapy journal · 2025Article
- Criteria for establishing a centre of excellence in oncology: a scoping review.BMC health services research · 2025Article
- Neuroethics and treatment without consent.CNS spectrums · 2025Article
- From risky individuals to risky systems: a conceptual framework for the next generation of forensic mental health research.Frontiers in psychiatry · 2025Article
- Workplace culture for forensic mental health services: a mixed methods descriptive study.BMC health services research · 2024Article
- 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
- Excellence in forensic psychiatry services: international survey of qualities and correlates.BJPsych open · 2023Article
- Care pathways in forensic mental health services in New Zealand.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2023Article
- Article
- Advancing research in adult secure mental health services in England.Medicine, science, and the law · 2022Article
- Factors Affecting Treatment Regress and Progress in Forensic Psychiatry: A Thematic Analysis.Frontiers in psychiatry · 2022Article
- Ten outcome measures in forensic mental health: A survey of clinician views on comprehensiveness, ease of use and relevance.Criminal behaviour and mental health : CBMH · 2021Article
- Forensic psychiatry and Covid-19: accelerating transformation in forensic psychiatry.Irish journal of psychological medicine · 2021Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We propose that excellence in forensic and other mental health services can be recognized by the abilities necessary to conduct randomized controlled trials (RCTs) and equivalent forms of rigorous quantitative research to continuously improve the outcomes of treatment as usual (TAU). Forensic mental health services (FMHSs) are growing, are high cost, and increasingly provide the main access route to more intensive, organized, and sustained pathways through care and treatment. A patient newly diagnosed with a cancer can expect to be enrolled in RCTs comparing innovations with the current best TAU. The same should be provided for patients newly diagnosed with severe mental illnesses and particularly those detained and at risk of prolonged periods in a secure hospital. We describe FMHSs in four levels 1 to 4, basic to excellent, according to seven domains: values or qualities, clinical organization, consistency, timescale, specialization, routine outcome measures, and research. Excellence is not elitism. Not all centers need to achieve excellence, though all should be of high quality. Services can provide each population with a network of centers with access to one center of excellence. Excellence is the standard needed to drive the virtuous circle of research and development that is necessary for teaching, training, and the pursuit of new knowledge and better outcomes. Substantial advances in treatment of severe mental disorders require a drive at a national and international level to create services that meet these standards of excellence and are focused, active, and productive to drive better functional outcomes for service users.
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