Restorative practice in a forensic mental health service: three case studies

Restorative practice is gaining worldwide recognition in criminal justice systems and a variety of other settings. Its use in mental health settings is steadily gaining in momentum. This paper describes three case studies in which a restorative intervention was used following an assault of staff members by a forensic patient. It offers reflections upon how success of such interventions might be measured and the key components of the interventions. The need to establish trust and containment through carefully paced preparation is highlighted. The role of the facilitator in managing the emotional temperature of the meeting and using the structure of the intervention to allow a genuine dialogue is discussed. It is suggested that engagement in a restorative intervention may contribute to an alternative story about self which promotes well-being and desistance from violence. It was found that the restorative interventions complemented the clinical work with patients and also contributed positively to the experience of staff support in the organisation.