Table 2.
Mean scores on measures of violence risk, therapeutic programme completion, recovery and overall functioning and levels of grounds access at Broadmoor High Secure Hospitala
| Yellowb grounds access, mean (s.d.) (n = 116) | Greenc grounds access, mean (s.d.) (n = 22) | Redd grounds access, mean (s.d.) (n = 4) | ANOVA, F | P | |
|---|---|---|---|---|---|
| HCR-Historical scale | 17.079 (2.60) | 16.955 (2.68) | 16.000 (3.65) | 0.331 | 0.718 |
| HCR-Clinical scale | 7.36 (2.45) | 4.54 (2.87) | 2.00 (1.41) | 19.128 | <0.001 |
| HCR-Risk scale | 7.38 (2.28) | 5.45 (2.34) | 3.75 (2.62) | 10.523 | <0.001 |
| HCR-Dynamic scale (Clinical and Risk scales combined) | 14.75 (4.35) | 10.00 (4.51) | 5.75 (3.94) | 17.789 | <0.001 |
| DUNDRUM-3 programme completion | 24.82 (2.21) | 21.86 (3.37) | 20.25 (2.21) | 19.419 | <0.001 |
| DUNDRUM-4 recovery | 23.95 (2.04) | 22.45 (2.75) | 21.25 (3.59) | 6.693 | 0.002 |
| Global Assessment of Functioning | 42.11 (20.21) | 54.48 (14.85) | 74.00 (12.94) | 9.757 | <0.001 |
HCR-20, Historical, Clinical and Risk – 20.
Both green grounds access and red grounds access require approval by an independent committee chaired by a member of the hospital security team, whereas yellow grounds access can be granted by the treating multidisciplinary team.
Yellow grounds access permits patients to move off their ward in groups supervised by staff to attend off-ward gym and other activities.
Green grounds access permits patients to move off their ward to access open walking spaces on the hospital grounds such as the Victorian terrace independently with distant staff supervision only.
Red grounds access is the highest level of grounds access offered to Broadmoor patients. It permits patients to take up a role in the hospital café, shop or hairdresser.