Secure Recovery ─ Approaches to Recovery in Forensic Mental Health Settings

Secure Recovery is the first text to tackle the challenge of recovery-oriented mental health care in forensic services and prison-based therapeutic communities in the UK.
Recovery as an emergent paradigm in the field of mental health presents a challenge to all services to embrace a new clinical philosophy, but nowhere are the implications more profound than in services that are designed to meet the needs of mentally disordered and personality-disordered offenders, both men and women. The chapters collected together in this book represent a cross-section of experiences in high, medium and low secure services and prison-based therapeutic communities in England and Scotland that have begun to implement a recovery orientation to the rehabilitation of offenders with mental health needs.
Secure Recovery sets out a road map of guiding principles, practical and evidence-based strategies for promoting service user participation in their care and treatment and further demonstrates the adaption of traditional treatment approaches, and the development of innovations in rehabilitation, as well as tackling training for staff teams, and the evaluation of service delivery.
This book provides a valuable resource and an inspiration to practitioners working across forensic mental health settings, increasing understanding of contemporary challenges and suggesting ways of moving forward.

Gerard Drennan is Head of Forensic Clinical Psychology and Consultant Clinical Psychologist at Sussex Partnership NHS Foundation Trust.
Deborah Alred is the Lead Occupational Therapist in the Secure and Forensic Services at Sussex Partnership NHS Foundation Trust.

Foreword, Professor Tony Ward 1. Recovery in Forensic Mental Health Settings: From Alienation to Integration, Gerard Drennan and Deborah Alred 2. Balancing Risk and Recovery: A Clinician's View, Tor Petit 3. 'Nothing for Us Without Us Either': Forensic Service User Involvement, Anita Bowser 4. Recovery in the Forensic Organisation, Gerard Drennan, Kate Law and Deborah Alred 5. Giving Voice to Recovery: Perspectives from Within a High Secure Hospital, Estelle Moore, Darren Lumbard, John Carthy and Joe Ayres & 19 hospital residents and one former patient 6. Recovery for Men with Cognitive Difficulties and Impulsive Challenging Behaviour in a High Secure Hospital: What Does it Mean and How do we Promote it? Patricia Abbott, Anthony Hague and Andre Jedrzejcyk 7. Recovering Personhood: Using Recovery Principles on a Long-Stay Medium Secure Ward, Jay Smith and Veronica Garcia 8. Harnessing Hearts and Minds for Change, Sally Carr and Sue Havers 8. The See-saw of Recovery in Women's Secure Care by Sarah Birch 9. ‘Supporting Recovery’ and ‘Moving On’ – The Recovery Approach Applied to Group Intervention Programmes in In-patient Settings, Helen Miles with Tom Foulds; Sonia Griffin; Carol Guinan; Dr Tracy King; Anna Murphy;Kate Pellowe; Miriam Pucyutan; and service users from the Trevor Gibbens Unit, Kent Forensic Psychiatry Service 10. The See-saw of Recovery in Women’s Secure Care, Sarah Birch 11. Recovery Within a Prison Therapeutic Community: Setting the Scene, Michael Brookes 12. Embedding Recovery into Training for Mental Health Practitioners, Helen Eunson, Suzanne Sambrook and Diane Carpenter 13. Recovery Evaluation: The Scottish Forensic Services, Helen Walker & Dave Langton 14.Evaluating Recovery at a Forensic Mental Health Service using the Developing Recovery Enhancing Environments Measure (DREEM), Elina Baker, Zeffa Warren, Alexis Clarke, Emma Laughton, Elaine Hewis and Jason Fee