Forensic mental health services are in a phase of rapid change and development. Deinstitutionalization and community care is still regarded with apprehension by the public and many politicians, in part because of the perceived risk of a mentally disordered person becoming violent. Responding to those anxieties, exaggerated though they may be, is essential if community care is not to collapse back into the institutionally centred care systems of the past. It is forensic mental health services which will increasingly take on the care of both the mentally disordered who have offended seriously and those who are at risk of such offending. The assumption of this role will force forensic mental health services to become increasingly community based. Equally the patent failure of those last survivors of the giant asylums, the secure forensic hospitals, will gradually force their closure. Smaller units closely integrated with local community forensic services will hopefully replace these units. Forensic mental health services have for too long failed to focus sufficiently on providing services to prisons and prisoners, an omission which is at its most egregious when addressing the adolescent offender with mental disorder. Paradoxically, as forensic mental health professionals move out of the large secure hospitals, they are likely to move increasingly into the prisons and hopefully the juvenile offender facilities. These changes can and should give rise to a more effective delivery of care and treatment. The ultimate aim is for a seamless service which incorporates prison care, secure unit care, medium secure unit care, and community care. In such a service structure it will become possible to provide the mentally abnormal offender with the care and treatment that his or her disorder requires and on which the community's safety in part depends.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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