Policies on sexual expression in forensic psychiatric settings in different European countries

Article English OPEN
Tiwana, Rajveer ; McDonald, Stephanie ; Völlm, Birgit (2016)
  • Publisher: BioMed Central
  • Journal: International Journal of Mental Health Systems, volume 10 (eissn: 1752-4458)
  • Related identifiers: pmc: PMC4741020, doi: 10.1186/s13033-016-0037-y
  • Subject: Long-stay patients | Health Policy | Phychiatric Mental Health | Sexual expression | European policies | Mental health | Human rights | Forensic psychiatric hospitals | Patient relationships | Research | Public Health, Environmental and Occupational Health | Psychiatry and Mental health

Background Sexual expression by forensic psychiatric patients is poorly researched. Methods Forensic experts representing 14 European countries were interviewed to explore the diverse ways in which sexual expression within forensic settings is handled. Results No country had a national policy, although many had local policies or shared practices. Progressive approaches to patient sexuality were evident in nine of the countries sampled. The UK appeared the most prohibiting and excluding, its protocols apparently based on risk aversion and lack of emphasis or consideration of patients’ sexual needs. Conclusions Uniform national policy supporting patients’ sexual expression would provide significant improvements. Electronic supplementary material The online version of this article (doi:10.1186/s13033-016-0037-y) contains supplementary material, which is available to authorised users.
  • References (23)
    23 references, page 1 of 3

    1. Brown SD, Reavey P, Kanyeredzi A, Batty R. Transformations of self and sexuality: psychologically modified experiences in the context of forensic mental health. Health. 2014;18(3):240-60. doi:10.1177/13634559313497606.

    2. Gordon H, Lindqvist P. Forensic psychiatry in Europe. Psychiatr Bull. 2007;31:421-4. doi:10.1192/pb.bp.107.014803.

    3. Völlm B, Edworthy R, Furtado V. EPA-0119-Characteristics and needs of long stay patients in high and medium secure forensic psychiatric care: implications for service organisation. Eur Psychiatry. 2014;29(1):1-17. doi:10.1016/S0924-9338(14)77593-5.

    4. McCann E. The expression of sexuality in people with psychosis: breaking the taboos. J Adv Nurs. 2003;32(1):132-8. doi:10.1046/j.2648-65.2000.01452.x.

    5. Bartlett P, Mantovani N, Cratsley K, Dillon C, Eastman N. 'You may kiss the bride, but you may not open your mouth when you do': policies concerning sex, marriage and relationships in English forensic psychiatric facilities. Liverpool Law Rev. 2010;31:155-76. doi:10.1007/ s10991-010-9078-5.

    6. Perlin ML, Lynch AJ. 'All his sexual patients': persons with mental disabilities and the competence to have sex. Wash Law Rev. 2014;89(2):1-37. doi:10.2139/ssm.1908733.

    7. Howard League for Penal Reform. Consensual sex among men in prison. Briefing paper 1. London: Howard League for Penal Reform; 2013.

    8. Salize HJ, Dressing H. Placement and treatment of mentally ill oefnders-basic concepts and service provision in European Union Member States [Article in German]. Psychiatr Prax. 2007;34(8):388-94. doi:10.105 5/s-2007-970838.

    9. Taylor PJ, Graf M, Schanda H, Völlm B. The treating psychiatrist as expert in the courts: is it necessary or possible to separate the roles of physician and expert? Crim Behav Ment Health. 2012;22:271-92. doi:10.1002/ cbm.1843.

    10. Marle HV. Forensic psychiatric services in the Netherlands. Int J Law Psychiatry. 2000;23(5-6):515-31. doi:10.1016/S0160-2527(00)00049-2.

  • Related Research Results (1)
  • Metrics
    No metrics available
Share - Bookmark