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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.
How does prison visiting affect female offenders' mental health? Implications for education and development
- Authors:
- DE MOTTE Claire, BAILEY Di, WARD James
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 7(4), 2012, pp.170-179.
- Publisher:
- Emerald
Women in custody are said to be five times more likely to have a mental health problem than the general population. Visits by relatives or volunteers are one way of preserving familial ties and increasing social support. This paper sets out to determine the state of visiting for women in the English prison system and to explore the relationship between women's mental health and visits in prison. The authors gathered data from a review of the academic and grey literature as well as relevant internet forums and blogs. All literature published from 1983 onwards was included to coincide with the introduction of Pat Carlen's campaigning group Women in Prison (WIP). The review focused on literature from England and Wales to reflect the National Criminal Justice System. Key themes revealed include; visit rejection, the importance of visits for maintaining identity and the contradicting emotions that women in prison experience when visited. The authors note that although social relationships and family ties are protective factors for prisoners' mental wellbeing, the number and frequency of visits to offenders in custody has declined. The role of prison visiting schemes to improve the mental wellbeing of women in custody is explored, including the implications for the education and training of staff and visitors involved in the process.
Women like me: supporting wellbeing in girls and women
- Author:
- PLATFORM 51
- Publisher:
- Platform 51
- Publication year:
- 2010
- Pagination:
- 17p.
- Place of publication:
- Oxford
Noting that girls and women face pressures and experiences that can affect their mental health and emotional well-being, this publication reports on research looking at how widespread mental health and well-being problems are among girls and women, the consequences of poor mental health, and what support is available. Platform 51's research, which included a nationally representative survey of more than 2,000 girls and women in England and Wales, internal surveys of Platform 51 service users and focus groups, showed that 63% of women in England and Wales aged 12 and over have been affected by mental health problems of some kind. The report presents the findings, with examples from service users, about what triggers the onset of mild to moderate mental health problems in girls and women, the behavioural consequences of mental health problems, and the support girls and women look for when facing mental health problems, including family support, professional help, medication versus talking therapies, going it alone, and fears and stigma. It also sets out the research findings about what girls and women considered important in providing effective services to treat mental health problems, covering women only services, early intervention and building resilience, and accessibility and appropriateness. It includes recommendations and a brief case study of the Platform 51 Knowsley partnership with mental health services. The report calls for an immediate and comprehensive review of the support offered to girls and women with mental health problems.
The Corston Agenda: supporting women at risk of offending
- Author:
- EPSTEIN Rona
- Journal article citation:
- Criminal Law and Justice Weekly, 28.8.10, 2010, pp.537-539.
- Publisher:
- LexisNexis Butterworths
- Place of publication:
- London
Many women in prison have with low level mental health issues and are at risk of self harm. In 2007 a report by Baroness Jean Corston, 'Women with Particular Vulnerabilities in the Criminal Justice System', called for improved community alternatives to custody for women and investment in diverting women away from offending. This article looks at projects set up after the Corston Report, which aim to support vulnerable women at risk of offending and divert them from custody. The article focuses on initiatives that are part of The Corston Independent Funders' Coalition; the National Development Programme; and the Women's Centres Forum.
Women with learning disabilities who offend: what do we know?
- Author:
- HAYES Susan Carol
- Journal article citation:
- British Journal of Learning Disabilities, 35(3), September 2007, pp.187-191.
- Publisher:
- Wiley
This paper aims to summarise what is known about women with a learning disability who offend and indicate some directions for future research.
Psychiatric disorders in women prisoners who have engaged in near-lethal self-harm: case–control study
- Authors:
- MARZANO Lisa, et al
- Journal article citation:
- British Journal of Psychiatry, 197(3), September 2010, pp.219-226.
- Publisher:
- Cambridge University Press
Female prisoners are 20 times more likely to die by suicide than women of the same age in the general population. This study aimed to investigate the prevalence of psychiatric disorders in women prisoners who had nearly died as a result of a suicide attempt compared with female prisoners who had never made a near-lethal attempt in prison. The study comprised semi-structured face-to-face interviews with 60 cases and 60 controls from all closed female prison establishments in England and Wales. In addition to gathering details of sociodemographic, criminological and clinical history, the interview assessed participants’ current and lifetime disorders using the Mini-International Neuropsychiatric Interview. The results showed that at the time of their near-lethal self-harm, 53 cases (88%) were on ACCT (Assessment, Care in Custody and Teamwork), the system for the care of prisoners at risk of suicide and self-harm in England and Wales. The cases had significantly greater levels of psychiatric morbidity than controls, and more comorbidity. The strongest associations with near-lethal self-harm were with current depression, the presence of 2 or more diagnoses, a history of psychiatric in-patient treatment, and previous attempted suicide, especially in prison. The only tested diagnoses not associated with near-lethal self-harm were antisocial personality disorder, substance use and eating disorders. This research underlines the importance of psychiatric risk factors for suicide in custody and in particular comorbidity. The finding that a formal care plan was in place for most cases at the time of their near-lethal act is indicative of good risk detection, but also suggests high levels of unmet need.
Protecting the human rights of vulnerable women: a spotlight on deaths of women in prison
- Author:
- COLES Deborah
- Journal article citation:
- Probation Journal, 57(1), March 2010, pp.75-82.
- Publisher:
- Sage
The trends in self-inflicted deaths of women in custody in England and Wales are reviewed and commented upon in this short article by a co-director of INQUEST, an organisation which has been instrumental, via previous publications on research and practice with women in custody, in drawing national and international attention to the issues causing and arising from the deaths of women in prison and the investigations thereafter. Making mention of various case studies of women in New Hall and Styal prisons, the author argues that prison is an inappropriate response to the problems faced by many women offenders, current policies are failing to protect their human rights and this failure to take action is causing deaths.
Unemployment, age, gender and regional suicide in England and Wales 1973-90: a harbinger of increased suicide for the 1990s?
- Author:
- PRITCHARD Colin
- Journal article citation:
- British Journal of Social Work, 25(6), December 1995, pp.767-790.
- Publisher:
- Oxford University Press
The Department of Health's 'Health of the Nation' aims at a substantial reduction in suicide. However, there are a number of socioeconomic changes that have occurred which may lead to increased suicide. Using suicide data and unemployment data finds out if they are in any way linked and discusses the implications of the findings for practitioners in probation and social services departments.
Mapping the maze: services for women experiencing multiple disadvantage in England and Wales
- Publishers:
- Agenda, AVA
- Publication year:
- 2017
- Pagination:
- 47
- Place of publication:
- London
The report of the Mapping the Maze project, set up to map specialist support available for women affected by substance use, mental ill-health, homelessness and offending and highlight gaps in provision. The report also provides a model of good practice for working with women affected by substance use, mental ill-health, homelessness and offending. The model has four broad components: organisational ethos, safe and enabling environment, approach to working and organisational practice: It was developed through the results a literature review, consultation with women accessing services and consultation with professionals who deliver or campaign for specialist interventions for women. Key findings from the study include: the belief amongst women that specialist women’s services are the best way to meet their needs, that good services are often about the culture of the service and the staff rather than any one specific element of service design, and that specialist services for women experiencing disadvantage are under-resourced. Recommendations from the project for government, commissioners and service providers are set out in the final section. These include the need for a cross-government approach and funding stream for women experiencing multiple disadvantage and joined-up funding across local areas to deliver improved support for women experiencing multiple disadvantage. (Edited publisher abstract)
Managed care networks improve perinatal mental healthcare for black and minority ethnic (BME) women?
- Author:
- EDGE Dawn
- Journal article citation:
- Journal of Public Mental Health, 10(3), 2011, pp.151-163.
- Publisher:
- Emerald
Noting that perinatal mental illness (maternal mental ill-health during pregnancy and early motherhood) is a serious public health issue and affects women from all ethnic backgrounds, this article argues that structural inequalities increase the likelihood of under detection and treatment among black and minority ethnic (BME) women. A national survey to examine perinatal mental health provision, and potential unmet needs among BME women, in England and Wales was undertaken between September 2009 and March 2010. Information was collected from a sample of coordinators of regional perinatal networks and other key perinatal mental health care stakeholders, using a questionnaire developed specifically for the survey. 45 health and social care professionals responded to the survey and there were 14 follow-up telephone interviews. This article presents and discusses the findings concerning professional stakeholders' views about current perinatal mental health provision and BME women, and proposals to improve this through managed care networks (linked groups of professionals working together). It concludes that proposals to improve perinatal mental health provision for women in general and BME women in particular by developing more holistic care pathways are timely, and includes recommendations to address issues in key areas.