Gender and intersecting vulnerabilities on the mental health unit

Rethinking the dilemma

Dados Bibliográficos

ID15519587
AutoresElizabeth Morton (0000-0002-6401-7413, University of Otago, autor correspondente), Elizabeth Kathleen Morton, Mckenzie (0000-0002-1811-0211, University of Otago), Sarah K Mckenzie, Amy Cooper (0000-0003-0661-6044), Susanna Every‐Palmer (0000-0001-6455-9741, University of Otago), Susanna Every-Palmer, Gabrielle Lisa Simone Jenkin (University of Otago, autor correspondente)
Ano2022
Volume13
Páginas940130-940130
Data de publicação2022-09-23
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.940130
PMID36226107
OpenAlexW4297154648
IdiomaEN
Citações recebidas3
Referências citadas67

While findings emphasize the need for safe places for vulnerable people, trauma-informed care, access to staff who "understand," and recreation that is meaningful to the individual, we question if the dilemma of gender-separation vs. gender-mixing is an outmoded design consideration. Instead, we argue that a flexible, person-centered approach to provision of care, which values autonomy, privacy, and safety as defined by each service user, and that promotes choice-making, obviates a model where gender accommodations are fore. We found that a gender-exclusive narrative of vulnerability understates the role of other identifiers in dynamics of risk and vulnerability, including age, physicality, past violence, trauma history, mental unwellness, and substance use. We conclude gender need not be a central factor in decisions around design of prospective built unit environments or in occupational and clinical decisions. Instead, we suggest flexible spatial layouts that accommodate multiple vulnerabilities

Dilemma · Epistemology · Mental health · Mental illness · Psychiatry · Unit (ring theory · Child Abuse and Trauma · Healthcare Decision-Making and Restraints · Homelessness and Social Issues · Medicine · Psychology