Psychosocial and forensic characteristics of adult mental health patients referred to an Australian secure extended care unit and predictors of acceptance

Das P, Robertson E, Harpwood V, Tierney S

International Journal of Social Psychiatry, 2026 · doi:10.1177/00207640261439746

ABSTRACT

SECUs are the most restrictive intervention within the mental health rehabilitation continuum for non-forensic public mental health patients. This study explored psychosocial and forensic characteristics and predictors of acceptance across the same 5-year cohort. 98 first-time referrals included in the main analysis.

N = 98 first-time · Forensic profile · Acceptance predictors

KEY FINDINGS

  • Forensic and psychosocial complexity characterised the referral cohort beyond clinical diagnosis alone

  • Identified predictors of SECU acceptance, enabling more targeted referral pathways

  • Supports integration of Continuing Care Units and SECUs for seamless rehabilitation transitions

  • Advocates for an interdisciplinary holistic model of care addressing complex physical, psychological, and social needs

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