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Roman Katz, Security Manager, The Forensic Hospital, Justice Health & Forensic Mental Health Network (NSW) delivered this presentation at the 2012 Australian Hospital & Healthcare Security & Safety Conference. The conference is a fantastic opportunity to network with hospital security managers, OH&S unit coordinators, senior nursing and management staff of hospital departments, namely emergency departments and mental health units In its 6th annual edition the conference has been rebranded Safe & Secure hospitals to reflect industry feedback we have received through our research calls. For more information, please visit: http://bit.ly/17StSAN
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5th Annual
Hospital & Healthcare Security & Safety Conference 2012
The Forensic Hospital
Security Manager
Roman Katz
Sydney
Plan for today
What we do / security role
How to avoid pitfalls when designing a brand new healthcare facility
Highlighting identified risks and how to avoid them
What works well
JH & FMHN
The Justice Health & Forensic Mental Health Network is the
principal service provider and coordinating agency for forensic
mental health services in NSW.
JH&FMHN provides health care in a complex environment to
people in the adult correctional environment, to those in courts
and police cells, to juvenile detainees and to those within the
NSW forensic mental health system and in the community.
JH&FMHN cares for 30,000 inmates and over 5,000 juvenile
detainees annually and provides health services in over 90
locations in metropolitan and regional NSW.
Definition of forensic: Oxford Dictionary
adjective
1. relating to or denoting the application of scientific
methods and techniques to the investigation of
crime: forensic evidence
2. relating to courts of law.
noun
(forensics) scientific tests or techniques used in
connection with the detection of crime.
(also forensic) [treated as singular or plural] informal
a laboratory or department responsible for forensic
tests.
The word "forensic" comes from the Latin word "forensis" meaning "of the forum" where the law courts of ancient Rome were held.
The Forensic Hospital
The Forensic Hospital is an integral part of the JH&FMHN.
The 135 bed Forensic Hospital commenced operation in
November 2008. The Forensic Hospital is a stand-alone
high secure mental health facility and is the first of its kind
in NSW.
The Forensic Hospital provides specialist mental
health care for mentally ill patients who have
been in contact with the criminal justice system
and high risk civil patients.
The patient demographic consists of those found
not guilty by reason of mental illness, those unfit
to plead, mentally disordered offenders or those
at risk of offending.
Community
PPPS JH&FMHNNSW Health
CSNSW JJNSW
Government
IR
NGOs Staff
Investors
Patients
FamilyMHRTMedia
PPP Solutions Inc.
A private consortium, PPP Solutions Inc., in
partnership with Justice Health and NSW Health,
constructed The Forensic Hospital.
PPP Solutions provides:
Facilities management
Catering
Cleaning & linen services
Perimeter security
Secure transportation
Security Services role
Front-of-house security
CCTV monitoring (24/7)
External escorts
Entry and egress management
Management of Biometrics systems
Patrols (external only)
After hours help desk
All clinical services, including internal security, are
provided by the JH&FMHN through a multi-disciplinary
team of Medical, Nursing and Allied Health Professionals.
The elements of security
Mapping of security
Physical
Relational Procedural
Physical Security
Design of facilities
Deter, detect, delay and detain
Maintenance
Appropriate equipment
Modern technology
Security Philosophy
“Maximum Security” perimeter with open external
spaces:
Progressive and non-aggressive physical barriers
Perimeter detections systems
Management procedures
Innovative security design technique and advanced
technology
Utilisation of “safe bedroom” concepts
Security System
Security Management System (SMS)
Access Control & Interlocking System
Intrusion Detection System & CCTV
Duress Alarm System (mobile and fixed)
Microwave & Video Motion Detection System
Security and Radio Communication System
Contraband Detection System
Relational Security
Appropriate staff-to-patient ratio
Therapeutic alliance between staff and patients
Detailed knowledge of the patients
Dynamic security and continuing risk assessment
A high quality of care
Personal and professional skills
Procedural Security
Application of set procedures, routines and checking
“House rules”
Safe practices
Legislations, best practices and standards
Quality and Governance
Training
Security & Emergency Levels
The Forensic Hospital uses a system of
emergency levels to convey to staff the alert
status of the hospital including the level of
incident and type of response required.
Security & Emergency Levels
Prevention and
Constant Surveillance
Unit Based Incident
Emergency Response
TeamsContainment
Ultimate Objective
Integration of physical, relational and
procedural security with therapeutic goals
Outcomes
Therapeutic security
High quality of care
Significant reduction of aggression
Integration of clinical and non-clinical activities into
one therapeutic model of care
Modern facilities
How to avoid pitfalls
“The distinction between relational, physical and
procedural security is artificial. Security should be
viewed as an indivisible whole; ignore or neglect one
feature and security overall is weakened.”
T.Exworthy and J.Gunn (“Taking another tilt at high secure hospitals”, 2003)
Research
Implement safe by design principles
Manage by objectives
Benchmark
Project management
Budget
Know your context
Building the framework
Disaster and Emergency Management
Workplace Health & Safety
Asset Management
Information Management
Financial Management
Environmental Management
Risk Management
Performance management
Performance monitoring system & methods
Monthly & Daily performance reports
Self-monitoring vs Auditing
Compliance methodology
“ABC” accounting
Invest in people
Ensure robust recruitment and selection
Getting the right people into the right jobs
Provide comprehensive staff training
Offer ongoing professional development
Nurture atmosphere of trust and mutual respect
Plan your strategy
Choose right solution
In-house vs Outsourcing
Landscaping
CCTV system
Internal emergency response arrangements
Security infrastructure
Know your risks
Not involving end users
Incomplete cost, risk and benefit analysis
Micromanagement
Poor planning and design
Wrong solutionsLack of teamwork
Not utilising right design concepts and methodology
Stagnation
Financial risks
Complacency
Losing focus
Misbalance between security and therapeutic goals
Unsafe workplace
Undesirable outcomes and risks
