Supporting the Sexual Intimacy Needs of Patients in a Longer Stay Inpatient Forensic Setting

Quinn, Chris; Happell, Brenda

doi:10.1111/ppc.12123

Cited by 16 publications

(20 citation statements)

References 40 publications

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“…This caused lack of clarity among health workers on how to address those issues. Similar challenges were reported by health workers in qualitative studies conducted in other countries outside Africa [ 31 , 33 , 37 ]. This shows a general lack of planning for integration of other health services in mental hospitals.…”

Section: Discussionsupporting

confidence: 78%

A qualitative exploration of Ugandan mental health care workers’ perspectives and experiences on sexual and reproductive health of people living with mental illness in Uganda

2022

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Background People with Mental Illness experience vast sexual and reproductive health challenges due to the affected mental health. Globally, prevalence of mental illness is on the rise with subsequent increase in the number of people with sexual and reproductive challenges warranting urgent public health intervention. However, information on the perceptions and experiences of mental health workers, the key health care providers for this population is generally lacking yet it’s essential for formulation of appropriate policies and public health interventions. Aim To explore Ugandan mental health care worker’s perspectives and experiences on the sexual and reproductive health of people living with mental illness in Uganda in order to generate recommendations to the ministry of health on how it can be improved. Materials and methods Qualitative study design was employed with utilization of phone call semi-structured in-depth interviews to collect data from 14 mental health workers from Uganda’s National mental referral hospital, Butabika. Purposive sampling and convenience recruitment was done and the collected data was analyzed using Thematic content analysis. Results Four themes were generated which included people with Mental illness having normal sexual needs, mental illness effect on sexuality and relationships, practices for safeguarding sexuality of people with mental illness and the barriers encountered in the provision of sexual and reproductive health services at a mental hospital. Conclusion People with mental illness experience a multitude of sexual and reproductive health challenges that need public health interventions. However, the integration of sexual and reproductive health services in a mental hospital are not yet successful making people with mental illness to remain with unaddressed health challenges. Policies should therefore be developed and implemented to ensure successful integration of sexual and reproductive health at all mental health service care provision points.

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Section: Discussionsupporting

confidence: 78%

A qualitative exploration of Ugandan mental health care workers’ perspectives and experiences on sexual and reproductive health of people living with mental illness in Uganda

2022

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“…That's not a therapeutic attitude I know, and it doesn't really work very well but I do feel it from time to time" (p. 1737). Prohibitions on patients' sexual intimacy have been attributed to punitive attitudes despite there being little evidence to suggest such activity is harmful to patients (Quinn and Happell 2016).…”

Section: Punitivenessmentioning

confidence: 99%

Strength- and recovery-based approaches in forensic mental health in late modernity: Increasingly incorporating a human rights angle?

Tomlin

Jordan

2021

Soc Theory Health

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Forensic mental health care is situated across both criminal justice and healthcare systems and is subject to political, cultural, legal and economic shifts in these contexts. The implementation of strength- and recovery-based models of care should be understood in light of these social and structural processes. Drawing on novel empirical fieldwork and the extant literature, we argue that full realisation of strength- and recovery-based principles is at odds with aspects of late modern social control. Not wholly compatible, we highlight how concepts of empowerment, autonomy, identity and connectedness can unhelpfully rub-up against the concepts of punitiveness, otherness and risk management. Conceptually this is problematic, but in frontline forensic psychiatry settings, this has real lived-experience detrimental effects for patients – as our data demonstrate. To address this, a human rights approach might be fruitful. Grounding arguments for strength- and recovery-based principles in the heuristic framework of human rights can offer a set of common values to stimulate reform in forensic mental healthcare. The right to respect for private and family life, home and correspondence under Article 8 of the European Convention on Human Rights and Fundamental Freedoms offers a particularly promising, robust and well-defined framework for these future changes – as we outline.

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“…Further to that, what solutions, if any, are already being implemented by patients or frontline healthcare workers behind closed doors? Due to lack of focused care policy that specifically addresses sexual health and, more specifically, sexual activity in healthcare settings, alternative solutions, such as the development of unit‐specific guidelines, have been suggested (Quinn & Happell, ). Ignoring the need for sexual health in healthcare does not make it disappear but rather renders it invisible, vulnerable to judgement, misinterpretation or lack of acknowledgement altogether.…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

Let's talk about sex: A feminist poststructural approach to addressing sexual health in the healthcare setting

Ollivier

Aston

Price

2018

Journal of Clinical Nursing

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Relations of power inherent within healthcare settings are everpresent and negotiated, though rarely openly questioned and debated. With regard to sexual health inclusive of sexual activity and sexual pleasure, a subject often criticised or viewed as taboo in society, the impact of relations of power may often result in interpersonal tensions, feelings of embarrassment, silence or judgement. In reflecting upon and analysing sexual health in healthcare settings, the tenets of feminist poststructuralism (FPS) will be integrated with relevant literature to identify the beliefs, values and practices of the personal, social and institutional constructions of sexual health discourses and influence on practices of healthcare professionals and patients. | AIMS• To discuss and critique the historical, social and institutional constructions of sexual health discourses within healthcare settings, inclusive of tertiary care, rehabilitation and long-term care. AbstractAims and objectives: To explore the use of feminist poststructuralism (FPS) as a way to critique, understand and improve sexual health care and policy in healthcare settings.Background: Sexual health is an important aspect of health; however, in healthcare settings, it often goes unaddressed by both healthcare providers and patients due to stigma, taboo, fear of embarrassment or uncertainty. Lack of attention to sexual health has been stated as a legitimate concern for patients across the lifespan; there remain gaps in implementing sexual health care discussions into practice in healthcare settings. Design:A critical analysis will be presented to explore sexual health care and attitudes in the healthcare setting from patient and nursing perspectives using FPS. Methods:Feminist poststructuralism is used to examine the meaning of experience that is personally, socially and institutionally constructed through relations of power.FPS will also be applied to understand how sexual health discourses are negotiated in healthcare settings. SQUIRE guidelines were used in the preparation of this paper (See Appendix S1). Relevance to clinical practice:The application of a feminist poststructural lens to sexual health care in healthcare settings may be used by healthcare professionals to understand, question and challenge how social and institutional beliefs, values and practices surrounding sexual health, inclusive of a patient's sexual pleasure or sexual activity, are experienced by healthcare professionals and patients. This theoretical and methodological approach could lead to identifying possibilities for change in healthcare settings that are inclusive and supportive of sexual health care. K E Y W O R D S feminism, health care, holistic care, nursing practice, poststructuralism, sexual activity, sexual health, sexual pleasure S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Ollivier R, Aston M, Price S. Let's talk about sex: A feminist post...

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Supporting the Sexual Intimacy Needs of Patients in a Longer Stay Inpatient Forensic Setting

Cited by 16 publications

References 40 publications

A qualitative exploration of Ugandan mental health care workers’ perspectives and experiences on sexual and reproductive health of people living with mental illness in Uganda

A qualitative exploration of Ugandan mental health care workers’ perspectives and experiences on sexual and reproductive health of people living with mental illness in Uganda

Strength- and recovery-based approaches in forensic mental health in late modernity: Increasingly incorporating a human rights angle?

Let's talk about sex: A feminist poststructural approach to addressing sexual health in the healthcare setting

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