On being invisible in the mental health system

Jennings, Andrew

doi:10.1007/bf02521356

Cited by 55 publications

(18 citation statements)

References 71 publications

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“…There is a tendency to control every aspect of the patient's life -to manage the therapist's own anxieties, and to infantilise patients. Some argue that such treatment victimises or re-victimises individuals (Jennings, 1994). Article 8 of the Human Rights Act 1998 protects the in-patient's family and personal relationships.…”

Section: Human Rightsmentioning

confidence: 99%

Relationships between residents in secure psychiatric units: are safety and sensitivity really incompatible?

Dein¹

2008

Psychiatr. bull.

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Since the 1960s, Western society has adopted a more liberal attitude to sexuality. Choice of sexual partners, sexual preferences, attitudes and practices are increasingly a matter of individual choice and freedom. These changes, however, have had little impact on the lives of psychiatric in-patients (Eiguer et al, 1974; Akhtar et al, 1977; Taylor & Swan, 1999). ‘Mental illness,’ it has been suggested, ‘is one of the few disabilities where people run the risk of losing their freedom in order to receive in-patient treatment’ (Cook, 2000). This loss of liberty and rights becomes more pronounced in secure settings where mentally disordered offenders can spend a substantial part of their adult (sexual/reproductive) lives. Prisoners in some US state prisons (of medium and low security) are afforded conjugal visits from their married partners, in view of the rights of the latter. Paradoxically, detention in secure units, which we consider a therapeutic and not a punitive measure, places constraints on the formation of new relationships and the maintenance of previously existing ones. New relationships are, in our experience, viewed with more concern than previously existing ones.

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Section: Human Rightsmentioning

confidence: 99%

Relationships between residents in secure psychiatric units: are safety and sensitivity really incompatible?

Dein¹

2008

Psychiatr. bull.

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“…While they do make important points, they do not go as far as analysing the gendered effects of these restrictive practices. Although some qualitative projects explore gendered rationales for aggression (Clements, Clare, and Ezelle 1995;Edwards 1999;Hejtmanek 2010;Wilcox, Finlay, and Edmonds 2006), and some studies in mental health units have included women's experiences of restrictive practices, including feelings of retraumatisation (Gallop et al 1999;Jennings 1994;Mohr, Petti, and Mohr 2003), no studies to date have focused solely on analysing experiences of physical restraint from a gender and disability perspective.…”

Section: Gender and Restraint In Institutionsmentioning

confidence: 99%

Gendered experiences of physical restraint on locked wards for women

Fish

Hatton

2017

Disability & Society

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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.

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“… The story of Anna Jennings (Jennings, 1994)  How common mental health practices mirror the dynamics of a trauma experience  Impact of re-traumatization on clients  Impact of re-traumatization on staff  Increase awareness of potential retraumatization through interactions, procedures and policies  Recognize the impact of re-traumatization on clients and staff Three levels of trauma practice (lecture)  Trauma-informed  Trauma-sensitive  Trauma-specific  Be able to articulate the difference between the three levels of trauma practice  Identify the levels of practice that make sense for their organization…”

Section: Re-traumatization (Lecture)mentioning

confidence: 99%

Developing Trauma-Informed Care Champions: A Six-Month Learning Collaborative Training Model

Koury

Green

2017

ASW

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This paper describes a six-month learning collaborative for service providers seeking to implement trauma-informed care (TIC) into their agencies. Although the professional literature on trauma-informed care has grown substantially over the past 10 years, little research has focused on how to effectively train agencies in creating a traumainformed culture shift. Participants were trained as "TIC champions" to help facilitate the creation of trauma-informed approaches in their agencies. Through a parallel process, they learned the skills for planning and implementing a trauma-informed approach in their agency. At the completion of the training, trainers observed champions becoming more confident in their ability to assist their agencies in creating a trauma-informed culture shift. Though quantitative studies evaluating the learning collaborative are needed, initial findings suggest the collaborative approach is an effective means of guiding champions through the process of becoming trauma-informed. Keywords: Trauma-informed care; agency change; trainingResearch indicates that trauma/adversity is a pervasive public health concern (Hornor, 2015;Roberts, Huang, Crusto & Kaufman, 2014; Substance Abuse and Mental Health Services Administration [SAMHSA], 2014b). The Adverse Childhood Experiences (ACE) study found that more than one-half of the study participants experienced at least one adverse event such as physical or sexual abuse during their childhood (Felitti et al., 1998). Adversity does not necessarily equate to trauma; however, people who experience adverse events may perceive the events as traumatic. Kilpatrick et al. (2013) found 89.7% of the 2,953 adults in their study reported having been exposed to at least one traumatic event as defined by the DSM-5's Criterion A (American Psychiatric Association [APA], 2013). Due to the pervasiveness of trauma, multiple service sectors-beyond behavioral healthinteract daily with individuals who have a trauma history (SAMHSA, 2014b). Although it is not the role of all sectors to treat trauma directly by offering trauma-specific services, sectors that work with trauma survivors have the potential to re-traumatize, or replicate the dynamics of an individual's trauma, through trauma-insensitive practices and proceduresthus worsening service outcomes. Trauma-Informed CareTrauma-informed care (TIC) is an organizational approach that strives to prevent retraumatization while promoting healing. The TIC service provider approaches each client with the assumption the individual may have experienced trauma (Wolf, Green, Nochajski, Mendel & Kusmaul, 2014). Service organizations themselves are starting to shift toward becoming trauma-informed systems of care in order to better address the needs of Koury & Green/DEVELOPING TIC CHAMPIONS 146 individuals with trauma histories (Bassuk, Unick, Paquette, & Richard, 2017; Wolf et al., 2014).Professionals' interactions with service recipients, as well as agency policies and procedures that are trauma-informed, reflect the p...

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On being invisible in the mental health system

Cited by 55 publications

References 71 publications

Relationships between residents in secure psychiatric units: are safety and sensitivity really incompatible?

Relationships between residents in secure psychiatric units: are safety and sensitivity really incompatible?

Gendered experiences of physical restraint on locked wards for women

Developing Trauma-Informed Care Champions: A Six-Month Learning Collaborative Training Model

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