Actively Recruiting

Age: 18Years +
All Genders
ID05074732

Dundrum Forensic Redevelopment Evaluation Study: D-FOREST Study.

Led by Health Service Executive, Ireland · Updated on 2021-10-12

350

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to evaluate the redevelopment of Ireland's National Forensic Mental Health Service, moving from the older Dundrum Hospital to a new 170-bed hospital in Portrane. The study focuses on forensic mental health patients, assessing outcomes over time related to service improvements and patient recovery. It includes patients with mental disorders, addressing physical health, mental health, violent behavior, and social and occupational functioning in a forensic setting. The study observes patients admitted to the National Forensic Mental Health Service from December 2019 onward, during and after the move to the new hospital campus. It uses a longitudinal, observational design to track changes over up to five years. Multiple measures are collected at admission and every six months, including clinical interviews, risk assessments, recovery scales, and physical health evaluations. The study also examines hospital service outcomes like waiting times and length of stay. Participants will undergo repeated assessments including structured interviews on mental health symptoms, violence risk, and treatment progress. Physical health data such as BMI and activity levels are recorded. Patient-rated and clinician-rated tools evaluate ward atmosphere and quality of life. Researchers analyze these data to measure length of stay, recovery from psychosis, reduction in violence, and improvements in overall functioning. The study monitors outcomes for five years, aiming to understand the benefits of the hospital redevelopment.

CONDITIONS

Brief Title

Dundrum Forensic Redevelopment Evaluation Study: D-FOREST Study.

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Admitted to the National Forensic Mental Health Service (NFMHS) Ireland after 1st December 2019 until 7 years after the transfer of the National Service to the newly developed complete National Forensic Service at Portrane, North Dublin, Ireland.
Not Eligible

You will not qualify if you...

  • This study comprises a complete cohort of admissions to the NFMHS. All adult patients admitted during the time period will be included in the study, regardless of their length of stay.

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - At time of admission

Participants undergo baseline assessments including structured interviews and clinician-rated measures of mental health, violence risk, and physical health at the time of admission.

1 baseline visit (in-person)

Long-term Monitoring

Duration - Up to 5 years

Participants are assessed every six months throughout their admission journey with repeated measures of mental health, physical health, violence risk, therapeutic program completion, recovery, and overall functioning to evaluate outcomes over several years.

Visits every 6 months for up to 5 years

Trial Site Locations

Total: 1 location

1

National Forensic Mental Health Service, Central Mental Hospital

Dublin, Ireland, D14 W0V6

Actively Recruiting

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Research Team

M

Mary Davoren, M.D.

H

Harry G Kennedy, M.D.

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Prospective study of factors influencing conditional discharge from a forensic hospital: the DUNDRUM-3 programme completion and DUNDRUM-4 recovery structured professional judgement instruments and risk.

Mary Davoren, Zareena Abidin, Leena Naughton...

https://pubmed.ncbi.nlm.nih.gov/23837697

Prospective in-patient cohort study of moves between levels of therapeutic security: the DUNDRUM-1 triage security, DUNDRUM-3 programme completion and DUNDRUM-4 recovery scales and the HCR-20.

Mary Davoren, Sarah O'Dwyer, Zareena Abidin...

https://pubmed.ncbi.nlm.nih.gov/22794187

The DUNDRUM-1 structured professional judgment for triage to appropriate levels of therapeutic security: retrospective-cohort validation study.

Grainne Flynn, Conor O'Neill, Clare McInerney...

https://pubmed.ncbi.nlm.nih.gov/21410967

Triage, decision-making and follow-up of patients referred to a UK forensic service: validation of the DUNDRUM toolkit.

Mark Freestone, Deborah Bull, Roz Brown...

https://pubmed.ncbi.nlm.nih.gov/26446536

A tool to evaluate proportionality and necessity in the use of restrictive practices in forensic mental health settings: the DRILL tool (Dundrum restriction, intrusion and liberty ladders).

Harry G Kennedy, Ronan Mullaney, Paul McKenna...

https://pubmed.ncbi.nlm.nih.gov/33097036