Managing High Security Psychiatric Care

Part 1; Introduction. 1. Fundamental Themes, Charles Kaye and Alan Franey. 2. Brief History of the Special Hospitals, Charles Kaye. 3. Autobiographies, Charles Kaye and Alan Franey. Part 2; Challenging the Institution. 4. The Inheritance, Charles Kaye and Alan Franey. 5. Changing the Spots: Tackling the Culture, Charles Kaye and Alan Franey. 6. The Politics of Change: A Chairman Remembers, David Edmond, TEC / International UK Ltd. 7.Security and Therapy, Joy Kinsley, former Director of Security, SHSA. 8. The Physical Environment, Roger Hinton, formerly Director of Capital, SHSA. 9. Industrial Relations, Charles Kaye and Alan Franey. Part 3; Focusing on the Patient. 10. Describing the Patients, Margaret Orr. 11. Learning Disability in the Special Hospitals, Diana Dickens, Bassetlaw NHS Trust. 12. Patients as Intimate Partners: Resolving a Policy Crisis, Professor Pamela Taylor, Institute of Psychiatry. Part 4; Accelerating Change. 13. Special Hospitals and Change: A Chaplain Reflects, Trevor Walt, Chaplain, Broadmoor Hospital. 14. Freedom From Restraint, Frank Powell, formerly Head of Nursing Services, SHSA. 15. A Doctor's View, David Mawson, Consultant Forensic Psychiatrist. 16. Working Together: Improving Care , Jane Mackenzie, Broadmoor Hospital. 17. Research and Development, Charles Kaye and Alan Franey. Part 5; Scrutinies and the World Outside. 18. The Mental Health Act Commission, William Bingley, Mental Health Act Commission. 19. Inquiries and Inspections, Charles Kaye and Alan Franey. 20. Press and Public Relations, Charles Kaye. 21. Criminal Justice System, Jim Higgins, Consultant Forensic Psychiatris. Part 6; Summing Up. 22. Achievements and the Future, Charles Kaye and Alan Franey. Appendix. Bibliography. Index.

`...it captures some of the emotion and anxiety of these large institutions and in a very human way brings these hospitals and their ""politics"" out of the shadow....the chapters were very well written, informative and a 'good read'.` (Journal of Inner London Probation Service)

`Edited by, and with chapters from, two senior NHS managers involved in the special hospitals, this book provides a fascinating… view of the management challenges in the often closed world of Broadmoor, Rampton and Ashworth. The political realities of running such a service are well described and give the reader a flavour of what challenges managers face in handling the relationship between security and therapy. [The book] provides an excellent and useful analysis of the thorny issues of patient relationships, which any forensic mental health service would find valuable. [This book gives] an honest, and at times painful, examination of what goes on.'