Project Director for a collaborative project with Ashworth Hospital Authority, on the development of occupational standards for social therapy provision (commenced November 1996). Funded by the NHS, High Security Psychiatric Services Commissioning Board.

Project Manager for a research project in collaboration with Portsmouth and Sheffield Universities Schools of Health Studies "Utilising National Occupational Standards as a Complement to the Nursing Curricula" (Storey, O&rsquoKell and Day 1995) Published April 1995 National Health Service Executive, Leeds.

It has been recognised (Reed, 1994) that providing nursing care in secure conditions requires a concentration of staff with considerable expertise. In order to ensure that this expertise is maintained and developed for nursing staff, considerable continuing professional development, coaching and supervision will be required (Storey and Dale, 1998).

In the field of health care Forensic Care is a minority interest, however, for most professionals, especially nursing staff, education and training in the management of patients in these settings is seen to be quite inadequate. "If forensic psychiatry is to grow into a recognised speciality, it needs a sound academic base which makes greater use of the existing central database of nursing research. Research into forensic nursing should therefore be promoted... and should be directly relevant to practice". (Reed, 1994).

This project reflected the fact that there was an emerging need for staff skills to be made generalisable and transferable to a variety of settings where the provision of care is being considered, or where containment for persons suffering with a mental disorder or requiring nursing in a secure environment.

In undertaking this project we had to acknowledge the differences in legislation and culture in Scotland, Northern Ireland and England and Wales. This project examined general issues across the UK but also identified issues that are of particular relevance to each country. These settings included the public, private and voluntary sectors of health care and the criminal justice systems within the United Kingdom.

The questions addressed by this project were:-

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• Describe the competencies required of nurses working in secure environments.
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• Are nurse interventions in secure environments evidence based.
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• Review current activity in the development of practice standards in secure environments, particularly with reference to specific client groups.
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• How effective is the preparation currently given to nurses working in secure environments.
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• Identify issues faced in working with a client group who may compromise therapeutic nurse patient relationships, particularly with reference to personality disordered patients.
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• Identify the extent to which existing Council policies are utilised and inform practice within secure environments.
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• Identify practice issues relevant to the physical health needs of these populations; care of women (including care of pregnant women); care of people from different cultural backgrounds.

This project has provided an overview of the educational, occupational and practice expectations placed on nurses working in health and prison services at all levels of security across the United Kingdom.

This presentation will provide an overview of the outcomes of this work and provide information about the way forward to implement the findings.

In his present position with the Centre, Chris provides staff training that focuses on the prediction and management of violence, co-ordinates the Forensic Programme's research effort and is working to strengthen its educational and training activities.

In addition, Chris is also Senior Research Consultant with the Earlscourt Child and Family Centre, where he and colleagues are in the process of evolving devices for the prediction and management of aggression and violence in conduct disordered and hyperactive children. He has published over 250 pieces of research in addition to text books, chapters and reviews.

With the recent emphasis on the diversion of MDO's from criminal justice system, in addition to recent developments in the disposal of personality disordered offenders, it has been increasingly difficult to charge people with psychiatric backgrounds. This has presented problems for both the Police and the Mental Health Clinicians. An analysis of the Police experience in relation to these issues are described. Gloucestershire Police, Social Services, CPS and Health have been successful in developing a common policy. It's development, content and implementation are described.

He trained in medicine at Cambridge and Westminster Medical School and in Neuropharmacology at the University of Bristol. In his research activities he is trained as a neuroreceptor phamaracologist and his main interest is the study of antipsychotic drug action using functional imaging, pharmacogenetics and post mortem tissue. His most recent contributions have been in the education of the mechanisms of action of atypical drugs, development of the glutamate hypothesis of schizophrenia and the development of allelic association studies in psychopharmacology. His clinical interests are in clinical psychopharmacology and psychiatric intensive care.

He has published 4 books, a wide range of reviews and chapters and over 170 articles of original experimental research.

Awards given include a Doctor of the year award for research merit, Hospital Team of the Year jointly with Dr Reveley and Professor Murray, the Joel Elkes International Award for outstanding contribution to Neuropharmacology and just recently he has been awarded the 1998 SmithKline Beecham Travelling Prize for research in Clinical Pharmacology.

Chronic behavioural disturbance secondary to mental illness is a costly and time consuming phenomena facing the modern mental health care services. The introduction of Clozapine and other new antipsychotics are discussed in the treatment of long-term behaviour disturbance.