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The strongest international recognition of the importance of women’s health in prisons and the urgent need for radical change was highlighted of a WHO Conference held recently in Kiev, Ukraine.

Forensic mental health services play an important role in providing treatment and accommodation for people diverted from prison or the courts who require secure and specialist mental health treatment. There are more than 3,500 people in medium and high‐secure hospitals who have been directed there by the courts or prison system, and nearly 1,000 new admissions are received each year. Yet, the facts and figures relating to these services are patchy and not widely published. This paper builds on an earlier statistical briefing produced by the Sainsbury Centre for Mental Health in 2007, and seeks to provide an up‐to‐date and improved understanding of this area of service provision by presenting the most recent data and figures.

Imprisonment for public protection (IPP) has been the subject of much attention and some controversy since its implementation in April 2005. High numbers of IPP prisoners, combined with a low release rate, have meant that IPP has had a significant impact on the prison population. This paper charts the genesis of IPP and its historical antecedents. It also explores IPP as an exemplar of the ‘rise of risk’ and focuses on its links to the ‘dangerous severe personality disorder’ pilots. It presents two hypotheses on the mental health implications of IPP.

This paper seeks to outline the central role of concepts in the knowledge universe, and the intertwining roles of works, instantiations, and documents. In particular the authors are interested in ontological and epistemological aspects of concepts and in the question to which extent there is a need for natural languages to link concepts to create meaningful patterns.

The authors describe the quest for the smallest elements of knowledge from a historical perspective. They focus on the metaphor of the universe of knowledge and its impact on classification and retrieval of concepts. They outline the major components of an elementary theory of knowledge interaction.

The paper outlines the major components of an elementary theory of knowledge interaction that is based on the structure of knowledge rather than on the content of documents, in which semantics becomes not a matter of synonymous concepts, but rather of coordinating knowledge structures. The evidence is derived from existing empirical research.

The paper shifts the bases for knowledge organization from a search for a universal order to an understanding of a universal structure within which many context‐dependent orders are possible.

The aim of the project was to evaluate the short‐term treatment outcomes of patients treated in a medium secure service for people with intellectual disability. A total of 138 patients, 77 discharged and 61 current inpatients, treated over a six‐year period were included in the audit. Information on demographic and clinical variables was collected on a pre‐designed data collection tool and analysed using appropriate statistical methods. The median length of stay for the discharged group was 2.8 years. About 90% of this group were discharged to lower levels of security and about a third went directly to community placements. None of the clinical and forensic factors examined was significantly associated with length of stay for this group. There was a ‘difficult to discharge long‐stay’ group which had more patients with criminal sections, restriction orders, history of abuse, fire setting, personality disorders and substance misuse. However, when regression analysis was done, most of these factors were not predictive of the length of stay. Clinical diagnosis or offending behaviour categories are poor predictors of length of hospital stay, and there is a need to identify empirically derived patient clusters using a variety of clinical and forensic variables. Common datasets and multi‐centre audits are needed to drive this.