CTP Experience in Forensic Services - Version 1.0
Research type
Research Study
Full title
Under lock and key: Care and treatment planning experience within forensic secure services, through a Foucauldian discourse analysis lens.
IRAS ID
318650
Contact name
Julia Wane
Contact email
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
0 years, 11 months, 2 days
Research summary
RESEARCH SUMMARY:
The proposed study will seek to explore the perspectives of patients currently or previously detained within a forensic mental health setting, on their experiences of being involved in their Care and Treatment Plan (CTP). The population to be studied will involve adults who are currently or have previously been detained within a forensic mental health setting, under the mental health act, without conditions imposed by the Ministry of Justice. This research intends, as the primary objective, to explore how people living within a forensic mental health setting talk about being involved in their CTP approach. The secondary objective of this research is to explore how people experience the care and treatment plan approach and consider how Foucauldian concepts of knowledge, power, objectification, subjectification and self-surveillance play a role in the way people talk about their experience of living within a forensic mental health setting. The research will involve a qualitative design, utilising semi-structured interviews, with questions designed to explore personal experiences of involvement in the CTP approach. The transcripts of the interview will be analysed using Foucauldian Discourse Analysis (FDA) as this form of analysis aims to emphasize the contextual meaning of language and focuses on the social aspects of communication. The interviews will involve over-arching questions with supplementary questions as needed. Examples of the proposed questions include:
- Can you tell me about your MDT / CTP meetings, what do you know about them? what are they for? What is their purpose? What do they mean to you?
- What happens in the CTP meetings?
- How are you involved in the CTP planning/ meetings?
- What is it like to be involved in a CTP meeting?
- What is like to hear other people talk about you in the CTP meetings?SUMMARY OF STUDY RESULTS:
Thank you to the seven people who kindly agreed to participate in this study. This study explored how people talk about their experience of receiving car under the Care and Treatment Planning approach within Forensic Mental Health Services. The research was carried out by Hannah Waite, a Trainee Clinical Psychologist at the time of the research, as partial fulfilment for the Doctorate in Clinical Psychology Award at Bangor University. As such, the research was sponsored by Bangor University. Seven people participated in the study, all of whom were male and residing in a Forensic Mental Health Service in Wales. Each participant engaged in one semi-structured interview, with all interviews conducted between January 2023 and March 2023. The interviews explored people’s discourses (e.g., how they spoke about their experience) of being in a Forensic Mental Health Service and receiving care, as directed by the Mental Health Measure and Care and Treatment Planning approach. The interviews were analysed using Foucauldian Discourse Analysis (FDA), with particular attention paid to the Foucauldian concepts of knowledge, power, objectification, subjectification and surveillance. Three main discourses emerged: “the power sits with them”, “tug-of-war”, and “it’s my care”. Alternative discourses to “the power sits with them” and “tug-of-war” were identified; “complex power systems”, and “a world removed from reality”. The intricate legal and medical paradigms that interrelate within Forensic Mental Health Services were evident throughout the discourses, with participants acknowledging the wider power structures at play. Their experiences were shared through a lens of perceived powerlessness, with an evident desire and drive to gain more power and control over their own care and lives. It is hoped that this study will be published in a peer reviewed journal in the near future. This piece of research has been submitted to PURE as Chapter 2 of a thesis titled: 'Care and compassion: An exploration of care experiences and compassion focused approaches in Forensic and Inpatient Mental Health Services'. The title in the thesis differs from the title of this form, namely: 'Tug of war: A Foucauldian Discourse Analysis of care and treatment planning experiences within a Forensic Mental Health Service’ and was changed to better reflect the outcome of the research.REC name
West Midlands - Coventry & Warwickshire Research Ethics Committee
REC reference
22/WM/0209
Date of REC Opinion
3 Nov 2022
REC opinion
Further Information Favourable Opinion