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Sexual and reproductive health (SRH) needs of women admitted to eileen skellern ward (ES1) psychiatric intensive care unit (PICU)

Published online by Cambridge University Press:  13 August 2021

E. Rose ,
L. Blake ,
E. Covshoff ,
F. Sethi ,
R. Rathouse ,
A. Wilson ,
A. Bolade  and
R. Pittrof
E. Rose
Affiliation:
Psychiatric Intensive Care Unit, THE MAUDSLEY HOSPITAL, LONDON, United Kingdom
L. Blake*
Affiliation:
Psychiatric Intensive Care Unit, THE MAUDSLEY HOSPITAL, LONDON, United Kingdom
E. Covshoff
Affiliation:
Camberwell Sexual Health Clinic, KINGS COLLEGE LONDON, LONDON, United Kingdom
F. Sethi
Affiliation:
Psychiatric Intensive Care Unit, THE MAUDSLEY HOSPITAL, LONDON, United Kingdom
R. Rathouse
Affiliation:
Psychiatric Intensive Care Unit, THE MAUDSLEY HOSPITAL, LONDON, United Kingdom
A. Wilson
Affiliation:
Psychiatric Intensive Care Unit, THE MAUDSLEY HOSPITAL, LONDON, United Kingdom
A. Bolade
Affiliation:
Psychiatric Intensive Care Unit, THE MAUDSLEY HOSPITAL, LONDON, United Kingdom
R. Pittrof
Affiliation:
Camberwell Sexual Health Clinic, KINGS COLLEGE LONDON, LONDON, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

PICU inpatients are likely to be at increased risk of having unmet SRH needs due to barriers to accessing services. Since May 2018, an in-reach SRH assessment has been available to all psychiatric inpatients on ES1 ward, if referred. Analysis of referrals over 15 months identified only 24 had been made during this time.

Objectives

To assess the SRH needs of women admitted to ES1 PICU, the feasibility of providing a SRH in-reach clinic, and the acceptability of delivering a nurse lead referral programme.

Methods

A bi-monthly SRH in-reach clinic and a nurse led SRH referral pathway were implemented on ES1 over a seven-month period. A staff training needs assessment was performed followed by training, a protocol was developed, staff attitudes were explored, and patient engagement was sought.

Results

A total of 41% (32/77) of patients were referred, which was a 29% increase. 53.1% (17/32) of the total referrals had a true SRH need, equating to a 10% increase and 22% (17/77) of all PICU admissions. 90% of referrals were made by nursing staff. A staff focus group (n15) highlighted the acceptability and perceived importance of offering SRH care in PICU, if interventions were appropriately timed and the patient’s individual risk profile was considered.

Conclusions

Results identify that SRH needs for PICU admissions are greater than previously realised. Providing a nurse led referral pathway for an SRH in-reach clinic is acceptable, feasible and beneficial for PICU patients. This project has resulted in service improvements including offering asymptomatic STI testing to all PICU admissions.

Disclosure

No significant relationships.

Keywords

PSYCHIATRIC INTENSIVE CARE UNITWOMEN’S MENTAL HEALTHSEXUAL AND REPRODUCTIVE HEALTH, SEXUAL MEDICINE AND MENTAL HEALTH
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S816
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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