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Tiwana, Rajveer; McDonald, Stephanie; Völlm, Birgit (2016)
Publisher: Springer Nature
Journal: International Journal of Mental Health Systems
Languages: English
Types: Article
Subjects: Long-stay patients, Health Policy, Sexual expression, European policies, Phychiatric Mental Health, Mental health, Human rights, Forensic psychiatric hospitals, Patient relationships, Research, Public Health, Environmental and Occupational Health, Psychiatry and Mental health
Background Sexual expression by forensic psychiatric patients is poorly researched. Methods Forensic experts representing 14 European countries were interviewed to explore the diverse ways in which sexual expression within forensic settings is handled. Results No country had a national policy, although many had local policies or shared practices. Progressive approaches to patient sexuality were evident in nine of the countries sampled. The UK appeared the most prohibiting and excluding, its protocols apparently based on risk aversion and lack of emphasis or consideration of patients’ sexual needs. Conclusions Uniform national policy supporting patients’ sexual expression would provide significant improvements. Electronic supplementary material The online version of this article (doi:10.1186/s13033-016-0037-y) contains supplementary material, which is available to authorised users.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Brown SD, Reavey P, Kanyeredzi A, Batty R. Transformations of self and sexuality: psychologically modified experiences in the context of forensic mental health. Health. 2014;18(3):240-60. doi:10.1177/13634559313497606.
    • 2. Gordon H, Lindqvist P. Forensic psychiatry in Europe. Psychiatr Bull. 2007;31:421-4. doi:10.1192/pb.bp.107.014803.
    • 3. Völlm B, Edworthy R, Furtado V. EPA-0119-Characteristics and needs of long stay patients in high and medium secure forensic psychiatric care: implications for service organisation. Eur Psychiatry. 2014;29(1):1-17. doi:10.1016/S0924-9338(14)77593-5.
    • 4. McCann E. The expression of sexuality in people with psychosis: breaking the taboos. J Adv Nurs. 2003;32(1):132-8. doi:10.1046/j.2648-65.2000.01452.x.
    • 5. Bartlett P, Mantovani N, Cratsley K, Dillon C, Eastman N. 'You may kiss the bride, but you may not open your mouth when you do': policies concerning sex, marriage and relationships in English forensic psychiatric facilities. Liverpool Law Rev. 2010;31:155-76. doi:10.1007/ s10991-010-9078-5.
    • 6. Perlin ML, Lynch AJ. 'All his sexual patients': persons with mental disabilities and the competence to have sex. Wash Law Rev. 2014;89(2):1-37. doi:10.2139/ssm.1908733.
    • 7. Howard League for Penal Reform. Consensual sex among men in prison. Briefing paper 1. London: Howard League for Penal Reform; 2013.
    • 8. Salize HJ, Dressing H. Placement and treatment of mentally ill oefnders-basic concepts and service provision in European Union Member States [Article in German]. Psychiatr Prax. 2007;34(8):388-94. doi:10.105 5/s-2007-970838.
    • 9. Taylor PJ, Graf M, Schanda H, Völlm B. The treating psychiatrist as expert in the courts: is it necessary or possible to separate the roles of physician and expert? Crim Behav Ment Health. 2012;22:271-92. doi:10.1002/ cbm.1843.
    • 10. Marle HV. Forensic psychiatric services in the Netherlands. Int J Law Psychiatry. 2000;23(5-6):515-31. doi:10.1016/S0160-2527(00)00049-2.
    • 11. Müller-Isberner R, Freese R, Jöckel D, Cabeza SG. Forensic psychiatric assessment and treatment in Germany. Int J Law Psychiatry. 2000;23(5- 6):467-80. doi:10.1016/S0160-2527(00)00056-X.
    • 12. Völlm B. Compulsory psychiatric detention and treatment in Finland. Psychiatr Bull. 2007;31:101-3. doi:10.1192/pb-bp.106.0094772.
    • 13. Dein K, Williams PS. Relationships between residents in secure psychiatric units: are safety and sensitivity really incompatible? Psychiatr Bull. 2008;32:284-7. doi:10.1192/pb.bp.106.011478.
    • 14. Wright ER, McCabe H, Kooreman HE. Institutional capacity to respond to the ethical challenges of patient sexual expression in state psychiatric hospitals in the United States. J Ethics Ment Health. 2012; 7:1-5. http:// www.jemh.ca/issues/v7/. Accessed 10 May 2015.
    • 15. Lew K. Study on International Attitudes to Sexual Expression in Forensic Settings (Masters dissertation). Nottingham: University of Nottingham; 2014.
    • 16. McCann E. Exploring sexual and relationship possibilities for people with psychosis: a review of the literature. J Psychiatr Ment Health Nurs. 2003;10(6):640-9. doi:10.1046/j.1365-2850.2003.00635.x.
    • 17. Mossman D, Perlin ML, Dorfman DA. Sex on the wards: conundra for clinicians. J Am Acad Psychiatry Law. 1997; 25(4):441-60. http://www.jaapl.org. Accessed 10 May 2015.
    • 18. Hales H, Romilly C, Davison S, Taylor PJ. Sexual attitudes, experience and relationships amongst patients in a high security hospital. Crim Behav Ment Health. 2006;16:254-63. doi:10.1002/cbm.
    • 19. Bruan V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. doi:10.1191/1478088706qp063oa.
    • 20. Marques JF, McCall C. The application of interrater reliability as a solidification instrument in a phenomenological study. Qualitative Rep. 2005; 10(3):439-62. http://www.nova.edu/ssss/QR/QR10-3/marques.pdf. Accessed 10 May 2015.
    • 21. Tapp J, Warren F, Fife-Shaw C, Perkins D, Moore E. What do the experts by experience tell us about 'what works' in high secure forensic inpatient hospital services? J Forens Psychiatry Psychol. 2013;24(2):160-78. doi:10.1 080/1478994902012.760642.
    • 22. Ruane J, Hayter M. Nurses' attitudes towards sexual relationships between patients in high security psychiatric hospitals in England: an exploratory qualitative study. Int J Nurs Stud. 2008;45:1731-41. doi:10.1016/j. ijnurstu.2008.06.003.
    • 23. Perlin ML. 'Everybody is making love/or else expecting rain': considering the sexual autonomy rights of persons institutionalized because of mental disability in forensic hospitals and in Asia. Wash Law Rev. 2008;83: 481-512. http://www.ssrn.com/abstract=1337164. Accessed 10 May 2015.
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