Women in secure care

Pathways of care of women in secure hospitals: which women go where and why.

BACKGROUND Care pathways for women needing expensive, secure hospital care are poorly understood. AIMS To characterise women in low and medium security hospitals in England and Wales and to compare populations by security and service provider type. METHOD Census data from all specialist commissioning areas. Sociodemographic, clinical, medico-legal, criminological and placement needs data we...

Handbook of Secure Care

Experiences of women in secure care who have been prescribed clozapine for borderline personality disorder

BACKGROUND Clozapine is an atypical antipsychotic medicine which can cause significant side-effects. It is often prescribed off-license in severe cases of borderline personality disorder contrary to national treatment guidelines. Little is known about the experiences of those who take clozapine for borderline personality disorder. We explored the lived-experience of women in secure inpatient ca...

Predicting hospital aggression in secure psychiatric care

BACKGROUND Risk assessment instruments have become a preferred means for predicting future aggression, claiming to predict long-term aggression risk. AIMS To investigate the predictive value over 12 months and 4 years of two commonly applied instruments (Historical, Clinical and Risk Management - 20 (HCR-20) and Violence Risk Appraisal Guide (VRAG)). METHOD Participants were adult male psyc...

Exploring undergraduate midwifery students’ readiness to deliver culturally secure care for pregnant and birthing Aboriginal women

BACKGROUND Culturally secure health care settings enhance accessibility by Aboriginal Australians and improve their satisfaction with service delivery. A culturally secure health service recognises and responds to the legitimate cultural rights of the recipients of care. Focus is upon the health care system as well as the practice and behaviours of the individuals within it. In an attempt to pr...