Experiences of secure patients within forensic settings.

Abstract

This thesis looks to explore the experience of forensic secure care, from the patients’ perspective. The first chapter is a systematic review of the qualitative literature, covering high, medium and low secure settings, worldwide. The analysis was guided by thematic synthesis and generated a total of eight themes; from this, three different and separate experiences of forensic secure care were interpreted, with a further five themes which influence the experience. This new understanding of patient experience can lead to service improvements and staff training. The second chapter presents an empirical paper exploring six forensic secure patients’ experience of the Corona virus disease 2019 (COVID-19) whilst detained in a secure setting through the pandemic. Semi structured interviews were analysed using Interpretive Phenomenological analysis (IPA). The themes generated, provided insight into the experience ‘treading water’, how the patients managed through the experience ‘learning to swim’, and what was helpful during this time ‘in the same boat’. Findings are particularly timely in terms of how we may be able to better support forensic secure patients through this uncertain time.

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