From: Policies on sexual expression in forensic psychiatric settings in different European countries
Themes | Definition | Sub themes |
---|---|---|
1. General views on sexual expressionb, c, d, e | Stance on condoning the expression of sexuality and intimacy and patients having relationships in secure forensic-psychiatric care | Positiveb, c Negatived, e |
2. Screening proceduresa, b, c, d, e | Procedures put in place to screen for any risks or vulnerabilities related to sexual activities. These could include sexual contact with another patient, a partner outside the institution (this can be a long-standing partner, a new partner, a prostitute) | Relationship with partner outside the institutiona, b, c, e Vulnerability of patienta, b, c, e Relationship between patientsa, b, c |
3. Safe sexa, b, c, d | Safe sex put in place when considering patients being sexually active | Distributing condomsa, b, c, d Access to contraceptiona, b Sexually transmitted diseasesa, c |
4. Private spacea, b, c, d, e | Patients having privacy in a designated area to carry out sexual activity | Conjugal suitesa, b, c Bedroomsb, c On leavea, b, e |
5. Public opiniona, b, c, d | Perception of public opinion on patients having sexual relationships and expressing their sexuality | Restrictive/punitivea, b, c, d |
6. Patients’ responsesa, b, c, d, e | Response of service users to policies on sexual expression | Few complaintsa, b, e Seen as restrictivea, c, d |
7. Policy implementationa, b, c, d, e | Views of staff on implementation of policy on sexual expression | Considerable difficultya Occasional difficultyc, d Issue not raisedb, e |
8. Future plansa, c, d, e | Future plans and ideas that could help in the development of policies on sexual expression in forensic-psychiatric care | Maintaining long-term relationshipsd Male homosexual relationshipse Learning from othersa, d, e National discussionsa, c |