Wards of fear

Article Abstract:

UK female psychiatric patients are increasingly becoming victims of sexual assault and rape in mixed-sex hospital wards, according to pressure groups. A sexual assault had been carried out on 4% of female psychiatric patients, according to a study carried out in 1995, with 75% of patients subjected to some form of abuse. The introduction of female-only wards has reduced the number of attacks in some hospitals although many units feel the presence of women on a mixed-ward can be beneficial to male patients. The Royal College of Nursing is calling for greater provision of single-sex wards.

Prevention, Rape, Women patients

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Close observation: how to improve assessments

Article Abstract:

Close observation of acute psychiatric patients is a common, and potentially life-saving, procedure, which also infringes on the patient's liberty. Close observation is performed on a one-to-one basis, and the most common reason given for the practice is to prevent the patient from absconding, with the related risk of harm to themselves or others. The practice can have a therapeutic value if it is combined with assessment and cognitive and behavioural inputs, and if it is carried out by permanent staff. Charts for assessing the need for close observation are included.

Practice, Psychiatric personnel, Mental health personnel

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Responding to aggression

Article Abstract:

Aggressive behaviour by patients with mental health difficulties may not necessarily be a sign that their mental condition is getting worse, as has traditionally been believed. In fact, if the psychiatric hospital is encouraging patients to regain their independence, then violent questioning of nursing procedures on the part of the patient is a good sign. If this is not understood, patient frustration will increase. Possible solutions to the issue are discussed.

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