{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:34:47Z","timestamp":1761708887160},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,7,9]],"date-time":"2013-07-09T00:00:00Z","timestamp":1373328000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Criminal Behav Ment Health"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite improved mental health services in prisons in England and Wales, there are often delays in transferring acutely mentally ill prisoners to hospital, particularly in the London area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To establish whether clinical pathway interventions can reduce such transfer delays.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two clinical pathway interventions \u2013 one based in a medium secure forensic hospital and the other in a remand prison (pre\u2010trial\/sentence) \u2013 were independently introduced to manage referrals of prisoners with acute mental illness in London, UK. Time taken to transfer to hospital was measured for each and compared with the best available estimates for time to transfer prior to the new pathways.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both interventions produced significant reductions in prison to hospital transfer times.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions\/implications for practise<\/jats:title><jats:p>The nature of the projects precluded ideal research design, but despite small sample sizes, provision of modestly funded small but dedicated elements of service to target the specified problem of transfer to hospital delays showed a significant advantage for such provision, whether hospital or prison based, psychiatrist or nurse led. Further research is now required to examine the whole pathway. More secure psychiatric beds may be required, at least in the short term, to support diversion policies and enable compliance with national policy directive, and to establish whether redesigned pathways can enhance treatment and behavioural outcomes for acutely mentally ill prisoners on a larger scale. Copyright \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cbm.1870","type":"journal-article","created":{"date-parts":[[2013,7,9]],"date-time":"2013-07-09T12:37:41Z","timestamp":1373373461000},"page":"217-226","source":"Crossref","is-referenced-by-count":8,"title":["Influencing the care pathway for prisoners with acute mental illness"],"prefix":"10.1002","volume":"23","author":[{"given":"Andrew","family":"Forrester","sequence":"first","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust and Institute of Psychiatry King's College London  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Exworthy","sequence":"additional","affiliation":[{"name":"St Andrew's Healthcare and Institute of Psychiatry King's College London  Billing Road Northampton NN1 5DG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oriana","family":"Chao","sequence":"additional","affiliation":[{"name":"Barnet, Enfield and Haringey Mental Health NHS Trust, North London Forensic Services Chase Farm Hospital  The Ridgeway Enfield Middlesex EN2 8JL UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Slade","sequence":"additional","affiliation":[{"name":"Division of Psychology Nottingham Trent University  Room 413 Chaucer Building Nottingham NG1 4BU UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Parrott","sequence":"additional","affiliation":[{"name":"Oxleas NHS Foundation Trust Bracton Centre  Dartford DA2 7AF UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.166.6.802"},{"key":"e_1_2_9_3_1","unstructured":"BrownK(2009)The London prison transfer project (A 12\u2010month analysis of time taken to transfer mentally disordered offenders from prison to hospital in London). 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