In recent years there has been a significant adjustment in the delivery of forensic mental health services. My recent annual ministerial review of the State Hospital examined a number of issues, not least how the board responds to a decline in the number of patients detained in high security, and the development of medium secure services elsewhere. We have also seen the introduction of excessive security appeals for patients detained in medium security and a continuing move towards community services.
In order to enable forensic mental health services to be delivered as effectively as possible I am instigating a review more widely into the delivery of these services in recognition of these changes and new developments.
The review will consider;
- The demand for forensic mental health services, including bed availability and use in hospitals across the levels of security;
- Forensic mental health services in the community across Scotland;
- The delivery of forensic mental health services in prison;
- The governance and delivery of high secure forensic services in hospital, given the decline in the number of patients at the State Hospital;
- The capacity of medium secure services to deliver forensic mental health services for all patients who require such services;
- The impact of excessive security appeals across the forensic mental health system;
- The availability of specialist open i.e. unlocked forensic rehabilitation services; and
- The movement of patients from low or medium security into the community
We will set out further details on this operation and remit of the review, including its chair, in due course.