Contemporary women's secure psychiatric services in the United Kingdom: A qualitative analysis of staff views

T. Walker, D. Edge, J. Shaw, H. Wilson, L. Mcnair, H. Mitchell, K. Gutridge, J. Senior, M. Sutton, R. Meacock, K. Abel

Research output: Contribution to journalArticle

Abstract

Abstract
Introduction
Women's Enhanced Medium Secure Services (WEMSS) is bespoke, gender-sensitive services which opened in the UK in 2007 at three pilot sites. This study is the first of its kind to explore the experiences of WEMSS staff, directly comparing them to staff in a standard medium secure service for women. The literature to date has focused on the experiences of service users or staff views on working with women in secure care.

Aim
This qualitative study, embedded in a multimethod evaluation of WEMSS, aimed to explore the views and experiences of staff in WEMSS and comparator medium secure services.

Methods
Qualitative interviews took place with nine WEMSS staff and nine comparator medium secure staff. Interviews focused on factors important for recovery, barriers to facilitating recovery and operational aspects of the service.

Discussion
This study provides a rare insight into the perspectives of staff working in UK women's secure services, an under-researched area in the UK and internationally. Findings suggest that the success of services, including WEMSS, is compromised by operational factors such as the use of bank staff.

Implications for practice
Comprehensive training and supervision should be mandatory for all staff, so best practice is met and staff adequately supported.
LanguageEnglish
Pages660-670
Number of pages11
JournalJournal of Psychiatric and Mental Health Nursing
Volume24
Issue number9-10
Early online date3 Nov 2017
DOIs
Publication statusPublished - Nov 2017
Externally publishedYes

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Psychiatry
Interviews
Working Women
Practice Guidelines
United Kingdom

Cite this

Walker, T. ; Edge, D. ; Shaw, J. ; Wilson, H. ; Mcnair, L. ; Mitchell, H. ; Gutridge, K. ; Senior, J. ; Sutton, M. ; Meacock, R. ; Abel, K. / Contemporary women's secure psychiatric services in the United Kingdom : A qualitative analysis of staff views. In: Journal of Psychiatric and Mental Health Nursing. 2017 ; Vol. 24, No. 9-10. pp. 660-670.
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Walker, T, Edge, D, Shaw, J, Wilson, H, Mcnair, L, Mitchell, H, Gutridge, K, Senior, J, Sutton, M, Meacock, R & Abel, K 2017, 'Contemporary women's secure psychiatric services in the United Kingdom: A qualitative analysis of staff views', Journal of Psychiatric and Mental Health Nursing, vol. 24, no. 9-10, pp. 660-670. https://doi.org/10.1111/jpm.12416

Contemporary women's secure psychiatric services in the United Kingdom : A qualitative analysis of staff views. / Walker, T.; Edge, D.; Shaw, J.; Wilson, H.; Mcnair, L.; Mitchell, H.; Gutridge, K.; Senior, J.; Sutton, M.; Meacock, R.; Abel, K.

In: Journal of Psychiatric and Mental Health Nursing, Vol. 24, No. 9-10, 11.2017, p. 660-670.

Research output: Contribution to journalArticle

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AU - Mcnair, L.

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AU - Senior, J.

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AU - Abel, K.

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N2 - AbstractIntroductionWomen's Enhanced Medium Secure Services (WEMSS) is bespoke, gender-sensitive services which opened in the UK in 2007 at three pilot sites. This study is the first of its kind to explore the experiences of WEMSS staff, directly comparing them to staff in a standard medium secure service for women. The literature to date has focused on the experiences of service users or staff views on working with women in secure care.AimThis qualitative study, embedded in a multimethod evaluation of WEMSS, aimed to explore the views and experiences of staff in WEMSS and comparator medium secure services.MethodsQualitative interviews took place with nine WEMSS staff and nine comparator medium secure staff. Interviews focused on factors important for recovery, barriers to facilitating recovery and operational aspects of the service.DiscussionThis study provides a rare insight into the perspectives of staff working in UK women's secure services, an under-researched area in the UK and internationally. Findings suggest that the success of services, including WEMSS, is compromised by operational factors such as the use of bank staff.Implications for practiceComprehensive training and supervision should be mandatory for all staff, so best practice is met and staff adequately supported.

AB - AbstractIntroductionWomen's Enhanced Medium Secure Services (WEMSS) is bespoke, gender-sensitive services which opened in the UK in 2007 at three pilot sites. This study is the first of its kind to explore the experiences of WEMSS staff, directly comparing them to staff in a standard medium secure service for women. The literature to date has focused on the experiences of service users or staff views on working with women in secure care.AimThis qualitative study, embedded in a multimethod evaluation of WEMSS, aimed to explore the views and experiences of staff in WEMSS and comparator medium secure services.MethodsQualitative interviews took place with nine WEMSS staff and nine comparator medium secure staff. Interviews focused on factors important for recovery, barriers to facilitating recovery and operational aspects of the service.DiscussionThis study provides a rare insight into the perspectives of staff working in UK women's secure services, an under-researched area in the UK and internationally. Findings suggest that the success of services, including WEMSS, is compromised by operational factors such as the use of bank staff.Implications for practiceComprehensive training and supervision should be mandatory for all staff, so best practice is met and staff adequately supported.

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