ArticleFrontiers in psychiatry2021
The Totalising Nature of Secure and Forensic Mental Health Services in England and Wales.
Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Developing forensic patient-oriented research guidelines: a rapid review using an integrated knowledge translation approach.Frontiers in psychiatry · 2026Pooled it
- Psychometric evaluation of the professional forensic stigma scale.Frontiers in psychiatry · 2026Article
- Building capacity in patient-oriented research: reflections on cultivating relationships within a high-secure forensic mental health hospital.Research involvement and engagement · 2025Article
- 'If one doesn't happen, the other will': forensic mental health service patients' experiences of co-occurring self-harm and aggression.BJPsych open · 2025Article
- Determinants of readiness to implement forensic patient-oriented research: a study of barriers and facilitators in a high-secure hospital.Frontiers in psychiatry · 2024Article
- Quality of life, wellbeing, recovery, and progress for older forensic mental health patients: a qualitative investigation based on the perspectives of patients and staff.International journal of qualitative studies on health and well-being · 2023Article
- "You Want Them Pretty, but Not Too Intelligent!": Everyday Talk and the Continuum of Men's Violence Against Women in Forensic Institutional Care.Frontiers in psychiatry · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This evidence-based opinion piece explores the totalising risk averse nature of secure and forensic mental health services and associated iatrogenic harms in England and Wales. Drawing on the research literature I consider the various influences, both external and internal which impact on the provision of such services and how both the therapeutic alliance and recovery potential for patients may be improved. Especial attention is paid to the deployment of restrictive practise, practitioner attitudes, the potential for non-thinking, and how these may impact on decision-making and the care and treatment of mentally disordered offenders.
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What OpenQuestion holds
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.