The process of adjustment and coping for women in secure forensic environments

Clinicians working with women in forensic secure environments will be acutely aware of the diverse risks, complex treatment needs and unique responsivity issues found in this multifaceted marginal group. Women make up 5% of the prison population and approx 20% of the secure forensic psychiatric population (approx 4,500 and 1,085 women respectively). What animates the studies of women is not so much numbers of offenders but the particular circumstances of the women and girls “behind” the numbers. There is a common perception that women make up such a small number of the criminal justice service (CJS) population that devising gender sensitive environments and interventions is unnecessary. However studies of patients detained in high and medium security have identified significant gender differences. Women are more likely to commit minor offenses, be diagnosed with a personality disorder, present with self injurious behavior and have suffered childhood victimization. Thus, women and girls who are caught up in the justice system enter it as a result of circumstances distinctly different from those of men. Up until recently the needs of women were inadequately met in services centered on the needs of men and it is only relatively recently that the need to address these glaring differences has been thrashed out in the public arena. Following a number of high profile reviews and reports mixed sex wards have been become a exceptional, strip searches of women in prison have been abolished and large numbers of women have been reviewed and stepped down to lower levels of security. A less well researched area of women’s secure care centers on the profound impact of adjusting to a new environment which involves coping with severance of social support networks.EThOS - Electronic Theses Online ServiceGBUnited Kingdo