Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care Unit
Introduction This quality improvement project was a collaboration between an adult, inpatient female psychiatric intensive care unit (PICU) in South London and the Sexual and Reproductive Health Rights, Inclusion and Empowerment (SHRINE) programme. SHRINE is a London-based programme delivering SRH...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822020880/type/journal_article |
| _version_ | 1827754872784551936 |
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| author | E. Covshoff L. Blake E. Rose A. Bolade R. Rathouse A. Wilson A. Cotterell R. Pittrof F. Sethi |
| author_facet | E. Covshoff L. Blake E. Rose A. Bolade R. Rathouse A. Wilson A. Cotterell R. Pittrof F. Sethi |
| author_sort | E. Covshoff |
| collection | DOAJ |
| description |
Introduction
This quality improvement project was a collaboration between an adult, inpatient female psychiatric intensive care unit (PICU) in South London and the Sexual and Reproductive Health Rights, Inclusion and Empowerment (SHRINE) programme. SHRINE is a London-based programme delivering SRH care to any individual with serious mental illness, substance misuse and/or learning disability.
Objectives
The primary aim of this quality improvement project was to assess patients’ sexual and reproductive (SRH) needs, and the acceptability of providing SRH assessments in a female PICU setting. Secondary aims were to explore the barriers to access and the feasibility of providing SRH assessments and SHRINE interventions in the PICU.
Methods
A bi-monthly SRH in-reach clinic and a nurse led SRH referral pathway were implemented on the PICU over a seven-month period. Within a quality improvement framework, a staff training needs assessment was performed, training delivered, a protocol developed, staff attitudes explored, and patient and carer engagement sought.
Results
30% of women were identified as having unmet SRH needs and proceeded to a specialist appointment, representing a 2.5-fold increase in unmet need detection. 42% of women were assessed, representing a 3.5-fold increase in uptake. 21% of women initiated SRH interventions of which 14% had all their SRH needs met.
Conclusions
Results identified SRH needs for PICU admissions are greater than realised. Staff highlighted the acceptability and importance of SRH care, if interventions are appropriately timed and the patient’s individual risk profile considered. Providing a nurse-led referral pathway for an SRH in-reach clinic is acceptable, feasible and beneficial for PICU patients.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:55:30Z |
| format | Article |
| id | doaj.art-3d92e70dae3b405d8a60cf33712acd71 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:55:30Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-3d92e70dae3b405d8a60cf33712acd712023-11-17T05:05:42ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S807S80710.1192/j.eurpsy.2022.2088Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care UnitE. Covshoff0L. Blake1E. Rose2A. Bolade3R. Rathouse4A. Wilson5A. Cotterell6R. Pittrof7F. Sethi8Guy’s and St Thomas NHS Foundation Trust, Sexual And Reproductive Health, London, United KingdomSouth London and Maudsley Foundation Trust, Maudsley Hospital, AZ, United KingdomCentral and North West London NHS Foundation Trust, Perinatal Mental Health Service, London, United KingdomSouth London and Maudsley Foundation Trust, Maudsley Hospital, AZ, United KingdomSouth London and Maudsley NHS Foundation Trust, Eileen Skellern, London, United KingdomSouth London and Maudsley NHS Foundation Trust, Eileen Skellern, London, United KingdomSouth London and Maudsley NHS Foundation Trust, Eileen Skellern, London, United KingdomGuy’s and St Thomas NHS Foundation Trust, Sexual And Reproductive Health, London, United KingdomDorset HealthCare University NHS Foundation Trust, Executive Medical Director, Poole, United Kingdom Introduction This quality improvement project was a collaboration between an adult, inpatient female psychiatric intensive care unit (PICU) in South London and the Sexual and Reproductive Health Rights, Inclusion and Empowerment (SHRINE) programme. SHRINE is a London-based programme delivering SRH care to any individual with serious mental illness, substance misuse and/or learning disability. Objectives The primary aim of this quality improvement project was to assess patients’ sexual and reproductive (SRH) needs, and the acceptability of providing SRH assessments in a female PICU setting. Secondary aims were to explore the barriers to access and the feasibility of providing SRH assessments and SHRINE interventions in the PICU. Methods A bi-monthly SRH in-reach clinic and a nurse led SRH referral pathway were implemented on the PICU over a seven-month period. Within a quality improvement framework, a staff training needs assessment was performed, training delivered, a protocol developed, staff attitudes explored, and patient and carer engagement sought. Results 30% of women were identified as having unmet SRH needs and proceeded to a specialist appointment, representing a 2.5-fold increase in unmet need detection. 42% of women were assessed, representing a 3.5-fold increase in uptake. 21% of women initiated SRH interventions of which 14% had all their SRH needs met. Conclusions Results identified SRH needs for PICU admissions are greater than realised. Staff highlighted the acceptability and importance of SRH care, if interventions are appropriately timed and the patient’s individual risk profile considered. Providing a nurse-led referral pathway for an SRH in-reach clinic is acceptable, feasible and beneficial for PICU patients. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822020880/type/journal_articleSexual healthmental healthpsychiatric intensive carewomen’s health |
| spellingShingle | E. Covshoff L. Blake E. Rose A. Bolade R. Rathouse A. Wilson A. Cotterell R. Pittrof F. Sethi Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care Unit European Psychiatry Sexual health mental health psychiatric intensive care women’s health |
| title | Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care Unit |
| title_full | Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care Unit |
| title_fullStr | Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care Unit |
| title_full_unstemmed | Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care Unit |
| title_short | Sexual and Reproductive Health Needs Assessment & Interventions in a Female Psychiatric Intensive Care Unit |
| title_sort | sexual and reproductive health needs assessment interventions in a female psychiatric intensive care unit |
| topic | Sexual health mental health psychiatric intensive care women’s health |
| url | https://www.cambridge.org/core/product/identifier/S0924933822020880/type/journal_article |
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