Characteristics of low secure units in an English region: audit of twenty mental health and learning disabilities units for patients with severe challenging behaviour

Abstract

Aim: To survey the twenty low secure mental health and learning disabilities units in the South Thames Region.Method: Ward Managers were interviewed and data gathered on: (1) Buildings and security; (2) Beds; (3) Staffing; (4) Therapeutic activities; (5) Policies; (6) Issues of concern.Results: Learning disabilities units tended to be smaller, older and not purpose built with more issues of security and observation. There was an under provision of Clinical Psychology, Occupational Therapy and Social Work staff.Conclusion: Any issues of concern raised by staff tended to reflect any structural and staffing deficiencies.