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Sex Differences in Service Usage in Long-Term Psychiatric Care

Are Women Adequately Served?

Published online by Cambridge University Press:  06 August 2018

Rachel E. Perkins*
Affiliation:
Institute of Psychiatry and District Services Section, Maudsley Hospital, Denmark Hill, London SE5 8AZ
Len A. Rowland
Affiliation:
Institute of Psychiatry and District Services Section, Maudsley Hospital, Denmark Hill, London SE5 8AZ
*
Department of Psychology, Springfield University Hospital, 61 Glenburnie Road, London SW17 7DJ

Abstract

There is a paucity of research concerning service usage and needs of female long-term psychiatric patients. A series of studies comparing the provisions for chronically mentally ill men and women in a south London community-focused rehabilitation and continuing care service indicate marked differences in the services received by men and women, and raise questions concerning whether the needs of female patients are adequately served. As a group the women had been in contact with services for longer, had received less intensive input from services, and it appeared that the services had been less responsive to their changing needs. Among those in high contact with the services, the functioning of men and women did not differ, yet women were over-represented in workshops designed for those functioning at a lower level. Women over 45 years of age seemed to be particularly badly served by the organised activities offered.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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References

Bachrach, L. L. (1984) Deinstitutionalisation and women: assessing the consequences of public policy, American Psychologist, 39, 11711177.Google Scholar
Bachrach, L. L. (1985) Chronic mentally ill women: emergence and legitimation of programme issues, Hospital and Community Psychiatry, 138, 13191330.Google Scholar
Bachrach, L. L. & Nadelson, C. C. (eds) (1988) Treating Chronically Mentally Ill Women. Washington DC: American Psychiatric Press.Google Scholar
Bennett, D. (1970) The value of work in psychiatric rehabilitation. Social Psychiatry, 4, 224230.Google Scholar
Briscoe, N. R. (1982) Sex differences in psychological well-being. Psychological Medicine (monograph suppl. 1), 146.CrossRefGoogle Scholar
Chesler, P. (1974) Women and Madness. London: Allen Lane.Google Scholar
Cooke, M. & Ronalds, C. (1985) Women doctors in urban general practice: the patients. Bristol Medical Journal, 290, 751754.Google Scholar
Gove, W. & Tudor, J. F. (1973) Sex roles and mental illness. American Journal of Sociology, 78, 821.Google Scholar
Hall, J. N. & Baker, R. (1983) Users Manual of Rehabilitation Evaluation Hall and Baker (REHAB) Scale. Aberdeen: Vine Publishing.Google Scholar
Howell, E. & Bayes, M. (eds) (1981) Women and Mental Health. New York: Basic Books.Google Scholar
Shepherd, G. (1984) Institutional Care and Rehabilitation. London: Longman Applied Psychology.Google Scholar
Skegg, D. C. G., Doll, R. & Perry, J. (1977) Use of medicines in general practice. British Medical Journal, 15611563.Google Scholar
Test, M. A. & Berlin, S. B. (1981) Issues of concern to chronically mentally ill women. Professional Psychology, 12, 136145.Google Scholar
Wykes, T. (1982) A hostel ward for ‘new’ long stay patients: and evaluation study of ‘a ward in a house”. In Long-term community care: experience in a London Borough (ed. J. K. Wing). Psychological Medicine (monograph suppl. 2).Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia: A Comparative Study of Three Mental Hospitals 1960–1968. Cambridge: Cambridge University Press.Google Scholar
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