Abuse in mental health services: some theoretical considerations

Williams, Jennie; Keating, Frank

doi:10.1108/14668203200000021

Cited by 23 publications

(19 citation statements)

References 18 publications

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“…The fluctuating nature of some mental health problems and the nature of their associated vulnerabilities also differentiate adult protection work in mental health, where issues such as capacity to consent and ability to make decisions are often central. It is consequently recognized that generic adult protection policy models as specified by No Secrets (Department of Health, 2000) are not ideally suited to a mental health context, with the consequence that generic adult protection models are seen to offer only limited scope for effective action in mental health (Williams and Keating, 2000).…”

Section: Discussionmentioning

confidence: 99%

Adult Protection

Mansell

Beadle‐Brown

Cambridge

et al. 2009

Journal of Social Work

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• Summary: This study focused on the incidence of adult protection referrals, the people involved as victims, perpetrators and referrers and the type of abuse in two local authorities in the south-east of England. • Findings: The number of referrals increased over time; those for older people stabilized but those for younger adults were still rising. There was a clear association between location or setting, perpetrator and type of abuse. A referral about someone living in a care home was more likely to identify abuse by multiple staff and institutional abuse or neglect, especially if the individual was an older person with mental health problems. People with learning disabilities were more likely to experience sexual abuse, mainly from other service users or members of their family. Those living in a private home with others, primarily relatives, tended to be at risk of financial, physical or psychological abuse. Older people living alone were particularly vulnerable to financial abuse by family members or, less frequently, home care workers. • Applications : This study suggests that well-developed adult protection procedures identify many more cases than previously estimated. Further research is needed to explain the low level of referrals from mental health services and variation between territories.

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Section: Discussionmentioning

confidence: 99%

Adult Protection

Mansell

Beadle‐Brown

Cambridge

et al. 2009

Journal of Social Work

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“…To illustrate, even though femininity is demonstrably linked to clear mental health risks, studies find that women who have internalised feminine characteristics are generally considered to be normal and mentally healthy. Furthermore, as we have noted elsewhere (Williams & Keating, 2000) when training desensitises mental health workers to the powerful effects of inequality on mental health, they are unlikely to be aware of the potential damage inherent in inequalities within services. This is evidenced by the tolerance shown towards abuse and violence within mental health services.…”

Section: Service Provisionmentioning

confidence: 91%

Beyond the Water Towers: The unfinished revolution in mental health services 1985-2005 Bell Andy and Lindley PeterBeyond the Water Towers: The unfinished revolution in mental health services 1985-2005FirstSainsbury Centre for Mental Health165£1018704806431870480643

Nolan¹

2005

Mental Health Practice

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The Sainsbury Centre for Mental Health (SCMH) is a charity that works to improve the quality of life for people with severe mental health problems. It carries out research, development and training work to influence policy and practice in health and social care. SCMH was founded in 1985 by the Gatsby Charitable Foundation, one of the Sainsbury Family Charitable Trusts, from which it receives core funding. SCMH is affiliated to the Institute of Psychiatry at King's College, London. A charitable company limited by guarantee registered in England and Wales no. 4373019 Charity registration no.

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“…The quality of service provision to all clients can significantly improve only when the existence of social inequality moves into the foreground of mainstream thinking, rather than being detectable only by inference or invisible altogether. This would lead to significant improvements in the efficacy and safety of services (Williams & Keating, 2000) and facilitate reflection and positive action about discrimination, abuse and revictimisation within mental health services. I doubt whether some of Kennedy's assumptions relating to the value of mixed-gender therapeutic environments would stand up to this scrutiny.…”

Section: Service Responsesmentioning

confidence: 99%