Therapeutic intervention for forensic mental health nurses. Edited by Alyson M. Kettles, Phil Woods...

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Therapeutic Intervention for Forensic Mental Health Nurses Edited by Alyson M. Kettles, Phil Woods and Mick Collins. Jessica Kingsley, London, N1 9JB, October 2001, 288 pp. Paperback £19.95, ISBN 1-85302- 949-1 The aim of this edited book is to describe examples of interventions currently in use by forensic nurses. Each chapter has a similar structure. After the intro- duction, the intervention is described in detail, available evidence for current and emerging practice presented, and future developments considered. The content of the chapters includes interventions for specific patient groups (severely mentally ill, severely assaultative, women, sex offenders, patients who break rules and boundaries, community mentally disordered offenders), or specific types of nursing interventions/approaches (psycho-educational approaches, spiritual interventions, exercise therapy, ‘narrative therapy’). Two chapters explore policy issues, one addressing the implications of clinical governance for forensic mental health nursing and the second exploring the interface of competence and clinical effectiveness. The final concluding chapter examines the themes emerging from the book, particularly focusing on the need for forensic nursing to develop an evidence base for the day-to-day nursing management of patients and the integrity of treatments used. This book is part of the Forensic Focus series edited by Gwen Adshead and is the second in the series to be edited by Alyson Kettles. It may therefore be seen as complimentary to the earlier book published by Alyson Kettles and David Robinson Forensic Nursing and Multi-disciplinary Care of the Mentally Disordered Offender. It is aimed at all practitioners, nurses and educators in the forensic nursing field. The book has many strengths. As mentioned above, the chapters are well structured and informative from both an academic and a practical/clinical point of view. The book manages to combine recent academic information with practical clinical information that nursing staff could ‘take away’ and implement, such as useful interventions with severely assaultative patients, an example of a care plan with a sex offender and examples of core care compe- tences. Different frameworks for the therapeutic relationship between nurse and patient are presented, which are complementary to that of other team members. For example, the chapter on ‘Patients who constantly break rules and tests boundaries’ by Penny Schafer discusses motivational interviewing, collaborative relationships, feedback and immediacy as nursing interventions aimed at decreasing treatment resistance and increasing trust and motivation. If one were looking for omissions, it would be that there is no particular focus on addiction/dual diagnosis and not much emphasis on organizational issues or skill sharing/role blurring resulting out of joint work with other disci- plines. However, that may be because this latter area has already been covered in the aforementioned book earlier in this series. Book reviews 219

Transcript of Therapeutic intervention for forensic mental health nurses. Edited by Alyson M. Kettles, Phil Woods...

Therapeutic Intervention for Forensic Mental Health Nurses

Edited by Alyson M. Kettles, Phil Woods and Mick Collins. Jessica Kingsley,London, N1 9JB, October 2001, 288 pp. Paperback £19.95, ISBN 1-85302-949-1

The aim of this edited book is to describe examples of interventions currentlyin use by forensic nurses. Each chapter has a similar structure. After the intro-duction, the intervention is described in detail, available evidence for currentand emerging practice presented, and future developments considered. Thecontent of the chapters includes interventions for specific patient groups(severely mentally ill, severely assaultative, women, sex offenders, patientswho break rules and boundaries, community mentally disordered offenders), orspecific types of nursing interventions/approaches (psycho-educationalapproaches, spiritual interventions, exercise therapy, ‘narrative therapy’). Twochapters explore policy issues, one addressing the implications of clinicalgovernance for forensic mental health nursing and the second exploring theinterface of competence and clinical effectiveness. The final concludingchapter examines the themes emerging from the book, particularly focusing onthe need for forensic nursing to develop an evidence base for the day-to-daynursing management of patients and the integrity of treatments used.

This book is part of the Forensic Focus series edited by Gwen Adshead andis the second in the series to be edited by Alyson Kettles. It may therefore beseen as complimentary to the earlier book published by Alyson Kettles andDavid Robinson Forensic Nursing and Multi-disciplinary Care of the MentallyDisordered Offender. It is aimed at all practitioners, nurses and educators in theforensic nursing field.

The book has many strengths. As mentioned above, the chapters are wellstructured and informative from both an academic and a practical/clinicalpoint of view. The book manages to combine recent academic informationwith practical clinical information that nursing staff could ‘take away’ andimplement, such as useful interventions with severely assaultative patients, anexample of a care plan with a sex offender and examples of core care compe-tences. Different frameworks for the therapeutic relationship between nurseand patient are presented, which are complementary to that of other teammembers. For example, the chapter on ‘Patients who constantly break rulesand tests boundaries’ by Penny Schafer discusses motivational interviewing,collaborative relationships, feedback and immediacy as nursing interventionsaimed at decreasing treatment resistance and increasing trust and motivation.

If one were looking for omissions, it would be that there is no particularfocus on addiction/dual diagnosis and not much emphasis on organizationalissues or skill sharing/role blurring resulting out of joint work with other disci-plines. However, that may be because this latter area has already been coveredin the aforementioned book earlier in this series.

Book reviews 219

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Overall, the book is well written and comprehensive, bringing the focus ofevidence-based practice to nursing interventions. The book is a valuableresource for teaching of nursing staff as well as being directly accessible forpractitioners.

Julia HoustonShaftesbury Clinic, Springfield Hospital

London SW17 7DJ, UK

220 Book reviews

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