Ageing in forensic psychiatric secure settings: the voice of older patients

Older patients account for around 20% of the population in secure forensic psychiatric services in the UK. However, little qualitative research has investigated the experience of ageing in secure settings. This study aimed to gather the individual views of a sample of patients over 50 years old in t...

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Main Authors: Di Lorito, Claudio, Dening, Tom, Völlm, Birgit
Format: Article
Published: Taylor & Francis 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/52885/
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author Di Lorito, Claudio
Dening, Tom
Völlm, Birgit
author_facet Di Lorito, Claudio
Dening, Tom
Völlm, Birgit
author_sort Di Lorito, Claudio
building Nottingham Research Data Repository
collection Online Access
description Older patients account for around 20% of the population in secure forensic psychiatric services in the UK. However, little qualitative research has investigated the experience of ageing in secure settings. This study aimed to gather the individual views of a sample of patients over 50 years old in the UK at different levels of security. Fifteen participants were selected and underwent one-on-one qualitative interviews. The interviews were analysed through thematic analysis, which generated seven themes: Self-agency, activities, social life, practical matters, recovery, physical health and service improvement. Study findings highlighted the complexity of ageing in secure settings. Despite the positive feedback reported in aspects such as physical health care, education opportunities, staff and support of religious practices, participants experienced added barriers to recovery, caused by social isolation/withdrawal and activities/treatment that did not respond to their complex age-related needs, generating poor motivation to engage. Our findings call for the development/implementation of programmes tailored to the unique needs of older patients. This process requires an active involvement of the primary stakeholders and further patient-centred research.
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spelling nottingham-528852020-05-04T19:41:00Z https://eprints.nottingham.ac.uk/52885/ Ageing in forensic psychiatric secure settings: the voice of older patients Di Lorito, Claudio Dening, Tom Völlm, Birgit Older patients account for around 20% of the population in secure forensic psychiatric services in the UK. However, little qualitative research has investigated the experience of ageing in secure settings. This study aimed to gather the individual views of a sample of patients over 50 years old in the UK at different levels of security. Fifteen participants were selected and underwent one-on-one qualitative interviews. The interviews were analysed through thematic analysis, which generated seven themes: Self-agency, activities, social life, practical matters, recovery, physical health and service improvement. Study findings highlighted the complexity of ageing in secure settings. Despite the positive feedback reported in aspects such as physical health care, education opportunities, staff and support of religious practices, participants experienced added barriers to recovery, caused by social isolation/withdrawal and activities/treatment that did not respond to their complex age-related needs, generating poor motivation to engage. Our findings call for the development/implementation of programmes tailored to the unique needs of older patients. This process requires an active involvement of the primary stakeholders and further patient-centred research. Taylor & Francis 2018-06-14 Article PeerReviewed Di Lorito, Claudio, Dening, Tom and Völlm, Birgit (2018) Ageing in forensic psychiatric secure settings: the voice of older patients. Journal of Forensic Psychiatry and Psychology . ISSN 1478-9957 (In Press) Older patients forensic psychiatry old age psychiatry secure services qualitative research
spellingShingle Older patients
forensic psychiatry
old age psychiatry
secure services
qualitative research
Di Lorito, Claudio
Dening, Tom
Völlm, Birgit
Ageing in forensic psychiatric secure settings: the voice of older patients
title Ageing in forensic psychiatric secure settings: the voice of older patients
title_full Ageing in forensic psychiatric secure settings: the voice of older patients
title_fullStr Ageing in forensic psychiatric secure settings: the voice of older patients
title_full_unstemmed Ageing in forensic psychiatric secure settings: the voice of older patients
title_short Ageing in forensic psychiatric secure settings: the voice of older patients
title_sort ageing in forensic psychiatric secure settings: the voice of older patients
topic Older patients
forensic psychiatry
old age psychiatry
secure services
qualitative research
url https://eprints.nottingham.ac.uk/52885/