Redeveloping secure psychiatric services for women

Thomas, Stuart D. M., Dolan, Mairead, Shaw, Jenny, Thomas, Samantha, Thornicroft, Graham and Leese, Morven 2005, Redeveloping secure psychiatric services for women, Medicine, science and the law, vol. 45, no. 4, pp. 331-339, doi: 10.1258/rsmmsl.45.4.331.

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Title Redeveloping secure psychiatric services for women
Author(s) Thomas, Stuart D. M.
Dolan, Mairead
Shaw, Jenny
Thomas, SamanthaORCID iD for Thomas, Samantha
Thornicroft, Graham
Leese, Morven
Journal name Medicine, science and the law
Volume number 45
Issue number 4
Start page 331
End page 339
Total pages 9
Publisher Sage
Place of publication London, Eng.
Publication date 2005-10
ISSN 0025-8024
Summary Historically, a substantial proportion of women have been unduly detained in conditions of high security in England due to the lack of suitable alternative facilities. There have been no studies that have comprehensively examined the individual needs of these women in relation to their placement needs. A cross sectional survey was undertaken of the individual and placement needs of all females detained in the three high security psychiatric hospitals (HSPHs) in England on 18th October 1999. Whilst there are clearly differences in accommodation needs among the women, those requiring lower secure services are significantly less likely to have needs in relation to violence (OR 0.29, 95% CI 0.14-0.62) and drugs (OR 0.29, 95% CI 0.12-0.67) when length of stay is taken into account. They also have lower security, treatment and dependency needs than women still requiring HSPH treatment. A significant reorganisation of services is required. There is a need to gain further understanding of the relationships between traumatic histories, clinical presentation and antisocial behaviour and how these impact on assessed risk, treatment and care needs and outcome. The special needs of these women should be considered a priority when developing treatment and care packages.
Language eng
DOI 10.1258/rsmmsl.45.4.331
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 920507 Women's Health
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Sage
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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