id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-310809-z0isuuui	Simpson, Alexander I. F.	Management of COVID-19 Response in a Secure Forensic Mental Health Setting	2020-06-23		.txt	text/plain	3556	176	50	OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic presents major challenges to places of detention, including secure forensic hospitals. We experienced outbreaks of COVID-19 on two secure forensic units with 13 patients and 10 staff becoming positive. Policy changes can help isolate forensic populations from the community spread of infection but the ability to maintain effective social distancing within the institution may be limited, reducing the ability to control the spread of COVID-19 within such settings. The purpose of this article is to describe the approach taken by a 182-bed forensic program within a large psychiatric facility to plan for and manage the early phase of the COVID-19 outbreak. The first concern about COVIDþ status within the forensic program was on March 23 when a staff member became unwell on a 20-bed medium secure unit. On a second medium secure unit, a 28-bed acute admitting unit, a patient became symptomatic on March 30 and returned a positive COVID-19 test on April 1.	./cache/cord-310809-z0isuuui.txt	./txt/cord-310809-z0isuuui.txt