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Psychiatric intensive care and low secure units: where are we now?

Oxleas NHS Foundation Trust, Bracton Centre, Bracton Lane, Dartford, Kent DA2 7AF, email: dominic.beer{at}oxleas.nhs.uk

Abstract

The last decade has seen clinicians and policy makers develop psychiatric intensive care units and low secure units from the so-called ‘special care wards’ of the 1980s and 1990s. Psychiatric intensive care units are for short-term care, while low secure units are for care for up to about 2 years. Department of Health standards have been set for these units. A national survey has shown that there are two main patient groups in the low secure units: patients on forensic sections coming down from medium secure units and those on civil sections who are transferred from general psychiatric facilities. Recent clinical opinion has emphasised the important role both psychiatric intensive care units and low secure units play in providing a bridge between forensic and general mental health services.

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