title: Perceptions of diagnostic labels in forensic psychiatric practice: a survey of differences between nurses and other disciplines.
abstract: This paper reports on a study of nurses' and non-nurses' perceptions of labels of mental illness and personality disorder in forensic services in the UK. The objectives of the study were to establish if differences in perceptions existed within, and between, the two groups of professionals. The research method was a survey design with 1,200 questionnaires distributed to nurses and 300 to other professionals in disciplines on forensic units in the UK, with response rates of 34.6% and 43%, respectively. The target population included clinical health care staff who had patient contact, including nurses, psychiatrists, psychologists, social workers, and occupational therapists. The results indicate that there are statistically significant differences within both nursing and non-nursing groups and also between the groups in relation to a "management" perspective for individuals labelled with a personality disorder and a "clinical" focus for individuals who are labelled as mentally ill. This paper adds research into the arena of forensic mental health in relation to the diagnostic labels of mental illness and personality disorders. It also adds evidence of a clinical response or a management response to such diagnostic labels which may impact on the practice of forensic psychiatry.
authors.affiliation: University of Chester, Faculty of Health and Social Care, Chester CH1 4BJ, UK. t.mason@chester.ac.uk
authors.forename: Tom
authors.initials: T
authors.lastname: Mason
authors.forename: Mike
authors.initials: M
authors.lastname: Caulfield
authors.forename: Rebecca
authors.initials: R
authors.lastname: Hall
authors.forename: Kat
authors.initials: K
authors.lastname: Melling
mesh_terms: D001291:Attitude of Health Personnel; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D053604:Forensic Nursing / Q000193:education / Q000458:organization & administration; D005555:Forensic Psychiatry / Q000458:organization & administration*; D006282:Health Personnel / Q000523:psychology; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000523:psychology*; D010554:Personality Disorders / Q000175:diagnosis; D011287:Prejudice; D011568:Psychiatric Nursing / Q000193:education / Q000458:organization & administration*; D011582:Psychological Theory; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D006113:United Kingdom