Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting

It is increasingly being recognised that individuals who access acute mental health services are at risk of sexual assault. Assaults may be perpetrated by other patients but also by staff working in mental health environments, although this latter group remain largely under researched. Following a r...

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Main Author: McGarry, Julie
Format: Article
Published: Wiley 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/52832/
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author McGarry, Julie
author_facet McGarry, Julie
author_sort McGarry, Julie
building Nottingham Research Data Repository
collection Online Access
description It is increasingly being recognised that individuals who access acute mental health services are at risk of sexual assault. Assaults may be perpetrated by other patients but also by staff working in mental health environments, although this latter group remain largely under researched. Following a reported professional sexual assault and review of an acute in-patient mental health setting in the UK, the overall aim of the present study was to explore the mechanisms and structures that were put into place following the investigation and in so doing examine the wider questions of sexual safety in acute mental health settings. A qualitative approach was utilised and involved interviews with clinical staff (n=8). Thematic analysis was used to analyse the data resulting in four main themes: ‘Feeling betrayed’: The relational context of the ward environment’; ‘Doing what we were meant to be doing’: Quality of leadership’; ‘Covering yourself’: Safeguarding practice; ‘The subtleties of abuse’: Complexities of safeguarding’. The findings of the study highlights the need for clear organisational structures of support, a clearer understanding of ‘sexual safety’ and education and training which explicitly addresses recognition and complexity of sexual violence.
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spelling nottingham-528322020-05-04T19:44:50Z https://eprints.nottingham.ac.uk/52832/ Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting McGarry, Julie It is increasingly being recognised that individuals who access acute mental health services are at risk of sexual assault. Assaults may be perpetrated by other patients but also by staff working in mental health environments, although this latter group remain largely under researched. Following a reported professional sexual assault and review of an acute in-patient mental health setting in the UK, the overall aim of the present study was to explore the mechanisms and structures that were put into place following the investigation and in so doing examine the wider questions of sexual safety in acute mental health settings. A qualitative approach was utilised and involved interviews with clinical staff (n=8). Thematic analysis was used to analyse the data resulting in four main themes: ‘Feeling betrayed’: The relational context of the ward environment’; ‘Doing what we were meant to be doing’: Quality of leadership’; ‘Covering yourself’: Safeguarding practice; ‘The subtleties of abuse’: Complexities of safeguarding’. The findings of the study highlights the need for clear organisational structures of support, a clearer understanding of ‘sexual safety’ and education and training which explicitly addresses recognition and complexity of sexual violence. Wiley 2018-07-02 Article PeerReviewed McGarry, Julie (2018) Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting. International Journal of Mental Health Nursing . ISSN 1447-0349 sexual violence sexual safety mental health acute settings https://onlinelibrary.wiley.com/doi/abs/10.1111/inm.12514 doi:10.1111/inm.12514 doi:10.1111/inm.12514
spellingShingle sexual violence
sexual safety
mental health
acute settings
McGarry, Julie
Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting
title Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting
title_full Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting
title_fullStr Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting
title_full_unstemmed Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting
title_short Hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting
title_sort hiding in plain sight’: exploring the complexity of sexual safety within an acute mental health setting
topic sexual violence
sexual safety
mental health
acute settings
url https://eprints.nottingham.ac.uk/52832/
https://eprints.nottingham.ac.uk/52832/
https://eprints.nottingham.ac.uk/52832/