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2 results

  • Chapter 3 - Outcomes from the Key Inquiries and the Evolution of Modern Forensic Psychiatry

  • Edited by Mary Davoren, Broadmoor Hospital and West London NHS Trust, Harry G. Kennedy, Trinity College Dublin
  • Book:
    Seminars in Forensic Psychiatry
    Published online:
    06 June 2024
    Print publication:
    13 June 2024, pp 65-91

  • Summary

    This chapter offers an account of the key events shaping modern forensic psychiatry since the 1950s, including legal reforms, political initiatives and key reports which have influenced practice. These are summarised in a narrative beginning with the 1959 Mental Health Act and concluding with the most recent Wessely proposals for reform. The critical clinical events including the cases of Graham Young, Peter Sutcliffe, Christopher Clunis and Michael Stone, the Carstairs escapes and the Butler, Reed, Blom-Cooper, Fallon and Tilt reports are discussed. The chapter includes a commentary on the development of medium-secure services and the refocussing of high-secure care since 2000.

  • Secular and socio-economic trends in compliance with dietary targets in the north Glasgow MONICA population surveys 1986–1995: did social gradients widen?

  • Wendy Louise Wrieden, John Connaghan, Caroline Morrison, Hugh Tunstall-Pedoe
  • Journal:
    Public Health Nutrition / Volume 7 / Issue 7 / October 2004
    Published online by Cambridge University Press:
    02 January 2007, pp. 835-842
    • Article
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  • Objective:

    To compare trends in the consumption of key foods over 10 years in the most deprived and least deprived quarters in north Glasgow, Scotland as defined by the Carstairs deprivation index for their postcode of domicile.

    Design:

    Four random, cross-sectional, age- and gender-stratified population surveys carried out in 1986, 1989, 1992 and 1995. After assigning a deprivation score, food-frequency questionnaires from 2883 men and 3127 women were examined for compliance with dietary targets, examining trends by gender and within the most and least deprived quarters of the population.

    Setting:

    North Glasgow, Scotland.

    Subjects:

    Over 600 men and 600 women (aged 25–64 years) in each of the four survey years who completed a lifestyle questionnaire including a food frequency section.

    Results:

    Increasing trends in the reported consumption of fruit and vegetables and oil-rich fish were observed over the 10-year period. However, the trend to increased fruit and vegetable consumption in the most deprived groups was not significant, and in 1995 only 8% of men and 12% of women in this group claimed consumption of these foods 4 or more times a day. In general, a higher percentage of those in the least deprived group met the targets for the key foods.

    Conclusions:

    Trends to increasing consumption of fruit and vegetables and fish were in the right direction, but the targets for consumption of certain key foods were met by a minority of the population. The progress towards the target for fruit and vegetables showed widening social gradients with time.