Are Women’s Mental Health Units Needed?
This chapter describes the shift from mixed-sex to same-sex in-patient wards in the United Kingdom and the current challenges in providing in-patient psychiatric care. Two women’s-only mental health units (WMHUs) are described and the views of women patients and staff are highlighted with the use of case examples. The available evidence regarding the need for WMHUs is examined and demonstrates that women with mental illness have different preferences with regards to mixed- or same-sex in-patient care, that same-sex wards are not necessarily safer, and that quality of care can vary considerably. Given the differential life experiences of women as compared to men, a WMHU should be able to address issues such as the effects of trauma and violence. Further research is needed to improve the understanding of the core factors underlying women’s mental illnesses and the specific skills that staff need to provide effective treatment.