Women who use secure services: applying the literature to women with learning disabilities

Fish, Rebecca

doi:10.1108/jfp-09-2012-0016

Cited by 5 publications

(4 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It, therefore, seems surprising that conversely, the evidence base regarding and adapted DBT programmes, such as the I Can Feel Good programme (Ingamells and Morrissey, 2014), focuses mainly upon male populations. Despite the growing literature regarding the experiences of females within inpatient mental health, there is a paucity of literature exploring women with ID in such settings (Fish, 2013). Hellenbach et al (2015) also highlight the paucity of research regarding specific service provision for female offenders with ID and additional mental health needs.…”

Section: Discussionmentioning

confidence: 99%

“We can feel good”: evaluation of an adapted DBT informed skills programme in medium security

Ashworth

Brotherton²

2018

AMHID

View full text Add to dashboard Cite

Purpose The purpose of this paper is to provide a routine evaluation of clinical effectiveness of an adapted DBT informed skills programme (“I Can Feel Good”; Ingamells and Morrissey, 2014), run on both male and female intellectual disability wards of a medium security psychiatric hospital. Design/methodology/approach A pre–post evaluation study of routine clinical practice was undertaken utilising staff report scales collected as the primary source of evaluation. Findings Findings show a positive shift regarding each module for both gender groups. Due to observed baseline differences between gender groups, data were separated and analysed separately. Non-parametric statistical analysis demonstrates statistically significant improvement across three modules for the male sample (managing feelings, coping in crisis and people skills) and two modules for the female sample (managing feelings and people skills). Originality/value There appears to be subtle outcome differences regarding this programme for both gender groups across modules. Potential reasons for this are discussed, along with clinical reflections regarding gender differences and adaptations. Reflections upon future revisions including the integration of the new DBT skills (Linehan, 2014) are made in light of these findings.

show abstract

Section: Discussionmentioning

confidence: 99%

“We can feel good”: evaluation of an adapted DBT informed skills programme in medium security

Ashworth

Brotherton²

2018

AMHID

View full text Add to dashboard Cite

show abstract

“…In this research, we collaborated with a NHS hospital that further specializes in the care and treatment of people with a Learning Disability. We focused especially on the women in this service, who typically suffer from significant mental health problems (67% of female offenders with an Intellectual Disability in MSUs are diagnosed with a mental disorder [22]) and represent one of the most vulnerable patient groups. In addition to referrals by the criminal justice system, women also get admitted by community or mental health services [37] not because of any offending behavior, but due to the severity of their self-harming acts, or aggression towards other people or property that demand this higher level of secure care [22].…”

Section: Context: Women In Medium Secure Servicesmentioning

confidence: 99%

“…extreme shame, panic or rage) to phases of euphoria, causing feelings of irritability, depression and anxiety [36]. In attempting to cope with intense negative emotions, the women tend to engage in behaviors that promise immediate relief or distraction, often displaying anger outbursts and violent behaviors; or engaging in self-harming behaviors such as cutting oneself, ingesting objects into the body, or self-neglect [35,22]. Rooted in unpredictable emotional responses, they also exhibit a variety of cognitive disturbances that disrupt the development of their sense of self.…”

Section: Context: Women In Medium Secure Servicesmentioning

confidence: 99%

Challenges for Designing new Technology for Health and Wellbeing in a Complex Mental Healthcare Context

Thieme

McCarthy

Johnson

et al. 2016

Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems

View full text Add to dashboard Cite

This paper describes the challenges and lessons learned in the experience-centered design (ECD) of the Spheres of Wellbeing, a technology to promote the mental health and wellbeing of a group of women, suffering from significant mental health problems and living in a medium secure hospital unit. First, we describe how our relationship with mental health professionals at the hospital and the aspirations for person-centric care that we shared with them enabled us, in the design of the Spheres, to innovate outside traditional healthcare procedures. We then provide insights into the challenges presented by the particular care culture and existing services and practices in the secure hospital unit that were revealed through our technology deployment. In discussing these challenges, our design enquiry opens up a space to make sense of experience living with complex mental health conditions in highly constrained contexts within which the deployment of the Spheres becomes an opportunity to think about wellbeing in similar contexts.

show abstract

“…This is, perhaps, attributable to the forensic focus of the research; heavily weighted towards men in general (Lippold, 2016). This reflects the paucity of research regarding specific service provision for female offenders with ID and additional mental health needs (Hellenbach et al, 2015;Fish, 2013). Initial evaluation of the ICFG programme allowed for comparison across two groups, findings of which indicated subtle gender differences.…”

Section: Introductionmentioning

confidence: 99%

We can still feel good: evaluation of the I can feel good programme second edition in a low secure unit

Ashworth

Robinson

Harrison

et al. 2021

AMHID

View full text Add to dashboard Cite

Purpose This paper aims to present the process of reviewing, adapting and evaluating, the second edition of the I Can Feel Good programme (Ashworth et al., 2018) and adapted DBT programme facilitated at a low-security psychiatric hospital for men with intellectual disability. Through the presentation of programme development, evaluation and revision, a more thorough and transparent understanding of the process involved can be disseminated. Design/methodology/approach The programme lasted approximately 14 months and covered all four modules. N = 5, all-male, ages ranged between 23 and 57 years old. All detained under the MHA (1983) with a primary diagnosis of Mild ID with comorbid psychiatric diagnoses including mental illness, autism spectrum disorders and personality disorder. To evaluate routine effectiveness a pre-post comparison within groups design was used. A standardised GAS approach provided a template to score the degree to which identified goals were achieved over the intervention for participants. Findings Wilcoxon signed-rank tests were used due to data not meeting parametric assumptions regarding normal distribution. Except for the mindfulness module, all modules saw pre to post programme psychometric results in the desired direction, evidencing skills acquisition. Coping in crisis and managing feelings modules outcomes neared statistical significance, with the module of people skills demonstrating statistical significance (p < 0.05). Originality/value Upon examination of the results, it appears as though the second edition pilot programme, displayed initially promising results. The clinical and statistical aspects of the programme are explored, in the hope that clinicians may consider the programme’s application and utility within various clinical contexts, in addition to gaining insight into the process of programme development and refinement.

show abstract

Women who use secure services: applying the literature to women with learning disabilities

Cited by 5 publications

References 48 publications

“We can feel good”: evaluation of an adapted DBT informed skills programme in medium security

“We can feel good”: evaluation of an adapted DBT informed skills programme in medium security

Challenges for Designing new Technology for Health and Wellbeing in a Complex Mental Healthcare Context

We can still feel good: evaluation of the I can feel good programme second edition in a low secure unit

Contact Info

Product

Resources

About