Detection of and response to gender-based violence: A quality improvement project across three secondary mental health services in London

Roxanne C. Keynejad; Theo Boardman-Pretty; Sarah Barber; John Tweed; Emily Forshall; Alice Edwards; Joshua Shotton; Claire A. Wilson

doi:10.1192/bjb.2024.34

Detection of and response to gender-based violence: A quality improvement project across three secondary mental health services in London

Roxanne C. Keynejad^*, Theo Boardman-Pretty, Sarah Barber, John Tweed, Emily Forshall, Alice Edwards, Joshua Shotton, Claire A. Wilson

^*Corresponding author for this work

Health Service & Population Research

Research output: Contribution to journal › Article › peer-review

Abstract

Aims and method Our team of core and higher psychiatry trainees aimed to improve secondary mental health service detection of and response to gender-based violence (GBV) in South East London. We audited home treatment team (HTT), drug and alcohol (D&A) service and in-patient ward clinical records (n = 90) for female and non-binary patients. We implemented brief, cost-neutral staff engagement and education interventions at service, borough and trust levels before re-auditing (n = 86), completing a plan-do-study-act cycle. Results Documented enquiry about exposure to GBV increased by 30% (HTT), 15% (ward) and 7% (D&A), post-intervention. We identified staff training needs and support for improving GBV care. Up to 56% of records identified psychiatric symptoms related to GBV exposure. Clinical implications Moves to make mental healthcare more trauma-informed rely on services first being supportive environments for enquiry, disclosure and response to traumatic stressors. Our collaborative approach across clinical services increased GBV enquiry and documentation. The quality of response is more difficult to measure and requires concerted attention.

Original language	English
Journal	BJPsych Bulletin
DOIs	https://doi.org/10.1192/bjb.2024.34
Publication status	Accepted/In press - 2024

Keywords

community mental health teams
in-patient treatment
mental health services
patients and service users
Psychotic disorders/schizophrenia

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1192/bjb.2024.34

Cite this

@article{5abd1e4aa6da461cb39ef6423cffca88,

title = "Detection of and response to gender-based violence: A quality improvement project across three secondary mental health services in London",

abstract = "Aims and method Our team of core and higher psychiatry trainees aimed to improve secondary mental health service detection of and response to gender-based violence (GBV) in South East London. We audited home treatment team (HTT), drug and alcohol (D&A) service and in-patient ward clinical records (n = 90) for female and non-binary patients. We implemented brief, cost-neutral staff engagement and education interventions at service, borough and trust levels before re-auditing (n = 86), completing a plan-do-study-act cycle. Results Documented enquiry about exposure to GBV increased by 30% (HTT), 15% (ward) and 7% (D&A), post-intervention. We identified staff training needs and support for improving GBV care. Up to 56% of records identified psychiatric symptoms related to GBV exposure. Clinical implications Moves to make mental healthcare more trauma-informed rely on services first being supportive environments for enquiry, disclosure and response to traumatic stressors. Our collaborative approach across clinical services increased GBV enquiry and documentation. The quality of response is more difficult to measure and requires concerted attention.",

keywords = "community mental health teams, in-patient treatment, mental health services, patients and service users, Psychotic disorders/schizophrenia",

author = "Keynejad, {Roxanne C.} and Theo Boardman-Pretty and Sarah Barber and John Tweed and Emily Forshall and Alice Edwards and Joshua Shotton and Wilson, {Claire A.}",

note = "Publisher Copyright: {\textcopyright} The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists.",

year = "2024",

doi = "10.1192/bjb.2024.34",

language = "English",

journal = "BJPsych Bulletin",

issn = "2056-4694",

publisher = "Royal College of Psychiatrists",

}

TY - JOUR

T1 - Detection of and response to gender-based violence

T2 - A quality improvement project across three secondary mental health services in London

AU - Keynejad, Roxanne C.

AU - Boardman-Pretty, Theo

AU - Barber, Sarah

AU - Tweed, John

AU - Forshall, Emily

AU - Edwards, Alice

AU - Shotton, Joshua

AU - Wilson, Claire A.

PY - 2024

Y1 - 2024

N2 - Aims and method Our team of core and higher psychiatry trainees aimed to improve secondary mental health service detection of and response to gender-based violence (GBV) in South East London. We audited home treatment team (HTT), drug and alcohol (D&A) service and in-patient ward clinical records (n = 90) for female and non-binary patients. We implemented brief, cost-neutral staff engagement and education interventions at service, borough and trust levels before re-auditing (n = 86), completing a plan-do-study-act cycle. Results Documented enquiry about exposure to GBV increased by 30% (HTT), 15% (ward) and 7% (D&A), post-intervention. We identified staff training needs and support for improving GBV care. Up to 56% of records identified psychiatric symptoms related to GBV exposure. Clinical implications Moves to make mental healthcare more trauma-informed rely on services first being supportive environments for enquiry, disclosure and response to traumatic stressors. Our collaborative approach across clinical services increased GBV enquiry and documentation. The quality of response is more difficult to measure and requires concerted attention.

AB - Aims and method Our team of core and higher psychiatry trainees aimed to improve secondary mental health service detection of and response to gender-based violence (GBV) in South East London. We audited home treatment team (HTT), drug and alcohol (D&A) service and in-patient ward clinical records (n = 90) for female and non-binary patients. We implemented brief, cost-neutral staff engagement and education interventions at service, borough and trust levels before re-auditing (n = 86), completing a plan-do-study-act cycle. Results Documented enquiry about exposure to GBV increased by 30% (HTT), 15% (ward) and 7% (D&A), post-intervention. We identified staff training needs and support for improving GBV care. Up to 56% of records identified psychiatric symptoms related to GBV exposure. Clinical implications Moves to make mental healthcare more trauma-informed rely on services first being supportive environments for enquiry, disclosure and response to traumatic stressors. Our collaborative approach across clinical services increased GBV enquiry and documentation. The quality of response is more difficult to measure and requires concerted attention.

KW - community mental health teams

KW - in-patient treatment

KW - mental health services

KW - patients and service users

KW - Psychotic disorders/schizophrenia

UR - http://www.scopus.com/inward/record.url?scp=85191578660&partnerID=8YFLogxK

U2 - 10.1192/bjb.2024.34

DO - 10.1192/bjb.2024.34

M3 - Article

AN - SCOPUS:85191578660

SN - 2056-4694

JO - BJPsych Bulletin

JF - BJPsych Bulletin

ER -

Detection of and response to gender-based violence: A quality improvement project across three secondary mental health services in London

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this