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Working Therapeutically with Women in Secure Mental Health Settings


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Table of Contents

Acknowledgements. Foreword, Jenni Murray. Introduction, Tessa Watson and Nikki Jeffcote. Part I: Theory-Building. 1. Thinking About the Needs of Women in Secure Settings, Nikki Jeffcote and Ray Travers, National High Secure Women's Directorate, Rampton Hospital. 2. Dangerous Journeys: Women's Pathways Into and Through Secure Mental Health Services, Jennie Williams, Inequality Agenda, Sara Scott, Barnardo's and Carole Bressington, Inequality Agenda. 3. Women and Offending, Helen Rutherford, West London Mental Health NHS Trust. 4. Troubled Inside: Vulnerability in Prison, Jackie Short, Awen Women's Service and Miranda Barber, Awen Women's Service. 5. Women and Risk, Tony Maden, Imperial College London. 6. More Alike than Different: Gender and Forensic Mental Health, Gwen Adshead, Broadmoor Hospital. Part II: Practice. 7. Working Together: Integrated Multi-Disciplinary Practice with Women, Tessa Watson, Amanda Bragg, West London Mental Health Trust and Nikki Jeffcote. 8. Thinking Under Fire: The Challenge for Forensic Mental Health Nurses Working with Women in Secure Care, Anne Aiyegbusi, Broadmoor Hospital. 9. Hiding and Being Lost: The Experience of Female Patients and Staff on a Mixed Sex Ward, Anna Motz, Oxfordshire Mental Healthcare NHS Trust. 10. Sharing Strength, Wisdom, Pain and Loss: A Women's Group in a Medium Secure Setting, Nikki Jeffcote, Tessa Watson, Amanda Bragg and Sarah Devereux, West London Mental Health NHS Trust. 11. A Psychodynamically-Orientated Group for Women with Learning Disabilities, Su Thrift, North Warwickshire Primary Care Trust and Carole Rowley, North Warwickshire Primary Care Trust. Part III: Service Development. 12. The Development of Medium Secure Services for Women, Tim Lambert, West London Mental Health NHS Trust and Maja Turcan, West London Mental Health NHS Trust. 13. Closing the Gap between Evidence and Practice: The Role of Training in Transforming Women's Services, Sara Scott and Jennie Williams. 14. Men, Women and Good Practice, Les Petrie, Avon and Wiltshire Mental Health Partnership and Nikki Jeffcote. 15. A Gender-Specific Advocacy Model, or `I Found My Voice and I Love it!', Laila Namdarkhan, Women in Secure Hospitals.

About the Author

Nikki Jeffcote is a clinical psychologist working with both inpatients and outpatients in the Forensic Service of West London Mental Health NHS Trust. Tessa Watson is a Music Therapist and a senior lecturer and convener for Music Therapy programmes at the University of Surrey, Roehampton.


This book is an invaluable resource for all healthcare professionals working with women in secure services. It offers an insight into the needs of an often reviled but vulnerable client group. -- Journal of Advanced Nursing
The Editors have successfully maintained a readable and thought-provoking style in a multi-author text and the book can be recommended to all mental health professionals in this field. -- The Mental Health Review
This publication is aimed at practitioners who work with women in secure settings. There is relatively little material available which integrates practice, research and service development issues in this challenging area, and this publication fills an important gap. The first section explores and explains the theoretical issues which should underpin relevant policies and practices by the different practitioners operating in this, somewhat neglected, field. The section covers matters such a gender and forensic mental health, the vulnerability of women in prison, and women's pathways into and through secure mental health services. The second focuses on practice issues including challenges for forensic mental health nurses; experiences of women patients, and lessons for practice from a women's group in a medium secure setting. The final section explores key themes for service development. This is a thought-provoking and authoritative resource. -- Care and Health Magazine
This is an honest and open review of the challenges faced by staff working with women in secure mental health settings, and current research, thinking and developments in service provision. It's contributors provide a rich multi-disciplinary perspective, in welcome contrast to the medical model that more usually drives high and medium secure units...Contributors question current practice in, for example, the management of aggression and the use of response teams, discussing these interventions from the viewpoints of service users and suggesting more positive alternative approaches... Well-written and intense insight into working with this challenging client group. -- Mental Health Today

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