The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study

Introduction. Following the recent development of residential units for the execution of security measures (REMS) managed by the National Health Service and the closing down of forensic psychiatric hospitals, no study has been conducted to investigate the individual experience of ageing patients and...

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Main Authors: Di Lorito, Claudio, Castelletti, Luca, Tripi, Giuseppa, Gandellini, Maria Gloria, Dening, Tom, Völlm, Birgit
Format: Article
Published: Lippincott Williams & Wilkins 2017
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Online Access:https://eprints.nottingham.ac.uk/43986/
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author Di Lorito, Claudio
Castelletti, Luca
Tripi, Giuseppa
Gandellini, Maria Gloria
Dening, Tom
Völlm, Birgit
author_facet Di Lorito, Claudio
Castelletti, Luca
Tripi, Giuseppa
Gandellini, Maria Gloria
Dening, Tom
Völlm, Birgit
author_sort Di Lorito, Claudio
building Nottingham Research Data Repository
collection Online Access
description Introduction. Following the recent development of residential units for the execution of security measures (REMS) managed by the National Health Service and the closing down of forensic psychiatric hospitals, no study has been conducted to investigate the individual experience of ageing patients and to assess whether the new service is adequately meeting their needs. We aim to explore the experience of the service of a sample of patients aged 50 years old and above living in one of the Italian REMS. Methods. We adopted a case-study design and included a sample of five patients. We collected their basic demographic data, administered the Camberwell Assessment Need Forensic Short Version (CANFOR-S) and carried out in-depth qualitative semi-structured interviews. Results. Results from the CANFOR-S evidenced that met needs were more prevalent than unmet needs. The qualitative interviews evidenced high levels of satisfaction around accommodation, health care provision, activities, availability of benefits and company and lower levels of satisfaction around psychological and practical support. Discussion. This study gave voice to aging forensic psychiatric patients and provided through personal accounts based on their lived experience, preliminary evidence around the benefits and limitations of the Italian residential forensic psychiatric system for this age group. Implications for clinical nursing forensic practitioners operating within different service frameworks are discussed.
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spelling nottingham-439862020-05-04T18:52:38Z https://eprints.nottingham.ac.uk/43986/ The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study Di Lorito, Claudio Castelletti, Luca Tripi, Giuseppa Gandellini, Maria Gloria Dening, Tom Völlm, Birgit Introduction. Following the recent development of residential units for the execution of security measures (REMS) managed by the National Health Service and the closing down of forensic psychiatric hospitals, no study has been conducted to investigate the individual experience of ageing patients and to assess whether the new service is adequately meeting their needs. We aim to explore the experience of the service of a sample of patients aged 50 years old and above living in one of the Italian REMS. Methods. We adopted a case-study design and included a sample of five patients. We collected their basic demographic data, administered the Camberwell Assessment Need Forensic Short Version (CANFOR-S) and carried out in-depth qualitative semi-structured interviews. Results. Results from the CANFOR-S evidenced that met needs were more prevalent than unmet needs. The qualitative interviews evidenced high levels of satisfaction around accommodation, health care provision, activities, availability of benefits and company and lower levels of satisfaction around psychological and practical support. Discussion. This study gave voice to aging forensic psychiatric patients and provided through personal accounts based on their lived experience, preliminary evidence around the benefits and limitations of the Italian residential forensic psychiatric system for this age group. Implications for clinical nursing forensic practitioners operating within different service frameworks are discussed. Lippincott Williams & Wilkins 2017-07-01 Article PeerReviewed Di Lorito, Claudio, Castelletti, Luca, Tripi, Giuseppa, Gandellini, Maria Gloria, Dening, Tom and Völlm, Birgit (2017) The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study. Journal of Forensic Nursing, 13 (3). pp. 118-125. ISSN 1939-3938 Ageing patients forensic-psychiatry REMS Italy mental health needs case-study https://insights.ovid.com/crossref?an=01263942-201709000-00004 doi:10.1097/JFN.0000000000000163 doi:10.1097/JFN.0000000000000163
spellingShingle Ageing patients
forensic-psychiatry
REMS
Italy
mental health needs
case-study
Di Lorito, Claudio
Castelletti, Luca
Tripi, Giuseppa
Gandellini, Maria Gloria
Dening, Tom
Völlm, Birgit
The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study
title The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study
title_full The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study
title_fullStr The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study
title_full_unstemmed The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study
title_short The individual experience of ageing patients and the current service provision in the context of Italian forensic psychiatry: a case-study
title_sort individual experience of ageing patients and the current service provision in the context of italian forensic psychiatry: a case-study
topic Ageing patients
forensic-psychiatry
REMS
Italy
mental health needs
case-study
url https://eprints.nottingham.ac.uk/43986/
https://eprints.nottingham.ac.uk/43986/
https://eprints.nottingham.ac.uk/43986/