The needs of males detained under the legal category of ‘psychopathic disorder’ in high security: Implications for policy and service development
Bibliographic record
Abstract
Approximately a quarter of the high secure psychiatric hospital (HSPH) population is detained under the 1983 Mental Health Act legal category of ‘psychopathic disorder’ (PD). To date, there have been no studies specifically examining the security, treatment, and placement needs of this group despite recent policy developments. We conducted a cross-sectional survey of the needs of all males detained under the legal category of PD in the HSPHs in England. We found that 60% continued to require high secure care. Ongoing needs primarily related to substance misuse, interpersonal relationships, and sexual offending. Security and political issues were key factors associated with the continued need for HSPH care. High levels of Axis I and II co-morbidity were found. Although a substantial proportion did not require HSPH care, organisational and service-related factors prevented or delayed their transfer to appropriate services. The findings are discussed in light of proposed legislative reforms and service developments.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".