Central Mental Hospital Dundrum
http://hdl.handle.net/10147/135863
2024-03-28T15:47:46ZPredictors of quality of life among inpatients in forensic mental health: implications for occupational therapists.
http://hdl.handle.net/10147/623800
Predictors of quality of life among inpatients in forensic mental health: implications for occupational therapists.
O' Flynn, Padraic; O' Regan, Roisin; O' Reilly, Ken; G Kennedy, Harry
Optimising quality of life (QOL) for service users in a forensic hospital is an important treatment
objective. The factors which contribute to QOL in this setting are currently unclear. The aim of this study was to
analyse the predictors of QOL amongst service users within an inpatient forensic mental health hospital.
2018-01-19T00:00:00ZFactors affecting length of stay in forensic hospital setting: need for therapeutic security and course of admission.
http://hdl.handle.net/10147/619117
Factors affecting length of stay in forensic hospital setting: need for therapeutic security and course of admission.
Davoren, Mary; Byrne, Orla; O'Connell, Paul; O'Neill, Helen; O'Reilly, Ken; Kennedy, Harry G
Patients admitted to a secure forensic hospital are at risk of a long hospital stay. Forensic hospital beds are a scarce and expensive resource and ability to identify the factors predicting length of stay at time of admission would be beneficial. The DUNDRUM-1 triage security scale and DUNDRUM-2 triage urgency scale are designed to assess need for therapeutic security and urgency of that need while the HCR-20 predicts risk of violence. We hypothesized that items on the DUNDRUM-1 and DUNDRUM-2 scales, rated at the time of pre-admission assessment, would predict length of stay in a medium secure forensic hospital setting.
2015-01-01T00:00:00ZFunctional mental capacity, treatment as usual and time: magnitude of change in secure hospital patients with major mental illness.
http://hdl.handle.net/10147/619113
Functional mental capacity, treatment as usual and time: magnitude of change in secure hospital patients with major mental illness.
Dornan, Julieanne; Kennedy, Miriam; Garland, Jackie; Rutledge, Emer; Kennedy, Harry G
Decision making ability can change with time, depending on mental or physical health. Little is known about the factors that determine this change and the relationship of capacity to time. As a pilot for studies using functional mental capacities as an outcome measure, we sought to quantify this relationship measuring change over time using competence assessment tools, and rating scales for symptoms and global function.
2015-01-01T00:00:00ZProspective cohort study of the relationship between neuro-cognition, social cognition and violence in forensic patients with schizophrenia and schizoaffective disorder.
http://hdl.handle.net/10147/596903
Prospective cohort study of the relationship between neuro-cognition, social cognition and violence in forensic patients with schizophrenia and schizoaffective disorder.
O'Reilly, Ken; Donohoe, Gary; Coyle, Ciaran; O'Sullivan, Danny; Rowe, Arann; Losty, Mairead; McDonagh, Tracey; McGuinness, Lasairiona; Ennis, Yvette; Watts, Elizabeth; Brennan, Louise; Owens, Elizabeth; Davoren, Mary; Mullaney, Ronan; Abidin, Zareena; Kennedy, Harry G
There is a broad literature suggesting that cognitive difficulties are associated with violence across a variety of groups. Although neurocognitive and social cognitive deficits are core features of schizophrenia, evidence of a relationship between cognitive impairments and violence within this patient population has been mixed.
2015-07-10T00:00:00ZEfficacy of social skills training in schizophrenia: a nursing review
http://hdl.handle.net/10147/583443
Efficacy of social skills training in schizophrenia: a nursing review
Lal Yadav, Babu
Social skills training, a psychological approach, is used to ameliorate the deficits in social skills among patients with a severe mental illness. For the efficacy of social skills training in schizophrenia, the literature in other core psychiatric disciplines (i.e. psychology, psychiatry, etc) indicates some conflicting evidences and a limited quality of evidence in psychiatric nursing. With the exemption of a few individual nursing studies, no systematic review is available to date in psychiatric nursing literature. This systematic review of literature was undertaken to explore the efficacy of social skills training in schizophrenia
2015-04-01T00:00:00ZEfficacy of Social Skills Training in Schizophrenia: A Nursing Review
http://hdl.handle.net/10147/552858
Efficacy of Social Skills Training in Schizophrenia: A Nursing Review
Yadav, B L
Social skills training, a psychological approach, is used to ameliorate the deficits in social skills among patients with a severe mental illness. For the efficacy of social skills training in schizophrenia, the literature in other core psychiatric disciplines (i.e. psychology, psychiatry, etc) indicates some conflicting evidences and a limited quality of evidence in psychiatric nursing. With the exemption of a few individual nursing studies, no systematic review is available to date in psychiatric nursing literature. This systematic review of literature was undertaken to explore the efficacy of social skills training in schizophrenia.
2015-04-07T00:00:00ZSusceptibility (risk and protective) factors for in-patient violence and self-harm: prospective study of structured professional judgement instruments START and SAPROF, DUNDRUM-3 and DUNDRUM-4 in forensic mental health services.
http://hdl.handle.net/10147/324608
Susceptibility (risk and protective) factors for in-patient violence and self-harm: prospective study of structured professional judgement instruments START and SAPROF, DUNDRUM-3 and DUNDRUM-4 in forensic mental health services.
Abidin, Zareena; Davoren, Mary; Naughton, Leena; Gibbons, Olivia; Nulty, Andrea; Kennedy, Harry G
The START and SAPROF are newly developed fourth generation structured professional judgement instruments assessing strengths and protective factors. The DUNDRUM-3 and DUNDRUM-4 also measure positive factors, programme completion and recovery in forensic settings.
2013-01-01T00:00:00ZProspective 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.
http://hdl.handle.net/10147/324623
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.
Davoren, Mary; Abidin, Zareena; Naughton, Leena; Gibbons, Olivia; Nulty, Andrea; Wright, Brenda; Kennedy, Harry G
We 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.
2013-01-01T00:00:00ZDUNDRUM Restriction-Intrusion of Liberty Ladders (DRILL) Audit Toolkit
http://hdl.handle.net/10147/302526
DUNDRUM Restriction-Intrusion of Liberty Ladders (DRILL) Audit Toolkit
Kennedy, Harry G; Timmons, David; Gill, Pauline; McKenna, Paul; Braham, Paul; Mullaney, Ronan
This series of rating 'ladders' is intended to allow a quantitative and qualitative analysis of the use of restrictive and intrusive interventions as part of the therapeutic management of violence and aggression in psychiatric hospital settings. This is an evolving handbook. The ladders are currently organised to facilitate a behavioural analysis. Context, antecedents, behaviour, interventions, consequences are conceptualised as a series of events organised in temporal sequence so that causes, interactions and effects can be considered. The complexity of analysis possible is limited by the statistical power of the numbers of cases and events available. The use of the DUNDRUM-1 triage security scale may enable some benchmarking of patient groups according to their average need for therapeutic security for comparative purposes, when combined with measures of risk such as the DASA and HCR-20, while the quantitative relational security in a given unit provides an essential further aspect of context.
2011-09-01T00:00:00ZPillars and pathways: foundations of recovery in Irish forensic mental health care
http://hdl.handle.net/10147/302543
Pillars and pathways: foundations of recovery in Irish forensic mental health care
Gill, P; McKenna, P; O’Neill, H; Thompson, J; Timmons, D
The Central Mental Hospital in Ireland is one of the oldest forensic mental health units in Europe. The hospital is currently in the process of transforming from a single inpatient site to a modern national forensic mental health service. Central to this transformation is the need to move from the traditional security-focused model of care to a model of recovery. The challenge incumbent within this transformation is to incorporate a sophisticated amalgamation of the patients’ needs while recognising the broad range of security requirements in a forensic setting. This paper considered that adopting an integrated care pathway (ICP) approach would provide the service with a vehicle to re-engineer our principles and systems of care. Likewise we hypothesised that the ICP would enable us to consolidate best practices such as multi- disciplinary working, structured professional judgement and the involvement of the patient and their carers. Thus far it has afforded us the opportunity to examine many aspects of the care delivered within the service. It has provided a shared understanding of key standards among clinicians, service users and carers that are necessary to implement a quality care pathway. It has certainly not been a stagnant process, and the initial work often bears no resemblance to the current process. In turn, we expect that it will continue to change as the path travelled is as important as the outcome and the ICP becomes a dynamic part of the organisation.
2010-08-01T00:00:00Z