What is the Forensic Hospital?


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Roman Katz, Security Manager, The Forensic Hospital, Justice Health & Forensic Mental Health Network (NSW) delivered this presentation at the 2012 Australian Hospital & Healthcare Security & Safety Conference. The conference is a fantastic opportunity to network with hospital security managers, OH&S unit coordinators, senior nursing and management staff of hospital departments, namely emergency departments and mental health units In its 6th annual edition the conference has been rebranded Safe & Secure hospitals to reflect industry feedback we have received through our research calls. For more information, please visit: http://bit.ly/17StSAN

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What is the Forensic Hospital?

  1. 1. 5th Annual Hospital & Healthcare Security & Safety Conference 2012 The Forensic Hospital Security Manager Roman Katz Sydney
  2. 2. Plan for today What we do / security role How to avoid pitfalls when designing a brand new healthcare facility Highlighting identified risks and how to avoid them What works well
  3. 3. JH & FMHN The Justice Health & Forensic Mental Health Network is the principal service provider and coordinating agency for forensic mental health services in NSW. JH&FMHN provides health care in a complex environment to people in the adult correctional environment, to those in courts and police cells, to juvenile detainees and to those within the NSW forensic mental health system and in the community. JH&FMHN cares for 30,000 inmates and over 5,000 juvenile detainees annually and provides health services in over 90 locations in metropolitan and regional NSW.
  4. 4. Definition of forensic: Oxford Dictionary adjective 1. relating to or denoting the application of scientific methods and techniques to the investigation of crime: forensic evidence 2. relating to courts of law. noun (forensics) scientific tests or techniques used in connection with the detection of crime. (also forensic) [treated as singular or plural] informal a laboratory or department responsible for forensic tests.
  5. 5. The word "forensic" comes from the Latin word "forensis" meaning "of the forum" where the law courts of ancient Rome were held.
  6. 6. The Forensic Hospital The Forensic Hospital is an integral part of the JH&FMHN. The 135 bed Forensic Hospital commenced operation in November 2008. The Forensic Hospital is a stand-alone high secure mental health facility and is the first of its kind in NSW.
  7. 7. The Forensic Hospital provides specialist mental health care for mentally ill patients who have been in contact with the criminal justice system and high risk civil patients. The patient demographic consists of those found not guilty by reason of mental illness, those unfit to plead, mentally disordered offenders or those at risk of offending.
  8. 8. Community PPPS JH&FMHNNSW Health CSNSW JJNSW Government IR NGOs Staff Investors Patients FamilyMHRTMedia
  9. 9. PPP Solutions Inc. A private consortium, PPP Solutions Inc., in partnership with Justice Health and NSW Health, constructed The Forensic Hospital. PPP Solutions provides: Facilities management Catering Cleaning & linen services Perimeter security Secure transportation
  10. 10. Security Services role Front-of-house security CCTV monitoring (24/7) External escorts Entry and egress management Management of Biometrics systems Patrols (external only) After hours help desk
  11. 11. All clinical services, including internal security, are provided by the JH&FMHN through a multi-disciplinary team of Medical, Nursing and Allied Health Professionals. The elements of security
  12. 12. Mapping of security Physical Relational Procedural
  13. 13. Physical Security Design of facilities Deter, detect, delay and detain Maintenance Appropriate equipment Modern technology
  14. 14. Security Philosophy “Maximum Security” perimeter with open external spaces: Progressive and non-aggressive physical barriers Perimeter detections systems Management procedures Innovative security design technique and advanced technology Utilisation of “safe bedroom” concepts
  15. 15. Security System Security Management System (SMS) Access Control & Interlocking System Intrusion Detection System & CCTV Duress Alarm System (mobile and fixed) Microwave & Video Motion Detection System Security and Radio Communication System Contraband Detection System
  16. 16. Relational Security Appropriate staff-to-patient ratio Therapeutic alliance between staff and patients Detailed knowledge of the patients Dynamic security and continuing risk assessment A high quality of care Personal and professional skills
  17. 17. Procedural Security Application of set procedures, routines and checking “House rules” Safe practices Legislations, best practices and standards Quality and Governance Training
  18. 18. Security & Emergency Levels The Forensic Hospital uses a system of emergency levels to convey to staff the alert status of the hospital including the level of incident and type of response required.
  19. 19. Security & Emergency Levels Prevention and Constant Surveillance Unit Based Incident Emergency Response Teams Containment
  20. 20. Ultimate Objective Integration of physical, relational and procedural security with therapeutic goals
  21. 21. Outcomes Therapeutic security High quality of care Significant reduction of aggression Integration of clinical and non-clinical activities into one therapeutic model of care Modern facilities
  22. 22. How to avoid pitfalls “The distinction between relational, physical and procedural security is artificial. Security should be viewed as an indivisible whole; ignore or neglect one feature and security overall is weakened.” T.Exworthy and J.Gunn (“Taking another tilt at high secure hospitals”, 2003)
  23. 23. Research Implement safe by design principles Manage by objectives Benchmark Project management Budget Know your context
  24. 24. Building the framework Disaster and Emergency Management Workplace Health & Safety Asset Management Information Management Financial Management Environmental Management Risk Management
  25. 25. Performance management Performance monitoring system & methods Monthly & Daily performance reports Self-monitoring vs Auditing Compliance methodology “ABC” accounting
  26. 26. Invest in people Ensure robust recruitment and selection Getting the right people into the right jobs Provide comprehensive staff training Offer ongoing professional development Nurture atmosphere of trust and mutual respect
  27. 27. Plan your strategy Choose right solution In-house vs Outsourcing Landscaping CCTV system Internal emergency response arrangements Security infrastructure
  28. 28. Know your risks
  29. 29. Not involving end users Incomplete cost, risk and benefit analysis Micromanagement Poor planning and design Wrong solutions Lack of teamwork
  30. 30. Not utilising right design concepts and methodology Stagnation Financial risks Complacency Losing focus Misbalance between security and therapeutic goals Unsafe workplace Undesirable outcomes and risks