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The British Journal of Psychiatry 175: 224-227 (1999)
© 1999 The Royal College of Psychiatrists

Route of discharge for special (high-security) hospital patients with personality disorder. Relationship with re-conviction

S Davison, E Jamieson and PJ Taylor
Institute of Psychiatry, London. s.davison@iop.kcl.ac.uk

BACKGROUND: A considerable proportion of patients with personality disorder are discharged directly to the community from special (high- security) hospitals. AIMS: To examine whether patients with personality disorder discharged directly to the community are more likely to be re- convicted than those transferred to psychiatric hospitals of lesser security. METHOD: Re-conviction data for a five- to nine-year follow-up were collected for a four-year (1988-1991) special hospital discharge cohort of patients with personality disorder. RESULTS: Individuals discharged directly to the community were not significantly more likely to be re-convicted than those transferred to less secure psychiatric hospitals. However, patients discharged to the community without formal conditions of supervision were more likely to be re-convicted than those discharged to the community with conditions or those transferred to other psychiatric hospitals. CONCLUSIONS: Formal supervision after discharge may be more important than actual destination in influencing the likelihood of re-conviction.




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1999 The Royal College of Psychiatrists.