All NHS services are expected to make in-patient wards single-sex. However, as LESLEY WARNER and RICHARD FORD report, women in psychiatric hospitals still have to share sleeping accommodation with men, and still experience sexual harassment, violence, threat and abuse. Some units are unable even to guarantee 24-hour access to a female member of staff.
People with a dual diagnosis of mental health and drug or alcohol abuse problems may fall between existing specialist services, which tend to focus on treating one or other problem. DAVID MANLEY argues the case for a flexible, individualised approach to treatment which acknowledges the biological and psychosocial features of the co-existent problems and draws on clinical knowledge and skills from both the mental health and substance addiction professions.
In the second of this series of updates on recent advances in medication, RICHARD GRAY summarises trials into the novel antipsychotic olanzapine, which has been shown to compare well to haloperidol, and is now widely used for treating schizophrenia and related psychoses.
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