Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-22T16:04:01.507Z Has data issue: false hasContentIssue false

What Happens to Patients Released from the Special Hospitals?

Published online by Cambridge University Press:  29 January 2018

Paul Bowden*
Affiliation:
Bethlem Royal and Maudsley Hospitals, London SE5

Summary

NHS consultants who are asked to accept Special Hospital patients can judge the prognosis, since the extent of both psychiatric and criminal histories provides the most accurate prediction of future behaviour. Patients discharged to the community have different outcomes from those transferred to NHS hospitals, but overall about one in five of those released are returned to a Special Hospital; up to one in two will subsequently be convicted, but the offences are mainly trivial and directed at property. Perhaps one in ten will be involved in serious or homicidal acts of violence.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1981 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aarvold Committee (1973) Report on the Review Procedures for the Discharge and Supervision of Psychiatric Patients Subject to Restrictions, Cmnd. 5191. HMSO.Google Scholar
Acres, D. I. (1975) The after-care of Special Hospital patients. Appendix 3. Report of the Committee on Mentally Abnormal Offenders, No. 6244. HMSO.Google Scholar
Bowden, P. (1977) The NHS practice of forensic psychiatry in one region. Psychological Medicine, 7, 141148.CrossRefGoogle ScholarPubMed
Butler Committee (1975) Report of the Committee on Mentally Disordered Offenders. Cmnd. 6244. HMSO.Google Scholar
Christiansen, K. Elers-Neilson, M. Le Maire, M. & Sturup, G. (1965) Scandinavian Studies in Criminology. London: Tavistock.Google Scholar
Dell, S. (1979) 1976 census of Special Hospital patients with a five year length of stay. Special Hospitals Research Report No. 15, DHSS.Google Scholar
Dell, S. (1980) Transfer of Special Hospital patients to the NHS. British Journal of Psychiatry, 136, 222234.CrossRefGoogle ScholarPubMed
Dell, S. & Parker, E. (1979) Special Hospitals' Case Register, Triennial Statistics, 1972–4. Special Hospitals Research Report No. 15. DHSS.Google Scholar
Gathercole, C. Craft, M. McDougall, J. Barnes, H. & Peck, D. (1968) A review of 100 discharges from a Special Hospital. British Journal of Criminology, 8, 419424.Google Scholar
Glancy Committee (1974) Revised Report of the Working Party on Security in NHS Psychiatric Hospitals. DHSS.Google Scholar
Guze, S. Goodwin, D. & Crane, J. (1969) Criminality and psychiatric disorder. Archives of General Psychiatry, 20, 583591.CrossRefGoogle Scholar
McGarry, A. (1971) The fate of psychotic offenders returned for trial. American Journal of Psychiatry, 124, 11811189.CrossRefGoogle Scholar
McGrath, P. (1968) Custody and Release of Dangerous Offenders. Eds. A. de Reuck and R. Porter. Ciba Symposium. Edinburgh: Churchill.CrossRefGoogle ScholarPubMed
Parker, E. (1974) Survey of Incapacity Associated with Mental Handicap at Rampton and Moss Side Special Hospitals. Special Hospitals Research Report No. 11. DHSS.Google Scholar
Quinsey, V. Warneford, A. Pruesse, M. & Link, N. (1975) Released Oak-Ridge patients: a follow-up study of review board discharges. British Journal of Criminology, 15, 264270.CrossRefGoogle Scholar
Review of the Mental Health Act 1959 (1978) Cmnd. 7320. HMSO.Google Scholar
Steadman, H.E. &. Halfon, A. (1971) The Baxtrom patients: backgrounds and outcomes. I. Seminars in Psychiatry. Eds. M. Greenblatt and E. Hartmann, 3, 376385.Google Scholar
Tennent, G. Parker, E. McGrath, P. & Street, D. (1980) Male admissions to the Special Hospitals—1961–5: A demographic study. British Journal of Psychiatry, 136, 181190.CrossRefGoogle Scholar
Tong, J. & Mackay, G. (1958) A statistical follow-up of mental defectives of dangerous or violent propensities. British Journal of Delinquency, 9, 276284.Google Scholar
Walker, N. & McCabe, S. (1973) Crime and Insanity in England. Vol. II: New Solutions and New Problems. Edinburgh: University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.