Abstract:The Primrose Project has been developed, as part of the Dangerous People with Severe Personality Disorder (DSPD) programme in England and Wales, to specifically address the complex needs of women prisoners who pose a significant danger to the public. It has been recognised that the needs of these women prisoners may differ from those of men in the DSPD programme. The Primrose project therefore aims to deliver more effective prison-based healthcare interventions to these dangerous women prisoners to reduce risk… Show more
“…This can work to reduce power imbalances when living in such close confinement (Knowles, Hearne, and Smith 2015). Supportive relationships were very important for women's progression in this research, and they also contributed to behavioural stability, the main quantifier of progression on the unit (Fish 2016;Travers and Reeves 2005). According to Herman's (1997) concept of recovery, the growth of good relationships between staff and service users can protect against the perceptions of repetition of past traumas as described so often in the literature about coercive methods (for example, Aitken and Noble 2001).…”
Physical restraint is used in inpatient services for people with intellectual disabilities as a way of holding a person to avoid injury. This article uses data from an ethnographic study in a locked unit in the north of England to explore women's experiences of physical restraint using a feminist disability studies analysis. Data consists of field notes as well as interviews with 16 of the women who had experienced restraint, and 10 staff who worked with them. The women gave insights into the gendered phenomenon of restraint in light of their past experiences of violence. The authors argue that restraint is used with women to encourage passivity at times when more relational and therapeutic methods could be used. The article offers recommendations for alternative strategies that services can encourage.
“…This can work to reduce power imbalances when living in such close confinement (Knowles, Hearne, and Smith 2015). Supportive relationships were very important for women's progression in this research, and they also contributed to behavioural stability, the main quantifier of progression on the unit (Fish 2016;Travers and Reeves 2005). According to Herman's (1997) concept of recovery, the growth of good relationships between staff and service users can protect against the perceptions of repetition of past traumas as described so often in the literature about coercive methods (for example, Aitken and Noble 2001).…”
Physical restraint is used in inpatient services for people with intellectual disabilities as a way of holding a person to avoid injury. This article uses data from an ethnographic study in a locked unit in the north of England to explore women's experiences of physical restraint using a feminist disability studies analysis. Data consists of field notes as well as interviews with 16 of the women who had experienced restraint, and 10 staff who worked with them. The women gave insights into the gendered phenomenon of restraint in light of their past experiences of violence. The authors argue that restraint is used with women to encourage passivity at times when more relational and therapeutic methods could be used. The article offers recommendations for alternative strategies that services can encourage.
“…Taking responsibility and gaining trust feature frequently in the literature about recovery in psychiatric services (Travers & Reeves, ; Turton et al, ), and these were also prominent in discussions about progression on the unit. For example, staff member Dawn talked about Jane who, after years of constant observation, was considered to be “progressing” extremely well and would soon be “moving on” into the community:…”
BackgroundThe move to community support for all people with intellectual disabilities is an aspiration with international significance. In this article, we draw on rich accounts from women with intellectual disabilities detained under the Mental Health Act (E&W) 1983 and staff at an National Health Service secure setting in England to explore how “moving on” is defined and perceived.MethodsThe study reports on an ethnographic study using the field‐notes and the 26 semi‐structured interviews with detained women and staff on three wards.ResultsWe first explore staff conceptions of moving on, which include behavioural change and utilizing coping strategies. Then, we discuss the areas of analysis that women discussed: taking back responsibility, success in arranged relationships, acceptance of regime and resistance to progression.ConclusionThe concepts of moving on were not determined by the women but by the service. We recommend further research which explores women's own rehabilitation requirements.
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