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YOU HELP ME CUT MA PEATS ‘N’ I’LL HELP YOU DIP YER SHEEPS
MENTALLY DISORDERED OFFENDERS THE HIGHLAND EXPERIENCE
Affric Ward12 BedsMixed sexAll rooms en-suiteSecure gardenPleasant surroundingsActivities within Ward
Affric Ward - MDT2 Consultant Psychiatrists - Consultant
covering General Adult psychiatry and consultant covering Forensic patients
Nursing StaffForensic MHOPharmacist Occupational therapy Forensic Liaison nurse
Affric Ward - ForensicsCovers all of NHS Highland area except
Argyll and ButeOccasionally takes from NHS Grampian if
patient is seen in Elgin or is from Northern Isles
Occasionally take from Western IslesOccasionally take from other prisonsOver 90% are admitted from Inverness
Sheriff Court or Porterfield prison
1 x Head of Forensic Nursing, Highlands VACANT1 x Forensic CPN, Inverness, Nairn, Strathspey & Badenoch1 x Forensic Specialist Nurse, Ross & Cromarty 0.4 x Forensic Specialist Nurse, Caithness & Sutherland 0.4 x Forensic Specialist Nurse, Lochaber VACANT0.2 x Forensic Specialist Nurse, Skye and Lochalsh VACANT
Forensic Community Nursing
MHO’s
1 x Senior Practitioner Forensic MHO 1 x Forensic MHO with 0.2 CJS commitment 1 x 0.5 Forensic MHO
No access to Forensic PsychologySporadic consultation – not criminogenic or offence focussed
THEREFORE HIGHLAND GREW THEIR OWN!
With grateful thanks to the Forensic Network
L
Risk AssessmentAffric Ward (IPCU)Introduced 12 years ago - evolved over this
periodHighly visible – red border kept at front of case
recordInclusion of missing person section which
includes the same risk definitions as used by the Police
Multi-disciplinary approachLinks to STORM assessmentMHOs place before Sheriff court when seeking
Compulsion orders
Scottish Patient Safety ProgrammeAffric Ward – chosen as Mental Health pilot
siteChosen workstream – Risk assessmentProposed changes - More user involvement - Signed by user - Safety plan not Risk management plan - Use of Risk assessment from BEST index
Advanced Risk AssessmentAffric have several staff trained in
- HCR 20 - SVR 20 - RSVP - C-BIT - RA 1-4 - BEST
Forensic TeamAdditional trainingRM 2000S&A 07RA 1-4LSCMIASSETSAMCAADA-DASHRICKTER SCALEIMPULSIVITY CHECKLISTBEST
Multi-agency approachNEW TO FORENSIC PROGRAMME
Facilitated by – - Secure Care manager - Forensic MHOs - Forensic Specialist nurse Cohorts included – RMNs, MHOs, CJS Social
workers, CPNs, Police, Prison Officers, Chaplains, MAPPA Co-ordinator, GP
Multi- agency approach (cont)Through teaching the programme we are
able to access, influence and equip others to contribute to 24 hour cover and Risk assessment
24 Hour cover – Triage New Craigs Hospital
Mental Health assessments Mental Health Assessment Team 8am – 9pm 7
days a weekDuty Doctor 24/7Triage nurse based at New Craigs between 11pm
and 8am, 7 days a week taking calls from NHS 24Triage nurse will also attend police custody suite
accompanied by member of staff from Affric or Night nursing team leader to assess people out of hours. This allows access to MH assessment for PF perusal prior to court appearance
24 Hour cover – Triage (cont)
Section 297 protocol agreed with Northern Contabulary
Mental Health Liaison nurses based at Raigmore Hospital (Acute Care)
During office hours Forensic TeamProvision of service toSPS-HMP Porterfield –
Consultant Cl – Consultant Clinic, FSN FSN surgery, FMHO assessment/detention
SCS – FSN and FMHO provide assessment, reports, advice, support and guidance to Highland courts in jurisdiction.
NC – FSN and FMHO provide assessment advice, support and guidance to Police officers, especially officers in the custody suite