A pressing need for the integration of current practice, research and service development is addressed in this comprehensive book, which explores the experience of work with women in secure mental health settings.The first section offers different perspectives on the needs and situations of this minority population. It includes consideration of the differing needs of women and men, and key environmental and therapeutic issues highlighted by recent research and service provision. Further chapters cover clinical illustrations of work with women in different settings, including descriptions of integrated multi-disciplinary practice, discussion of the experience of female patients and staff on a mixed sex ward, and exploration of therapeutic groupwork. The final section offers practice guidelines and frameworks for both individual staff and professional teams. At a time when the government's national agenda for mental health has focused on specialist secure provision for women, this book is essential reading for all those working in this challenging area. CONTENTSAcknowledgements. Foreword, Jenni Murray. Introduction, Tessa Watson and Nikki Jeffcote. Part I: Theory-Building. 1. Thinking About the Needs of Women in Secure Settings, Nikki Jeffcote and Ray Travers, National High Secure Women's Directorate, Rampton Hospital. 2. Dangerous Journeys: Women's Pathways Into and Through Secure Mental Health Services, Jennie Williams, Inequality Agenda, Sara Scott, Barnardo's and Carole Bressington, Inequality Agenda. 3. Women and Offending, Helen Rutherford, West London Mental Health NHS Trust. 4. Troubled Inside: Vulnerability in Prison, Jackie Short, Awen Women's Service and Miranda Barber, Awen Women's Service. 5. Women and Risk, Tony Maden, Imperial College London. 6. More Alike than Different: Gender and Forensic Mental Health, Gwen Adshead, Broadmoor Hospital. Part II: Practice. 7. Working Together: Integrated Multi-Disciplinary Practice with Women, Tessa Watson, Amanda Bragg, West London Mental Health Trust and Nikki Jeffcote. 8. Thinking Under Fire: The Challenge for Forensic Mental Health Nurses Working with Women in Secure Care, Anne Aiyegbusi, Broadmoor Hospital. 9. Hiding and Being Lost: The Experience of Female Patients and Staff on a Mixed Sex Ward, Anna Motz, Oxfordshire Mental Healthcare NHS Trust. 10. Sharing Strength, Wisdom, Pain and Loss: A Women's Group in a Medium Secure Setting, Nikki Jeffcote, Tessa Watson, Amanda Bragg and Sarah Devereux, West London Mental Health NHS Trust. 11. A Psychodynamically-Orientated Group for Women with Learning Disabilities, Su Thrift, North Warwickshire Primary Care Trust and Carole Rowley, North Warwickshire Primary Care Trust. Part III: Service Development. 12. The Development of Medium Secure Services for Women, Tim Lambert, West London Mental Health NHS Trust and Maja Turcan, West London Mental Health NHS Trust. 13. Closing the Gap between Evidence and Practice: The Role of Training in Transforming Women's Services, Sara Scott and Jennie Williams. 14. Men, Women and Good Practice, Les Petrie, Avon and Wiltshire Mental Health Partnership and Nikki Jeffcote. 15. A Gender-Specific Advocacy Model, or 'I Found My Voice and I Love it!', Laila Namdarkhan, Women in Secure Hospitals.
Acknowledgements. Foreword, Jenni Murray. Introduction, Tessa Watson and Nikki Jeffcote. Part I: Theory-Building. 1. Thinking About the Needs of Women in Secure Settings, Nikki Jeffcote and Ray Travers, National High Secure Women's Directorate, Rampton Hospital. 2. Dangerous Journeys: Women's Pathways Into and Through Secure Mental Health Services, Jennie Williams, Inequality Agenda, Sara Scott, Barnardo's and Carole Bressington, Inequality Agenda. 3. Women and Offending, Helen Rutherford, West London Mental Health NHS Trust. 4. Troubled Inside: Vulnerability in Prison, Jackie Short, Awen Women's Service and Miranda Barber, Awen Women's Service. 5. Women and Risk, Tony Maden, Imperial College London. 6. More Alike than Different: Gender and Forensic Mental Health, Gwen Adshead, Broadmoor Hospital. Part II: Practice. 7. Working Together: Integrated Multi-Disciplinary Practice with Women, Tessa Watson, Amanda Bragg, West London Mental Health Trust and Nikki Jeffcote. 8. Thinking Under Fire: The Challenge for Forensic Mental Health Nurses Working with Women in Secure Care, Anne Aiyegbusi, Broadmoor Hospital. 9. Hiding and Being Lost: The Experience of Female Patients and Staff on a Mixed Sex Ward, Anna Motz, Oxfordshire Mental Healthcare NHS Trust. 10. Sharing Strength, Wisdom, Pain and Loss: A Women's Group in a Medium Secure Setting, Nikki Jeffcote, Tessa Watson, Amanda Bragg and Sarah Devereux, West London Mental Health NHS Trust. 11. A Psychodynamically-Orientated Group for Women with Learning Disabilities, Su Thrift, North Warwickshire Primary Care Trust and Carole Rowley, North Warwickshire Primary Care Trust. Part III: Service Development. 12. The Development of Medium Secure Services for Women, Tim Lambert, West London Mental Health NHS Trust and Maja Turcan, West London Mental Health NHS Trust. 13. Closing the Gap between Evidence and Practice: The Role of Training in Transforming Women's Services, Sara Scott and Jennie Williams. 14. Men, Women and Good Practice, Les Petrie, Avon and Wiltshire Mental Health Partnership and Nikki Jeffcote. 15. A Gender-Specific Advocacy Model, or 'I Found My Voice and I Love it!', Laila Namdarkhan, Women in Secure Hospitals.
This is an honest and open review of the challenges faced by staff working with women in secure mental health settings, and current research, thinking and developments in service provision. It's contributors provide a rich multi-disciplinary perspective, in welcome contrast to the medical model that more usually drives high and medium secure units...Contributors question current practice in, for example, the management of aggression and the use of response teams, discussing these interventions from the viewpoints of service users and suggesting more positive alternative approaches... Well-written and intense insight into working with this challenging client group.
