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The changing climate for women patients in medium secure psychiatric units

  • Yonette Hassell and Annie Bartlett (a1)
Abstract
Aims and Method

We conducted a telephone survey of medium secure units in England and Wales to determine the distribution of women patients.

Results

The survey identified 1836 medium secure beds, housing 342 women patients. Women in the NHS were housed primarily in mixed-gender units (170 women, 94%). Most NHS beds in single-gender units were for men (56 beds), whereas most private sector beds in single-gender units were for women (79 beds).

Clinical Implications

Increased awareness of the often inappropriateness of services for women in mixed-gender units has led to units deciding not to admit women patients and, inadvertently, more single-gender beds for men in NHS units than for women. The NHS units have to rely on private sector units to provide beds in single-gender units for women, perhaps at the expense of effective continuity of care.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (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.
References
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Eastman, N., Ghandi, E. & Bellamy, S. (2001) Admission Criteria to Secure Services and Service Definitions. Report to the Department of Health. London: Department of Health.
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Home Office & Department of Mental Health and Social Security (1975) Report of the Committee on Mentally Abnormal Offenders (Butler Report). Cmnd 6244. London: HMSO.
Jameson, E., Butwell, M., Taylor, P., et al (2000) Trends in special (high-security) hospitals. British Journal of Psychiatry, 176, 253259.
Maden, A. (1996) Women, Prisons and Psychiatry: Medical Disorder Behind Bars. Oxford: Butterworth–Heinemann.
Milne, S., Barron, P., Fraser, K., et al (1995) Sex differences in patients admitted to a regional secure unit. Medical Science Law, 35, 5760.
Murray, K. (1996) The use of beds in NHS medium secure units in England. Journal of Forensic Psychiatry, 7, 504524.
Rampton Hospital (1998) Forensic Director (3rd edn). Retford, Nottingham: Rampton Hospital.
Special Hospitals Service Authority (1995) Service Strategies for Secure Care. London: SHSA.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The changing climate for women patients in medium secure psychiatric units

  • Yonette Hassell and Annie Bartlett (a1)
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