{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T09:06:39Z","timestamp":1779267999599,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T00:00:00Z","timestamp":1602547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Mental health clinicians work within a recovery framework that is rights based and emphasizes positive and respectful approaches to working with mental health consumers. Mental health nurses\u2019 practice is also predicated on holism and inclusiveness, yet consumers\u2019 sexuality is sometimes neglected and rights in this area overlooked. Also overlooked is sexuality as an area for investigation, particularly from a consumer perspective, even though it constitutes part of consumers\u2019 broader remit of sexual health. This paper reports findings from a case study where consumers were asked about their ability to negotiate and sustain sexual expression while residing in a long\u2010stay mental health rehabilitation facility. There were three main findings. First, the physical space of the facility, inclusive of consumers\u2019 bedrooms, was policed by mental health clinicians with ongoing intrusions into consumers\u2019 privacy, which inhibited their sexual expression. The creation of barriers to sexual expression is counter to polices that promote recovery. Second, consumers reported significant medication\u2010related weight gain which negatively affected their self\u2010image and sexual sense of self. Third, the consumers spoke about their sexuality in ordinary, everyday language devoid of any hallmark of psychosis. This highlights the importance of relating to consumers about their sexuality and sexual needs from a humane rather than technical framework. Further, it foregrounds the relational aspect of the mental health nurses\u2019 role rather than the technical aspect. Yet sexuality is a topic that is often neglected, indicating that an upskilling of the mental health nursing workforce is required, to strengthen communication and relationship skills.<\/jats:p>","DOI":"10.1111\/inm.12795","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T07:18:43Z","timestamp":1602573523000},"page":"382-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Consumers living with psychosis: Perspectives on sexuality"],"prefix":"10.1111","volume":"30","author":[{"given":"Alicia M.","family":"Evans","sequence":"first","affiliation":[{"name":"Australian Catholic University Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Quinn","sequence":"additional","affiliation":[{"name":"Forensicare  Fairfield Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"McKenna","sequence":"additional","affiliation":[{"name":"Auckland University of Technology  Auckland New Zealand"},{"name":"Auckland Regional Forensic Psychiatry Services Waitemata District Health Board  Auckland New Zealand"},{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Willis","sequence":"additional","affiliation":[{"name":"La Trobe University\/Royal Melbourne Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,13]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"S605","article-title":"Sexuality in schizophrenia: A 20\u2010year systematic review","volume":"56","author":"Almeida F.","year":"2019","journal-title":"European Psychiatry"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12114"},{"key":"e_1_2_8_4_1","volume-title":"A national framework for recovery\u2010oriented mental health services: A guide for practitioners and providers","author":"Australian Health Ministers\u2019 Advisory Council","year":"2013"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2010.00676.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0101301"},{"key":"e_1_2_8_7_1","volume-title":"Promoting Sexual Safety, Responding to Sexual Activity and Managing Allegations of Sexual Assault in Adult Acute Inpatient Units: Chief Psychiatrist\u2019s Guideline","author":"Department of Health","year":"2009"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00462"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2008.07.003"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12740"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-40537-7_3"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-018-0285-1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2000.01452.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.2003.00635.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2009.01509.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2017-003824"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12514"},{"key":"e_1_2_8_18_1","volume-title":"Mental Health Act","author":"Parliament of Victoria","year":"2014"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12112"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2015.1033042"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2012.711433"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.112.010355"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12633"},{"key":"e_1_2_8_24_1","first-page":"801","article-title":"The experience of weight gain as a result of taking second\u2010generation antipsychotic medications: The mental health consumer perspective","volume":"20","author":"Usher K.","year":"2013","journal-title":"International Journal of Mental Health Nursing"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2007.01099.x"},{"key":"e_1_2_8_26_1","volume-title":"Sexual Health, Human Rights and the Law","author":"World Health Organization (WHO)","year":"2015"},{"key":"e_1_2_8_27_1","volume-title":"Case Study Research: Design and Methods","author":"Yin R. 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