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Women detained in hospital: a report by the Mental Health Act Commission
- Author:
- MENTAL HEALTH ACT COMMISSION
- Publisher:
- Mental Health Act Commission
- Publication year:
- 2009
- Pagination:
- 37p.
- Place of publication:
- London
This report highlights some of the key issues found by the Mental Health Act Commission over two years in visiting and talking to women patients detained in NHS and independent hospitals in England and Wales, including how many are detained, gender separation, women detained on predominantly male wards, the public sector duty to promote gender equality, providing a sense of safety, the role of the built environment, acute admission wards, secure care, the role of nursing and other disciplines, physical healthcare, maintaining family contact, assessment, rehabilitation and recovery and models of therapeutic care, and diversity, ending with a conclusion and recommendations. Note: The Mental Health Act Commission was abolished in March 2009. This document is no longer freely available on the Internet.
Women prisoners: an analysis of the process of hospital transfers
- Authors:
- BARTLETT Annie, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 23(4), August 2012, pp.538-553.
- Publisher:
- Taylor and Francis
Department of Health guidelines suggest that transfers of prisoners with mental health problems to secure psychiatric hospitals for treatment under the Mental Health Act should take 14 days from first assessment to transfer. This study examined the extent to which transfers of women prisoners from a large women's prison in England met this target. It analysed pre-existing routinely collected data relating to 100 recommendations for hospitalisation to establish rate of transfer and, where applicable, reasons for slow transfer. The article reports on the data analysis and results, including characteristics of women transferred and not transferred to hospital, diagnosis and transfer duration, offending behaviour and transfer duration, and type of hospital placement and transfer duration. The study found that, of the 86 women who completed transfer, only 13% of cases were transferred within the recommended 14 days, and that the process median was 37 days. Less serious offending was related to shorter transfer times, but legal routes intended for urgent hospitalisation under section 48 of the 2007 Mental Health Act were found to be no quicker than other methods. The authors conclude that transfer delays are not acceptable and that the use of the section 48 urgent treatment order needs review.
Mental health of women detained by the criminal courts: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2014
- Pagination:
- 52
- Place of publication:
- Edinburgh
This report details findings from themed visits on the care and treatment women with mental health problems receive when imprisoned or detained by the criminal courts in Scotland. Visits took place between May and September 2013 and a total of 51 women were interviewed (30 women across five prisons and 21 women in eight hospital). Issues examined included use of drugs and alcohol; children and family contact; and domestic violence and abuse. The experiences of women varied considerably. The report also highlights the different experiences that women receive once they are in the hospital system and the need for better community support to prevent the need for detention. Recommendations include: improved mental health assessment for those charged with violent and disruptive behaviour; better coordination between addition and mental health services; supporting mothers in prison to maintain contact with their children, and improving community support for women experiencing mental health problems. (Original abstract)
What is to be done? MHAC recommendations for detained patients' services
- Author:
- KINTON Mat
- Journal article citation:
- Mental Health Review, 7(1), March 2002, pp.25-27.
- Publisher:
- Pier Professional
Outlines the main areas covered in the the Ninth Biennial Report of the Mental Health Act Commission. Topics include rights, quality and standards of care, safety and security, high security hospitals, and black and minority ethnic people, children and women.
Service responses to women with mental health needs
- Author:
- WILLIAMS Jennie
- Journal article citation:
- Mental Health Review, 7(1), March 2002, pp.6-14.
- Publisher:
- Pier Professional
The authors suggest that we have reached a turning point in Britain in relation to mental health service provision for women. The article draws on a range of sources, including information gathered as part of a national programme to develop and pilot training for staff in secure services who work with women with mental health needs. It also looks at findings from a recent survey on attitudes to mental health services for women.
Women admitted to secure forensic psychiatry services: I. Comparison of women and men
- Authors:
- COID Jeremy, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.275-295.
- Publisher:
- Routledge
This study compared the demographic and diagnostic characteristics, psychiatric histories and criminal records of female and male patients from a complete sample of special (high-security) hospital admissions from all health regions, and medium- security admissions from seven of fourteen regions, in England and Wales from 1988 to 1994. The annual rate of male admissions to the secure specialist services was 5.6 times that for females. The findings suggest that new specialist therapeutic regimes for women are needed. Future research should examine their needs for internal and perimeter security and compare their needs with those of men.
Women admitted to secure forensic psychiatry services: II. Identification of categories using cluster analysis
- Authors:
- COID Jeremy, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.296-315.
- Publisher:
- Routledge
It has been recommended that there should be new therapeutic regimes for women who need secure inpatient services. Cluster analysis was applied to the diagnoses of 471 women admitted to Special Hospitals and medium secure units over a 7-year period from a geographically representative area of seven health regions in the UK. The aim was to identify categories that may facilitate the development of new specialist services. A seven-cluster solution revealed three subgroups of women with personality disorder as their primary psychopathology, three with major mental illness, and one with organic brain syndrome. Each may require different therapeutic regimes and levels of inpatient security. Further research is necessary to determine whether any single category could be managed in specialist facilities without recourse to high perimeter security.
Women in context: good practice in mental health services for women
- Editors:
- PERKINS Rachel, et al
- Publisher:
- Good Practices in Mental Health
- Publication year:
- 1996
- Pagination:
- 146p.,bibliog.
- Place of publication:
- London
Collection of papers aiming to contribute to a better understanding of women's needs and the development of appropriate mental health services and initiatives that validate women's experiences. Includes chapters on: the survivor perspective; women as carers; women as mental health workers; African women in the diaspora; Asian women; Chinese women; Irish women in Britain; Jewish women; refugee women; lesbians; older women; women with children; women living in rural areas; sexual abuse in childhood; serious long term mental health problems; mental health issues and learning disabilities; problems around food; self injury; secure provision and the special hospitals; sexual harassment and assault in psychiatric services; and key issues in services for all women.