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Gender considerations in tailoring treatment

Breakout session highlight - Ian Gilmore and Anne Lingford-Hughes

Breakout Gilmore Lingford - Gender considerations in tailoring treatment

Anne Lingford-Hughes:  Somebody reminded me at the lunch break that one of the issues was around the follow-up study of drop-outs and it was interesting that the number of women who dropped out was significantly greater than the number of men.  Certainly in the UK, there is a debate about whether we need to have women-only services but clearly, in a time of financial constraint, that can often be difficult.  
What really hit home for me was a patient saying, ‘I was abused by my dad, and I am in a relationship involving domestic violence.  I cannot sit in a room with men.’  We have to remember that the majority of the women in service, and many of the men, will have been both sexually abused and also be suffering a great deal of violence at home.  That was a very strong message for me.  There are considerations and we need to remember that in tailoring treatment, you may need to think about women slightly differently.  That came up with the subject of depression as well, with different predictors.
Ian Gilmore:  A message I took home from your talk is that it is not just about giving a treatment but it is actually about following the patient up and supporting them and yet public health systems around the world are under huge strain.  Resources are being taken away and we are all being encouraged to discharge patients as soon as possible.  How do we get round this?
Anne Lingford-Hughes:  I don’t know.  We have to maintain our optimism and our motivation.  As a service and a treatment provider, if we don’t do that, then that is an issue.  

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