scholarly journals The changing climate for women patients in medium secure psychiatric units

2001 ◽  
Vol 25 (9) ◽  
pp. 340-342 ◽  
Author(s):  
Yonette Hassell ◽  
Annie Bartlett
Keyword(s):  
Private Sector ◽  
Continuity Of Care ◽  
Telephone Survey ◽  
Clinical Implications ◽  
Women Patients ◽  
Single Gender ◽  
England And Wales ◽  
Changing Climate ◽  
Psychiatric Units ◽  
Mixed Gender

Aims and MethodWe conducted a telephone survey of medium secure units in England and Wales to determine the distribution of women patients.ResultsThe 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 ImplicationsIncreased 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.

scholarly journals Taking the temperature: attitudes of patients on an all-female psychiatric ward to staff gender

2009 ◽  
Vol 33 (12) ◽  
pp. 457-460
Author(s):  
Lisa Conlan ◽  
Helen Read ◽  
Elizabeth Picton
Keyword(s):  
Best Practice ◽  
Large Majority ◽  
Psychiatric Ward ◽  
Clinical Implications ◽  
Single Gender ◽  
Weekly Basis ◽  
Staff Members ◽  
Anonymous Questionnaire ◽  
Predominantly Female ◽  
Mixed Gender

Aims and MethodTo survey the attitudes of in-patients on an all-female ward to staff gender. All patients were invited to complete an anonymous questionnaire which was then repeated on a four-weekly basis for 4 months. Staff members were surveyed once within this period.ResultsOnly 15% of patients (n = 52) wanted all staff members to be female, whereas 87% reported feeling comfortable with male staff; 51% would prefer a predominantly female, mixed-gender staff. All staff (n = 11) were in favour of mixed-gender staffing.Clinical ImplicationsCurrent best practice for staffing single-gender acute in-patient units is unclear. This survey is in line with findings from other studies in that a large majority of female in-patients prefer to be in a unit with mixed staff.

scholarly journals Men in eating disorder units: a service evaluation survey regarding mixed gender accommodation rules in an eating disorder setting

2018 ◽  
Vol 42 (6) ◽  
pp. 258-263 ◽  
Author(s):  
Akira Fukutomi ◽  
Frances Connan ◽  
Anthony P. Winston ◽  
Pia Ghosh
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Evaluation ◽  
Clinical Implications ◽  
Single Gender ◽  
Department Of Health ◽  
Male Patients ◽  
Men With Eating Disorders ◽  
Mixed Gender ◽  
Evaluation Survey

Aims and methodThis service evaluation was conducted to find out: (1) if mixed gender accommodation in eating disorder units is perceived to be helpful or unhelpful for recovery, and (2) if men were being discriminated against by the implementation of the 2010 Department of Health (DoH) guidelines on the elimination of mixed gender wards. All 32 in-patient units accredited on the Quality Network for Eating Disorders were contacted via a survey.ResultsWe received 38 responses from professionals from 26 units and 53 responses from patients (46 female, 7 male) from 7 units. Four units had closed admissions to male patients due to DoH guidelines.Clinical implicationsWe found that it is possible to provide admission for men with eating disorders, while respecting the single gender accommodation rules, and that doing so is likely to be helpful for both genders and prevents discrimination against men.Declaration of interestNone.

scholarly journals The ability of adolescent psychiatric units to accept emergency admissions: changes in England and Wales between 2000 and 2005

2007 ◽  
Vol 31 (12) ◽  
pp. 457-459 ◽  
Author(s):  
Andrew J. Cotgrove ◽  
Rachel McLoughlin ◽  
Anne O'Herlihy ◽  
Paul Lelliott
Keyword(s):  
Young People ◽  
Emergency Services ◽  
Emergency Admission ◽  
Clinical Implications ◽  
Out Of Hours ◽  
Emergency Admissions ◽  
England And Wales ◽  
Psychiatric Units ◽  
Equity Of Access ◽  
Psychiatric Beds

AIMS AND METHODThe lead consultants of all adolescent in-patient psychiatric units in England and Wales were surveyed in 2000 and again in 2005, to determine whether they could admit young people in an emergency.RESULTSIn 2000, 51 of 64, and in 2005, 70 of 79 units responded. Although the number of units with dedicated ‘emergency admission beds’ had increased from 6 to 16, 34% of the total could never admit as an emergency in 2005 and 44% could never admit out of hours. The consultants estimated that, in 2005, they turned away 72% of referrals for emergency admission. Although 87% of consultants agreed that there should be emergency access to specialist adolescent psychiatric beds, concern was expressed that services are not configured to accept emergency admissions.CLINICAL IMPLICATIONSThis problem is unlikely to be resolved by requiring units to accept both emergency and planned admissions. These groups have very different needs. Coherent and unified commissioning is needed to achieve equity of access to emergency beds, along with separate planned admission units and a range of alternative emergency services.

scholarly journals Facilities for carers of in-patients in forensic psychiatric services in England and Wales

2010 ◽  
Vol 34 (9) ◽  
pp. 381-384 ◽  
Author(s):  
Irene Cormac ◽  
Drew Lindon ◽  
Hannah Jones ◽  
Trevor Gedeon ◽  
Michael Ferriter
Keyword(s):  
Mental Health ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
England And Wales ◽  
Mental Health Settings ◽  
Forensic Psychiatric ◽  
Minority Ethnic ◽  
Psychiatric Facilities

Aims and methodA postal survey of forensic psychiatric facilities in England and Wales was undertaken to obtain information about the services provided for carers of in-patients within these services.ResultsForensic psychiatric services vary in the support and facilities provided for carers. Many do not comply with current legislation for carers. Most units informed carers of their rights to have an assessment, but only a minority provided facilities for carers from Black and minority ethnic backgrounds.Clinical implicationsForensic psychiatric services should meet standards for the involvement and support of carers in mental health settings, and comply with legislation for carers.

Towards risk-based water resources planning in England and Wales under a changing climate

2011 ◽  
Vol 26 (1) ◽  
pp. 118-129 ◽  
Author(s):  
J. W. Hall ◽  
G. Watts ◽  
M. Keil ◽  
L. de Vial ◽  
R. Street ◽  
...  
Keyword(s):  
Water Resources ◽  
Water Resources Planning ◽  
England And Wales ◽  
Changing Climate ◽  
Resources Planning

scholarly journals Fertility Decline in Rwanda: Is Gender Preference in the Way?

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Ignace Habimana Kabano ◽  
Annelet Broekhuis ◽  
Pieter Hooimeijer
Keyword(s):  
Health Surveys ◽  
Gender Composition ◽  
Demographic And Health Surveys ◽  
Gender Preference ◽  
Parity Progression ◽  
Single Gender ◽  
Community Based ◽  
Living Children ◽  
Mixed Gender ◽  
Gender Specific

In 2007 Rwanda launched a campaign to promote 3 children families and a program of community based health services to improve reproductive health. This paper argues that mixed gender offspring is still an important insurance for old age in Rwanda and that to arrive at the desired gender composition women might have to progress beyond parity 3. The analyses are twofold. The first is the parity progression desire given the gender of living children. The second is gender specific replacement intention following the loss of the last or only son or daughter. Using the Demographic and Health Surveys of 2000, 2005, and 2010, we show that child mortality does not lead to extra parity progression beyond three, while having single gender offspring does and even more so when this is the result of the loss of the last son or daughter.

A Meta-Analysis of Rape Education Programs

2001 ◽  
Vol 16 (3) ◽  
pp. 303-321 ◽  
Author(s):  
Leanne R. Brecklin ◽  
David R. Forde
Keyword(s):  
Attitude Change ◽  
Evaluation Studies ◽  
Meta Analysis ◽  
Single Gender ◽  
Education Programs ◽  
Unpublished Studies ◽  
Program Characteristics ◽  
Gender Groups ◽  
Rape Education ◽  
Mixed Gender

Meta-analysis of evaluation studies of rape education programs aimed at college students examined which program characteristics were related to participants’ rape-supportive attitude change. Linear regression analyses revealed that: (a) published studies yielded greater attitude change than dissertations, presentations, or unpublished studies; (b) attitude change declined over time; and (c) men in mixed-gender groups experienced less attitude change after interventions than men in single-gender groups. Implications for the development of effective rape education programs are discussed.

CONTRIBUTION OF THE PRIVATE SECTOR TO ELECTIVE SURGERY IN ENGLAND AND WALES

The Lancet ◽  
1984 ◽  
Vol 324 (8394) ◽  
pp. 89-92 ◽  
Author(s):  
J.P. Nicholl ◽  
B.T. Williams ◽  
K.J. Thomas ◽  
J. Knowelden
Keyword(s):  
Private Sector ◽  
Elective Surgery ◽  
England And Wales
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