scholarly journals Case Report: The Sexual Experiences of Forensic Mental Health Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Elnike Brand ◽  
Angela Ratsch ◽  
Edward Heffernan
Keyword(s):  
Mental Health ◽  
Sexual Health ◽  
Sexual Life ◽  
Mental Health Recovery ◽  
Mental Health Clinicians ◽  
Forensic Mental Health ◽  
Clinical Assessments ◽  
Mental Health Patients ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

The recovery-based approach to forensic mental health rehabilitation is to support the patient to achieve a fulfilling life—a principle which should include achieving a fulfilling sexual life. This paper presents four vignettes from forensic mental health patients. The four cases demonstrate the omission, avoidance and then judgement by forensic mental health clinicians around the intimate and sensitive, yet important domain of the patient's sexual life. The cases illustrate that gap in the clinical domain and demonstrate the requirement for forensic mental health clinicians to have a greater awareness, acknowledgment, and assessment of their patient's sexuality and sexual health needs. Incorporating sexual health into standard clinical assessments will contribute to improved patient management in addition to supporting the principles of holistic forensic mental health recovery and rehabilitation.

Mieleltään haavoittuneet

Kuntoutus ◽  
2021 ◽  
Vol 44 (3) ◽  
pp. 36-48
Author(s):  
Johanna Vilppola ◽  
Markku Vanttaja
Keyword(s):  
Mental Health ◽  
Life Stories ◽  
Life Story ◽  
Rehabilitation Process ◽  
Societal Factors ◽  
Health Related ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation ◽  
Intentions To Participate ◽  
Education Work

Mielenterveyssyistä johtuvat sairauspoissaolot ja työkyvyttömyyseläkkeet ovat lisääntyneet Suomessa viime vuosikymmeninä. Sen vuoksi on tarpeen tutkia mielenterveyskuntoutujien yksilöllisiä elämäntilanteita sekä heidän kuntoutumistaan ja kiinnittymistään yhteiskuntaan. Tässä artikkelissa tarkastellaan mielenterveyskuntoutujien kuntoutusprosessia erityisesti koulutus- ja työtoimijuuden näkökulmasta. Tutkimusaineistona käytetään aikuisten mielenterveyskuntoutujien kirjoittamia elämänkerrontoja (n = 42). Elämänkerrontojen teema-analyysin ja tyypittelyn perusteella kirjoittajat jaettiin kolmeen erilaiseen ryhmään, jotka nimettiin toimijoiksi (9), taistelijoiksi (18) ja tipahtaneiksi (15). Toimijat olivat aktiivisia oman kuntoutumisensa, koulutuksensa, työnsä sekä kokonaiselämänsä suhteen. Heillä oli vahva pyrkimys hakeutua koulutukseen, palata takaisin työelämään tai ylläpitää nykyinen koulutus- ja työtilanteensa. Taistelijat olivat puolestaan omassa kuntoutusprosessissaan matkalaisia, jotka halusivat olla yhteiskunnan tarpeellisia jäseniä. Myös heillä oli koulutukseen ja työhön liittyviä haaveita, mutta keinot oman elämän hallitsemiseksi olivat toisten ihmisten tuen varassa. Tipahtaneet olivat luovuttaneet sekä oman kuntoutumisensa että koulutus- ja työtoimijuutensa suhteen. Heillä ei ollut enää koulutukseen tai työhön liittyviä tavoitteita. Abstract Mentally wounded. Research of Education and Work Agency of Mental Health Rehabilitees Mental health related sick leaves and early pensions have increased enormously in our society in the last decades. That is why it is important to study the life narratives of mental health rehabilitees, especially focusing on individual and societal factors connected to rehabilitation, education and work agency. The data of this research consisted of 42 self-written life stories of adult mental health rehabilitees. Based on theme analysis and typification, life stories were divided into three groups: agentic actors (9), warriors (18) and dropouts (15). Agentic actors were described as active agents of their own rehabilitation, education, work and life. They had strong intentions to participate in education and work. Warriors seemed to be more like passengers in their own rehabilitation process, yet they had intentions to be a necessary part of society. They had hopes and dreams towards education and work, but they seemed to be lacking concrete means to lead their independent lives.  The dropouts had given up on their agency in rehabilitation, education and work. They had no more goals or intentions concerning education and work. Keywords: mental health rehabilitation, life story, education, work, agency

scholarly journals Does my patient have sex ? - Mental health professionals’ understanding of sexual health issues among their patients

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S256-S256
Author(s):  
Nalin Hettiarachchi ◽  
Praveen Kumar ◽  
vikramraj balasundaram
Keyword(s):  
Mental Health ◽  
Side Effects ◽  
General Population ◽  
Sexual Health ◽  
Sexual Behaviour ◽  
Mental Health Problems ◽  
Health Problems ◽  
Sexual History ◽  
Mental Health Clinicians ◽  
Health Issues

AimsTo assess the level of understanding and difficulties encountered when obtaining sexual health details of their patients among mental health clinicians.BackgroundPeople with mental health problems, especially those treated with psychiatric medication experience greater rates of sexual difficulties than those in the general population. Mental health practitioners need to examine personal beliefs and attitudes about sexuality among people with mental health problems. Providing information about sexuality and sexual practice benefits and enhances the quality of life of people with mental health problems. Therefore taking a sexual history should be an integral part of psychiatric assessment.MethodAn online survey consisted of 17 questions to cover 3 areas of objectives mentioned above was created using Survey Monkey. A link to the survey was emailed to all the clinicians who perform psychiatric assessments. Response collection and data analysis was performed by the trust IT team.ResultTotal of 54 clinicians participated in the survey representing nurses, junior, middle grade doctors and consultants. Almost all stated that mental health patients have capacity to make appropriate decisions about their sexual behaviour patterns. 43% thought people with mental health problems don't have similar patterns of sexual behaviour compared to people without mental health problems. 11% stated that people with mental health problems do not experience greater rates of sexual difficulties than those in the general population. Nearly a third did not believe that telling patients about potential sexual side effects may lead to poor compliance. Nearly 70% stated taking a sexual history should be an integral part of psychiatric assessment. 44% reported lack of knowledge and skills when talking about sexual health and 33% avoided asking about sexual health due to lack of knowledge. Half of the clinicians avoided asking about sexual health due to the fear of embarrassing or causing distress to patients while 16% avoided asking about sexual health due to self-embarrassment. 65% talk about sexual health issues only if patients brought them up.During last 3 clinical encounters majority never asked about sexual difficulties, high risk behaviour and drug side-effects related to sexual difficulties. A significant proportion of clinicians never asked about contraception from their female clients.ConclusionSurvey revealed majority of mental health clinicians lack understanding and skills about sexual health issues highlighting the importance of raising awareness among clinicians about sexual health issues.

scholarly journals MindTick: Case Study of a Digital System for Mental Health Clinicians to Monitor and Support Patients Outside Clinics

2021 ◽  
Author(s):  
Rebecca Perry ◽  
Lydia Oakey-Neate ◽  
John Fouyaxis ◽  
Sue Boyd-Brierley ◽  
Megan Wilkinson ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Service ◽  
Mobile App ◽  
Health Conditions ◽  
Mental Health Clinicians ◽  
Psychological Service ◽  
Mental Health Patients ◽  
Future Work ◽  
Roll Out

The current COVID-19 pandemic has highlighted the limitations of relying solely on in-person contact for diagnosis, monitoring and treatment of mental health conditions. Mobile health approaches can be used to monitor mental health patients remotely, but they are not properly integrated with existing models of healthcare service delivery. We present findings from a case study of a mobile app enabled cloud-based software program rolled out in a phone based psychological service to enable real-time/temporal monitoring. The program offered patients an app to record measures of symptoms in everyday contexts and provided clinicians with access to an accompanying dashboard to use information from the app to tailor treatments and monitor progress and ultimately facilitate earlier and personalised care decisions. Feedback related to implementation and utility was gathered from clinicians through a focus group conducted two months post-roll-out. Findings identified that the system is valuable and feasible, however implementation issues were identified. These are discussed in order to inform future work in this area to support the delivery of timely and responsive mental health care in the community.

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