Copy the page URI to the clipboard
Reavey, P.; Brown, S. D.; Kanyeredzi, A.; Mcgrath, L. and Tucker, I.
(2019).
DOI: https://doi.org/10.1016/j.socscimed.2018.11.012
Abstract
Medium secure forensic psychiatric units are unique environments within the broader ‘post asylum’ landscape of mental health services. Length of stay is much greater, a recovery-focused care system is much more difficult to implement, and there is a paucity of suitable “step-down” services. The aim of this study was to examine how forensic psychiatric environments contribute to the shaping of recovery, by examining key features such as social interactions and agency. Here, we report on the findings from patients participating in a qualitative-visual study. This analysis forms part of larger study on staff and patient experiences of secure hospital space. In this paper, the analytical focus is directed towards two key elements of recovery - agency and relationality, using the concept of ‘topology’ and ‘life-space’, developed by the social psychologist Kurt Lewin. First, we explore how patients have relative freedom to move within institutional spaces, yet lack relational space. Secondly, we explore how life-space is expanded or compressed by the manner in which the patient’s present life in hospital is connected or disconnected from their past or pending future. Finally, we discuss the implications of these findings for a recovery model within secure forensic settings, focussed on personalisation and expanded life-space.
Viewing alternatives
Download history
Metrics
Public Attention
Altmetrics from AltmetricNumber of Citations
Citations from DimensionsItem Actions
Export
About
- Item ORO ID
- 57585
- Item Type
- Journal Item
- ISSN
- 0277-9536
- Project Funding Details
-
Funded Project Name Project ID Funding Body Not Set Not Set The Open University (OU) - Keywords
- secure recovery; forensic mental health; life space; therapeutic landscape; personalisation; five-year forward view
- Academic Unit or School
-
Faculty of Business and Law (FBL) > Business > Department for People and Organisations
Faculty of Business and Law (FBL) > Business
Faculty of Business and Law (FBL)
Faculty of Arts and Social Sciences (FASS) > Psychology and Counselling > Psychology
Faculty of Arts and Social Sciences (FASS) > Psychology and Counselling
Faculty of Arts and Social Sciences (FASS) - Copyright Holders
- © 2018 Elsevier Ltd.
- Depositing User
- Steve Brown