Search results for ‘Subject term:"severe mental health problems"’ Sort:
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The psychological effects on nursing staff of administering physical restraint in a secure psychiatric hospital: 'When I go home, it's then that I think about it'
- Authors:
- SEQUEIRA Heather, HALSTEAD Simon
- Journal article citation:
- British Journal of Forensic Practice, 6(1), February 2004, pp.3-15.
- Publisher:
- Emerald
The study examines the experiences of physical restraint procedures reported by nursing staff in a secure mental health service. Interview data were subjected to thematic content analysis in accordance with grounded theory methodology. Nursing staff reported a range of emotional responses to the use of restraint procedures. They included anxiety, anger, boredom, distress and crying. Staff coped with the emotional responses to restraint in a variety of ways. Some staff reported the 'stigma' attached to showing feelings to other staff. They described how laughter was used to reduce stress following an incident and how distressing emotions had to be taken home. Possible implications of these responses and clinical practice are discussed.
Control and restraint in the UK: service user perspectives
- Authors:
- SEQUEIRA Heather, HALSTEAD Simon
- Journal article citation:
- British Journal of Forensic Practice, 4(1), February 2002, pp.9-18.
- Publisher:
- Emerald
This study examines the experiences restraint procedures reported by in-patients of a secure mental health service. Results found patients had differential experiences of similar physical procedures. Most reported some negative psychological experiences of restraint. Anger and anxiety were two major themes. Some female service users reported that restraint evoked flashbacks of previous sexual trauma. A subset of female respondents gave contrasting accounts of restraint, suggesting that they purposely brought about the restraint to gain a sense of containment or as a way to release feelings. Possible implications of these responses for clinical practice are discussed.
Restraint and seclusion: service user views
- Authors:
- SEQUEIRA Heather, HALSTEAD Simon
- Journal article citation:
- Journal of Adult Protection, 4(1), February 2002, pp.15-24.
- Publisher:
- Emerald
Reviews the literature documenting the personal views and experience of people with learning disabilities and severe mental health problems following physical restraint or seclusion.
Psychological disturbance associated with sexual abuse in people with learning disabilities: case control study
- Authors:
- SEQUEIRA Heather, HOWLIN Patricia, HOLLINS Sheila
- Journal article citation:
- British Journal of Psychiatry, 183(11), November 2003, pp.451-456.
- Publisher:
- Cambridge University Press
The association between sexual abuse, mental health and behavioural problems in people with learning disabilities has not previously been examined in a controlled study. The aim was to identify symptoms of psychological disturbance in adults with and without a confirmed history of sexual abuse. The study used a matched (1:1) case-control design comparing 54 adults who had experienced sexual abuse with 54 adults with no reported history of abuse. The two groups were selected from a community population of adults with learning disabilities living in residential care, and compared for selected psychiatric diagnoses and for scores on measures of disturbed behaviour. Sexual abuse was associated with increased rates of mental illness and behavioural problems, and with symptoms of post-traumatic stress. Psychological reactions to abuse were similar to those observed in the general population, but with the addition of stereotypical behaviour. The more serious the abuse, the more severe the symptoms that were reported. The study provides the first evidence from a controlled study that sexual abuse is associated with a higher incidence of psychiatric and behavioural disorder in people with learning disabilities.