Journal articles on the topic 'Prisoners Mental health services Victoria'
To see the other types of publications on this topic, follow the link: Prisoners Mental health services Victoria.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Prisoners Mental health services Victoria.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Mullen, P., and J. Ogloff. "Providing mental health services to adult offenders in Victoria, Australia: Overcoming barriers." European Psychiatry 24, no. 6 (September 2009): 395–400. http://dx.doi.org/10.1016/j.eurpsy.2009.07.003.
Full textAbstract:
AbstractPurposeTo illustrate the development of the interface between general and forensic mental health services in Victoria, Australia.MethodDeveloping effective cooperation between the general and forensic mental health services requires overcoming a number of barriers. The attitude of general services that antisocial behaviour was none of their business was tackled through ongoing workshops and education days over several years. The resistance to providing care to those disabled by severe personality disorders or substance abuse was reduced by presenting and promoting models of care developed in forensic community and inpatient services which prioritised these areas. The reluctance of general services to accept offenders was reduced by involving general services in court liaison clinics and in prisoner release plans. Cooperation was enhanced by the provision of risk assessments, the sharing of responsibility for troublesome patients, and a problem behaviours clinic to support general services in coping with stalkers, sex offenders and threateners.ConclusionsActive engagement with general services was promoted at the level of providing education, specialised assessments and a referral source for difficult patients. This generated a positive interface between forensic and general mental health services, which improved the quality of care delivered to mentally abnormal offenders.
2
Herrman, H., J. Mills, G. Doidge, P. McGorry, and B. Singh. "The use of psychiatric services before imprisonment: a survey and case register linkage of sentenced prisoners in Melbourne." Psychological Medicine 24, no. 1 (February 1994): 63–68. http://dx.doi.org/10.1017/s0033291700026830.
Full textAbstract:
SynopsisInformation about contact with psychiatric services before imprisonment was obtained for a stratified random sample of sentenced prisoners, who were not receiving prison psychiatric care, in Melbourne's three metropolitan prisons. The sample of 158 men and 31 women was matched with the longitudinal person-linked records of state psychiatric service use in the Victorian Psychiatric Case Register (VPCR). Records of contact with the state services were found for 54 men (34%) and 19 women (61%), including records of in-patient treatment for 25 men (16%) and 15 women (48%). For 64% of individuals with a positive match, the case-note diagnoses were substance use disorders only. Diagnoses of psychotic disorders were recorded for four prisoners, and mood disorders for another six.In addition, clinicians conducted standardized diagnostic interviews and enquired about treatment and personal history. A further 24 prisoners reported specialist psychiatric treatment outside the state treatment sector.This study links the findings from an interview survey of psychiatric morbidity in prisoners with the records available in the VPCR, and emphasizes a number of matters important to the public health. The high rates of previous treatment for substance abuse disorders, the apparent pool of prisoners with largely untreated major depression, and the service needs of those with chronic psychotic disorders are discussed.
3
Tye, Christine S., and Paul E. Mullen. "Mental Disorders in Female Prisoners." Australian & New Zealand Journal of Psychiatry 40, no. 3 (March 2006): 266–71. http://dx.doi.org/10.1080/j.1440-1614.2006.01784.x.
Full textAbstract:
Objective: The objective of the study was to investigate the rates of mental disorder among women in prison in Victoria, and to compare with community rates. Design: A midnight census of all women in prison in Victoria was undertaken. Respondents were interviewed with a version of the Composite International Diagnostic Interview (CIDI), an adapted version of the Personality Diagnostic Questionnaire (PDQ-4+) and a demographics questionnaire. Main Outcome Measures: Twelve-month prevalence rates of ICD-10 mental disorders including depressive disorders, anxiety disorders and drug-related disorders were examined. Prevalence of personality disorders was also investigated. Results: Eighty-four per cent of the female prisoners interviewed met the criteria for a mental disorder (including substance harmful use/dependence) in the year prior to interview. This rate was reduced to 66% when drug-related disorders were excluded. Fortythree per cent of subjects were identified as cases on a personality disorder screener. For all disorders, (except obsessive-compulsive disorder and alcohol harmful use) women in prison had a significantly greater likelihood of having met the 12-month diagnostic criteria when compared to women in the community. The most prevalent disorders among the female prisoners were: drug use disorder (57%), major depression (44%), Posttraumatic stress disorder (36%), and personality disorders. Almost a quarter (24%) of respondents were identified as a ‘case’ on the psychosis screen. Conclusions: In the present study female prisoners had significantly higher rates of the mental disorders investigated (with the exceptions of OCD and alcohol harmful use) when compared with women in the community. The pattern of disorder found among female prisoners is consistent with the abuse literature, suggesting that histories of abuse among the prison population may account for part of the discrepancy. These results highlight the need for improved assessment and treatment resources to meet the demands of this population.
4
Steel, Julie, Graham Thornicroft, Luke Birmingham, Charlie Brooker, Alice Mills, Mari Harty, and Jenny Shaw. "Prison mental health inreach services." British Journal of Psychiatry 190, no. 5 (May 2007): 373–74. http://dx.doi.org/10.1192/bjp.bp.106.031294.
Full textAbstract:
SummaryPrison mental health inreach teams have been established nationwide in England and Wales over the past 3 years to identify and treat mental disorders among prisoners. This paper summarises the policy content and what has been achieved thus far, and poses challenges that these teams face if they are to become a clear and effective component in the overall system of forensic mental healthcare.
5
Hidayati, Nur Oktavia, Suryani Suryani, Laili Rahayuwati, and Nur Setiawati Dewi. "Scoping Review of Mental Health Problems among Female Prisoners." Open Access Macedonian Journal of Medical Sciences 9, T6 (November 15, 2021): 80–84. http://dx.doi.org/10.3889/oamjms.2021.7322.
Full textAbstract:
BACKGROUND: Detention can cause problems and stressors for prisoners, one of which is mental health problems. Female prisoners have a high rate of mental health needs in prisons. Awareness and the ability to recognize prisoners’ health problems are important. Therefore, the mental welfare of female prisoners is the responsibility of each prison. AIM: This review aimed to identify mental health problems among female prisoners. METHODS: The method used was a scoping review. A systematic searched of the literature between 2000 and August 2021 on several databases and search engines, namely, PubMed, CINAHL, SAGE Journals, and Google Scholar using keywords in English, namely, mental health, female prisoners, and prison. RESULTS: Of the 112 articles found, nine were eligible for inclusion. It was found that the mental health problems of female prisoners were anxiety, depression, substance abuse, stress, loss and grief, trauma, and suicide attempts that put them at risk of psychological distress. There was still limited study on female prisoners, especially to explore mental health problems in prison, and there were few studies discussing adjustment to female prisoners in prison, as well as mental health services which are still rarely carried out in prisons. CONCLUSION: Based on the findings, it is recommended for future research to focus more on how female prisoners can access mental health services in prisons to overcome their mental health problems, conduct a deeper exploration of the extent to which mental health services in prisons have been carried out so far.
6
Piperoglou, Michael. "Greeks in Victoria: implications for mental‐health services." Medical Journal of Australia 151, no. 1 (July 1989): 55–56. http://dx.doi.org/10.5694/j.1326-5377.1989.tb128462.x.
Full text
7
Daigle, Marc S. "Mental health and suicide prevention services for Canadian prisoners." International Journal of Prisoner Health 3, no. 2 (February 2007): 163–71. http://dx.doi.org/10.1080/17449200701321779.
Full text
8
POLLOCK, P. H., B. QUIGLEY, K. O. WORLEY, and C. BASHFORD. "Feigned mental disorder in prisoners referred to forensic mental health services." Journal of Psychiatric and Mental Health Nursing 4, no. 1 (February 1997): 9–15. http://dx.doi.org/10.1111/j.1365-2850.1997.tb00171.x.
Full text
9
Islam, Rezaul. "Mental health services in the Seychelles." Psychiatric Bulletin 23, no. 9 (September 1999): 565–67. http://dx.doi.org/10.1192/pb.23.9.565.
Full textAbstract:
When I reached Seychelles to start my new job with the Ministry of Health as a consultant psychiatrist at the Victoria Hospital I had hardly any idea about the islands, let alone its mental health service. But I decided to take the job partly out of curiosity and an interest to see what psychiatry would be on a tourist island in the middle of the Indian Ocean.
10
Senior, J., L. Birmingham, M. A. Harty, L. Hassan, A. J. Hayes, K. Kendall, C. King, et al. "Identification and management of prisoners with severe psychiatric illness by specialist mental health services." Psychological Medicine 43, no. 7 (October 23, 2012): 1511–20. http://dx.doi.org/10.1017/s0033291712002073.
Full textAbstract:
BackgroundThe prevalence of mental disorders among prisoners is considerably higher than in the general population. This is an important public health issue as the vast majority of prisoners stay in custody for less than 9 months and, when not in prison, offenders' lifestyles are frequently chaotic, characterized by social exclusion, instability and unemployment. Multi-disciplinary mental health inreach services were introduced to target care towards prisoners with severe mental illness (SMI) in a similar way to that provided by Community Mental Health Teams outside prison. The aim was to establish the proportion of prisoners with SMI who were assessed and managed by prison mental health inreach services.MethodA two-phase prevalence survey in six prisons in England measured SMI upon reception into custody. Case-note review established the proportion of those with SMI subsequently assessed and treated by inreach services.ResultsOf 3492 prisoners screened, 23% had SMI. Inreach teams assessed only 25% of these unwell prisoners, and accepted just 13% onto their caseloads.ConclusionsInreach teams identified and managed only a small proportion of prisoners with SMI. Prison-based services need to improve screening procedures and develop effective care pathways to ensure access to appropriate services. Improved identification of mental illness is needed in both the community and the Criminal Justice System to better engage with socially transient individuals who have chaotic lifestyles and complex needs.
11
Forrester, Andrew, Jagmohan Singh, Karen Slade, Tim Exworthy, and Piyal Sen. "Mental health in-reach in an urban UK remand prison." International Journal of Prisoner Health 10, no. 3 (September 9, 2014): 155–63. http://dx.doi.org/10.1108/ijph-07-2013-0035.
Full textAbstract:
Purpose – Prison mental health in-reach teams (MHITs) have developed in England and Wales over the last decade. Services have been nationally reviewed, but detailed descriptions of their work have been scarce. The purpose of this paper is to describe the functions of one MHIT in a busy, ethnically diverse, male remand prison in London, UK. Design/methodology/approach – Clinical and demographic data were collected for prisoners referred to the MHIT using a retrospective design over an 18-week period in 2008/2009 (n=111). Findings – Foreign national prisoners and sentenced prisoners were significantly under-referred. Most referrals were already known to community mental health services, although around a quarter accessed services for the first time in prison. Around a third presented with self-harm/suicide risks. Substance misuse problems were common. Although the MHIT had evolved systems to promote service access, prisoner self-referrals were limited. Practical implications – Foreign national prisoners require enhanced investment to improve service access. MHITs identify people with mental disorders for the first time in prisons, but better screening arrangements are needed across systems. An evaluation of multiple MHIT models could inform a wider delivery template. Originality/value – One of the first ground-level evaluations of MHITs in England and Wales.
12
Bark, Nigel. "Prisoner mental health in the USA." International Psychiatry 11, no. 3 (August 2014): 53–55. http://dx.doi.org/10.1192/s174936760000446x.
Full textAbstract:
The mental health of prisoners in the USA is affected by American history: Dorothea Dix's 1830s campaign; the Civil War and slavery; presidential interventions; the Great Depression; and the introduction of Medicaid and the Affordable Care Act. In 1934, the ratio of prisoners to mental hospital patients was 0.4; now, it is 3:1, with states varying from 10:1 to 1:1. Those states with the highest ratios also have the highest rates of imprisonment and the lowest expenditures on mental health. Litigation is likely to improve mental health services in prisons and to keep people who are mentally ill out of prisons.
13
Mayer, Connie. "HIV-infected prisoners: What mental health services are constitutionally mandated?" Journal of Psychiatry & Law 23, no. 4 (December 1995): 517–53. http://dx.doi.org/10.1177/009318539502300403.
Full textAbstract:
State and federal correctional facilities currently have approximately 23,000 inmates who are infected with human immunodeficiency virus (HIV). These inmates suffer from the same mental health disorders as uninfected inmates but are additionally subject to mental health problems uniquely related to their HIV infection. Many prison systems are struggling to provide minimal mental health care to uninfected inmates. How will prisons address the additional mental health needs of the staggering number of inmates being diagnosed with AIDS and HIV? This article describes the type of mental health services that are constitutionally mandated and discusses whether and how prisons will have to respond to the distinct mental health issues related to HIV infection.
14
Exworthy, Tim, Simon Wilson, and Andrew Forrester. "Beyond equivalence: prisoners' right to health." Psychiatrist 35, no. 6 (June 2011): 201–2. http://dx.doi.org/10.1192/pb.bp.110.033084.
Full textAbstract:
SummaryPrisons have high levels of psychiatric morbidity and function as mental illness recognition centres. Their healthcare wings are not hospitals and timely transfers to hospital are often unavailable. The United Nations' right to the highest attainable standard of health is assessed according to whether healthcare services are available, accessible, acceptable and of good quality (AAAQ). It is proposed that the AAAQ framework goes beyond the principle of equivalence of care and provides a more sophisticated measure for exploring prison healthcare.
15
Galbally, Rhonda. "Mental Health Promotion in Victoria: A Strategic Approach." Australasian Psychiatry 5, no. 1 (February 1997): 14–18. http://dx.doi.org/10.3109/10398569709082086.
Full textAbstract:
Health promotion has proved to be crucial in most areas of health, for example, cardiovascular health, cancer control and injury prevention. However, mental health promotion has hitherto been a very poor cousin by comparison with funds spent on other health promotion areas, and also by comparison with funds spent on mental health services. This situation is understandable. First, there has been a need to shake mental health services out of antiquity to ensure that they not only meet fundamental standards of human rights, but also begin to develop a focus on rehabilitation. Second, the amorphous, unspecific and often haphazard nature of the few existing mental health promotion programs has, to a degree, given mental health promotion a bad name. As mental health promotion initiatives must inevitably relate to social and structural issues, the health content of mental health promotion has sometimes been hard to identify.
16
Pelizza, L., D. Maestri, G. Paulillo, and P. Pellegrini. "Mental health treatments in an Italian prison: the Parma integrated approach." European Psychiatry 65, S1 (June 2022): S72. http://dx.doi.org/10.1192/j.eurpsy.2022.225.
Full textAbstract:
Introduction Mental health interventions for Italian (and European) prisoners with mental disorders remain a problematic issue, despite radical changes in general psychiatric care and a 2008 major government reform transferring mental health care in prison to the National Health Service. Indeed, according to the American Psychological Association, 64% of incarcerated individuals report mental health concerns. Objectives The aim of this study is to describe the mental health intervention model implemented since January 2020 for prisoners allocated in the Parma Penitentiary Institutes (PPI). This approach is specifically based on specialized, “person-centered” and “person-tailored” therapeutic-rehabilitation plans in line with psychiatric treatments usually provided in community mental health-care centers of the Parma Department of Mental Health. Methods All the processes and procedures included in the PPI intervention model were first carefully described, paying special attention to the service for newly admitted prisoners and each typology of specialized therapeutic-rehabilitation treatment potentially provided. Additionally, a preliminary descriptive process analysis of the first six months of clinical activity was also performed. Results Since January 2020, 178 individuals entered the PPI service for newly admitted prisoners. In total, 83 (46.7%) of them were engaged in the services of the PPI mental health-care team (35 with pathological addiction and 48 with mental disorders): 56 prisoners were offered an integrated mental health intervention and 27 exclusively an individual psychological or psychiatric treatment. Conclusions The results support the potential applicability of an integrated mental health intervention in prison, planning a person-tailored rehabilitation in close collaboration with the prisoners, their families and the local mental health/social services. Disclosure No significant relationships.
17
Rose, John, Gerard Hutchinson, Paul Willner, and Tony Bastick. "The prevalence of mental health difficulties in a sample of prisoners in Trinidadian prisons referred for anger management." Journal of Forensic Practice 20, no. 4 (November 12, 2018): 249–56. http://dx.doi.org/10.1108/jfp-03-2018-0011.
Full textAbstract:
Purpose The purpose of this paper is to evaluate the prevalence of mental health disorder symptoms in a sample of prisoners in Trinidadian prisons who volunteered to attend anger management groups. Design/methodology/approach A survey was conducted using the 90-item Symptom Check-List revised (SCL-90-R) which was administered to prisoners in groups within the prison system. In total 132 prisoners (about 9 per cent of the prison population) completed the measure. The effect sizes of prisoners’ similarities to a psychiatric inpatient group and their differences from a non-patient group were used to identify symptoms most indicative of pathology in these prisoners. Findings The results on the SCL-90-R indicate that this group of prisoners (77.3 per cent male) had scores of psychiatric symptomatology that were much closer to a psychiatric inpatient population rather than to a general community population. Practical implications These results suggest there may be unmet psychiatric need among the population served by the prison services in Trinidad. It is not known how this sample differs from the general prison population. However, the unmet psychiatric need in this specific population suggests that a greater mental health focus in health services within prisons is to be considered to meet these needs. Originality/value These data suggest that there are significant mental health issues for some prisoners in Trinidad and possibly more generally in similar prison systems within the Caribbean and this may have significant implications for the treatment of prisoners and the delivery of mental health services in these prisons.
18
Meadows, Graham. "Geographical Resource Allocation for Public Mental Health Services in Victoria." Australian & New Zealand Journal of Psychiatry 31, no. 1 (February 1997): 95–104. http://dx.doi.org/10.3109/00048679709073805.
Full textAbstract:
Objective:To provide background information on the approach of area based funding models for mental health services, to describe the considerations which have come to bear in the development process of the Victorian model, to explore the impacts of different models, and to suggest courses for further development. Method:The history of this approach to funding in the UK and the USA is summarised, then an account is given of the development of the Victorian model. The position is put that the validation of such models is hampered by having only sparse relevant data. Suggestions are made for improving this situation. Results:The Victorian model has come to include adjustments for socioeconomic disadvantage, the age, sex and marital status structure of the population, and a variable discounting for estimated substitutive activity of the private sector. Different methods of combining these adjustments into a working formula can be seen to have very different impacts. Conclusions:The approach taken in development of this model can be expected to have major influence on funding within Victoria, but also more widely in Australia. The impacts of differing assumptions within these models are significant. Specifically targeted epidemiological research, and activity analysis of the private sector will be necessary to enhance the validity of models of this type.
19
Castle, David J. "Letter from Australia: mental healthcare in Victoria." Advances in Psychiatric Treatment 17, no. 1 (January 2011): 2–4. http://dx.doi.org/10.1192/apt.bp.110.008375.
Full textAbstract:
SummaryMental health services in the state of Victoria, Australia, have undergone enormous change over the past 15 years, with the closure of all stand-alone psychiatric hospitals and a shift of resources and services into the community. Although successful overall, various areas cause concern, including pressure on acute beds, a paucity of alternative residential options, and suboptimal integration of government and non-government agencies concerned with the care of people with mental illnesses. Certain groups, notably those with complex symptom sets such as substance use and mental illness, intellectual disability and forensic problems, remain poorly catered for by the system. Finally, community stigma and lack of work inclusion for mentally ill individuals are ongoing challenges.
20
Peixoto, C., D. Rego, M. Cruz, B. Peixoto, M. Bicho, J. Coelho, and H. Medeiros. "Challenges of ageing in prisons and forensic psychiatric settings." European Psychiatry 65, S1 (June 2022): S606—S607. http://dx.doi.org/10.1192/j.eurpsy.2022.1554.
Full textAbstract:
Introduction There is a current trend towards an increase in the number of elderly prisoners due to the increase in life expectancy and the change in the attitude of society and the judicial system. The cut-off for “older offender” is defined from the age of 50, due to the lifestyle previous to prision and premature ageing. Objectives The authors intend to understand the challenges of aging in prison and forensic services, highlighting the psychiatric comorbidities of inmates and how these services can adapt to the needs of this population. Methods Non-systematic review of the literature. Results Studies of elderly in prisons and elderly forensic psychiatric patients are limited. Prisoners have increased physical and psychiatric morbidity and early mortality as they are more exposed to risk factors and more likely to have at least one health problem compared to older adults in the community. Compared to older people in the community, older prisoners are at higher risk for most psychiatric disorders including depression, psychosis, bipolar disorder, cognitive impairment, personality disorder and anxiety. Suicide rates are also higher among elderly prisoners. The inadequacy of the prison system to respond to the unique needs of elderly prisoners has a detrimental impact on their overall experience of incarceration. The development of specific services for elderly prisoners or the adaptation of mixed units for the elderly population is proposed. Conclusions The elderly population in prisons is growing and has higher risk of psychiatric pathology compared to community elders. Prison services with difficulties in identifying and meeting these needs. Disclosure No significant relationships.
21
Murray, Kevin, Akintunde Akinkunmi, Martin Lock, and Rosslyn Brown. "The Bentham Unit: A pilot remand and assessment service for male mentally disordered remand prisoners." British Journal of Psychiatry 170, no. 5 (May 1997): 456–61. http://dx.doi.org/10.1192/bjp.170.5.456.
Full textAbstract:
BackgroundBecause of continuing concern regarding the inadequacy of existing NHS provision for mentally disordered remand prisoners, the Bentham Unit was commissioned as a pilot project to provide rapid assessment and, where appropriate, hospital admission for such prisoners from the former North West Thames catchment area.MethodInformation is presented on the 150 referrals and 62 admissions in the first year of the service's operation.ResultsThe service met the Reed Report targets for assessment time. Most of those referred were previously known to psychiatric services. The alleged offences were more serious than anticipated. Those admitted were transferred to appropriate services of the conclusion of their court cases, and remained in contact with services three months later. Waiting for the conclusion of court proceedings significantly prolonged the length of stay. Substantial cost transfers from the criminal justice system to the health system were evident.ConclusionsAdequate services for mentally disordered remand prisoners are entirely achievable; provision of such services is a resource issue, not a clinical problem.
22
Butler, Tony, Stephen Allnutt, Azar Kariminia, and David Cain. "Mental Health Status of Aboriginal and Non-Aboriginal Australian Prisoners." Australian & New Zealand Journal of Psychiatry 41, no. 5 (May 2007): 429–35. http://dx.doi.org/10.1080/00048670701261210.
Full textAbstract:
Objective: To compare the mental health of Aboriginal and non-Aboriginal prisoners in New South Wales. Methods: The sample consisted of a cross-sectional random sample of sentenced prisoners, and a consecutive sample of reception prisoners. The sample was drawn from 29 correctional centres (27 male, two female) across New South Wales. Overall, 1208 men (226 Aboriginal), and 262 women (51 Aboriginal) participated in the study. Mental illness was detected using the Composite International Diagnostic Interview (CIDI-A) and a number of other screening measures incorporated into the programme. Results: No differences were detected in mental illness between Aboriginal and non-Aboriginal men, apart from depression, which was lower in the latter group. Aboriginal woman were more likely than non-Aboriginal women to screen positive for symptoms of psychosis in the prior 12 months and have a higher 1 month and 12 month prevalence of affective disorder; they also had higher psychological distress scores. Suicidal thoughts and attempts were the same in both groups. Conclusions: These findings confirm that the demand for mental health services in prisons is considerable, and that Aboriginal women are one of the most vulnerable groups. Services and programmes providing an alternative to incarceration are needed, as are culturally sensitive approaches to treatment.
23
Hiller, Matthew, J. Matthew Webster, Egle Narevic, Michele Staton, Thomas Garrity, and Carl Leukefeld. "Prisoners with Substance Abuse and Mental Health Problems: Use of Health and Health Services." American Journal of Drug and Alcohol Abuse 31, no. 1 (2005): 1–20. http://dx.doi.org/10.1081/ada-200037552.
Full text
24
Hiller, Matthew L., J. Matthew Webster, Egle Narevic, Michele Staton, Thomas F. Garrity, and Carl Leukefeld. "Prisoners with Substance Abuse and Mental Health Problems: Use of Health and Health Services." American Journal of Drug and Alcohol Abuse 31, no. 1 (January 2005): 1–20. http://dx.doi.org/10.1081/ada-37552.
Full text
25
Jones, Ivor H., Ben Marris, and Helen Hornsby. "Psychiatric Characteristics of Female Prisoners in Tasmania." Australian & New Zealand Journal of Psychiatry 29, no. 4 (December 1995): 671–77. http://dx.doi.org/10.3109/00048679509064984.
Full textAbstract:
Objective: The aim of the paper is to describe some of the psychiatric, social and criminological features of female prisoners in Tasmania between 1981 and 1990 inclusive. Method: Data were collated from prison records for all 210 women prisoners incarcerated between the above dates. Using the Mental Health Services database it was determined which prisoners had prior contact with State Psychiatric Services, their clinical state, various demographic data and ICD-9 diagnoses. Forensic data obtained from prison records were compared for those with and those without a psychiatric history of attendance at Mental Health Services; appropriate privacy safeguards were used in handling the material. Results: Thirty-five per cent of prisoners had prior contact with the Mental Health Services before imprisonment. They were predominantly persons with an abnormal personality. Non-addictive drug abuse was the next most common psychiatric category (19%). Only 3% suffered from schizophrenia or affective disorder. Those with prior psychiatric presentation had greater social maladjustment, longer sentences for similar offences and a higher recidivism rate. There was an increase in the number of prisoners with and without a psychiatric diagnosis during the decade. Conclusions: Thirty-five per cent of the female prison population had previously attended psychiatric services in the State. This is fewer than reported in Britain and the US, probably because of the different social structure of this community. These persons differ from other prisoners by showing greater impairment in social adjustments and relationships. They appear to be treated differently with respect to sentencing. There was no evidence of a simple reciprocal relationship between deinstitutionalisation and imprisonment.
26
Simpson, Alexander I. F., Philip M. Brinded, Nigel Fairley, Tannis M. Laidlaw, and Fiona Malcolm. "Does Ethnicity Affect Need for Mental Health Service Among New Zealand Prisoners?" Australian & New Zealand Journal of Psychiatry 37, no. 6 (December 2003): 728–34. http://dx.doi.org/10.1080/j.1440-1614.2003.01260.x.
Full textAbstract:
Objective: The National Study on Psychiatric Morbidity in New Zealand Prisons identified undiagnosed mental illness and unmet treatment needs for mentally disordered offenders. As approximately 50% of prisoners are of Maori and 8.3% Pacific Island ethnicity, we analyzed the data to determine if there were any differences in the rates of major mental disorders between ethnic groups. Method: A census of all female prisoners, all remand male prisoners and an 18% random sample of the sentenced male prisoners were interviewed employing the diagnostic interview for mental illness (CIDI-A), screening diagnostic interview for relevant personality disorders (PDQ) and suicide screening questions. Self-identified ethnicity was recorded. Ethnic groups were compared for sociodemographic variables, morbidity for mental disorder, treatment experience and suicidality. Results: The ethnic groups were largely similar in age and current prevalence for mental disorders, although there was some evidence of differing sociodemographic factors, especially younger age among the Maori prisoners. Maori report fewer suicidal thoughts, but acted suicidally at the same rate as non-Maori. Treatment for mental disorder was less common among Maori and Pacific Island prisoners than others, both in prison and in the community. Conclusion: Criminogenic factors present in the developmental histories of prisoners might also increase the risk of mental disorders. Ethnic groups were not different in the rate at which they manifest mental disorders in the face of such factors. Younger prisoners were disproportionately more likely to be of Maori or Pacific Island ethnicity. Both prior to and after entry to prison, services must improve responsiveness to Maori and Pacific Island people.
27
Thomas, E. G., M. J. Spittal, E. B. Heffernan, F. S. Taxman, R. Alati, and S. A. Kinner. "Trajectories of psychological distress after prison release: implications for mental health service need in ex-prisoners." Psychological Medicine 46, no. 3 (November 9, 2015): 611–21. http://dx.doi.org/10.1017/s0033291715002123.
Full textAbstract:
BackgroundUnderstanding individual-level changes in mental health status after prison release is crucial to providing targeted and effective mental health care to ex-prisoners. We aimed to describe trajectories of psychological distress following prison discharge and compare these trajectories with mental health service use in the community.MethodThe Kessler Psychological Distress Scale (K10) was administered to 1216 sentenced adult prisoners in Queensland, Australia, before prison release and approximately 1, 3 and 6 months after release. We used group-based trajectory modeling to identify K10 trajectories after release. Contact with community mental health services in the year following release was assessed via data linkage.ResultsWe identified five trajectory groups, representing consistently low (51.1% of the cohort), consistently moderate (29.8%), high increasing (11.6%), high declining (5.5%) and consistently very high (1.9%) psychological distress. Mood disorder, anxiety disorder, history of self-harm and risky drug use were risk factors for the high increasing, very high and high declining trajectory groups. Women were over-represented in the high increasing and high declining groups, but men were at higher risk of very high psychological distress. Within the high increasing and very high groups, 25% of participants accessed community mental health services in the first year post-release, for a median of 4.4 contact hours.ConclusionsFor the majority of prisoners with high to very high psychological distress, distress persists after release. However, contact with mental health services in the community appears low. Further research is required to understand barriers to mental health service access among ex-prisoners.
28
Moyes, Hattie Catherine Ann, Joshua James Heath, and Lucy Victoria Dean. "What can be done to improve outcomes for prisoners with a dual diagnosis?" Advances in Dual Diagnosis 9, no. 1 (February 15, 2016): 14–25. http://dx.doi.org/10.1108/add-07-2015-0016.
Full textAbstract:
Purpose – The purpose of this paper is to review the literature on offenders with a dual diagnosis and discuss how prison-based services can improve to better meet the needs of prisoners with co-occurring substance misuse and mental health disorders. Design/methodology/approach – A comprehensive literature search of PsycINFO, JSTOR, PubMed and Google Scholar, reviewing international studies on dual diagnosis amongst offender and community samples spanning the last three decades, supplemented by international policy, guidance papers and reports was conducted to explore how services can be improved. Findings – It was found that research into dual diagnosis amongst prisoners internationally was scarce. However, from the evidence available, several consistent factors emerged that led to the following recommendations: integrated treatment needs to be coordinated and holistic, staged and gender-responsive; increased availability of “low level”, flexible interventions; transitional support and continuity of care upon release with the utilisation of peer mentors; comprehensive assessments in conducive settings; mandatory dual diagnosis training for staff; and increased funding for female/gender-responsive services. Practical implications – The recommendations can inform commissioners, funders and service providers of areas where support must be improved to address the needs of prisoners with a dual diagnosis. Social implications – Improved outcomes for prisoners with a dual diagnosis would likely have a positive effect on society, with improvements in mental health and substance misuse treatment impacting on rates of reoffending. Originality/value – This paper brings originality and value to the sector because it reviews relevant research on dual diagnosis and translates it into practical implications for policy makers.
29
Wilson, Simon, Katrina Chiu, Janet Parrott, and Andrew Forrester. "Postcode lottery? Hospital transfers from one London prison and responsible catchment area." Psychiatrist 34, no. 4 (April 2010): 140–42. http://dx.doi.org/10.1192/pb.bp.109.025239.
Full textAbstract:
Aims and methodTo consider the link between responsible commissioner and delayed prison transfers. All hospital transfers from one London prison in 2006 were audited and reviewed by the prisoner's borough of origin.ResultsOverall, 80 prisoners were transferred from the audited prison to a National Health Service (NHS) facility in 2006: 26% had to wait for more than 1 month for assessment by the receiving hospital unit and 24% had to wait longer than 3 months to be transferred. These 80 individuals were the responsibility of 16 different primary care trusts. Of the delayed transfer cases (n=19), the services commissioned by three primary care trusts were responsible for the delays.Clinical implicationsThere are significant differences in performance between different primary care trusts related to hospital transfers of prisoners, with most hospitals able to admit urgent cases within 3 months. This suggests that a postcode lottery operates for prisoners requiring hospital transfer. Data from prison services may be useful in monitoring and improving the performance of local NHS services.
30
Butler, Tony, Stephen Allnutt, David Cain, Dale Owens, and Christine Muller. "Mental Disorder in the New South Wales Prisoner Population." Australian & New Zealand Journal of Psychiatry 39, no. 5 (May 2005): 407–13. http://dx.doi.org/10.1080/j.1440-1614.2005.01589.x.
Full textAbstract:
Objectives: To determine the prevalence of mental illness among prisoners in New South Wales (NSW), Australia. Method: Mental illness was examined in two NSW prisoner populations: (i) new receptions to the correctional system; and (ii) sentenced prisoners. Reception prisoners were screened at four male centres and one female centre in NSW. The sentenced population was randomly selected from 28 correctional centres across the state. Reception prisoners were screened consecutively whenever possible while the sentenced group was randomly selected as part of the 2001 Inmate Health Survey. We adopted the same instrument, Composite International Diagnostic Interview – Auto (CIDI-A), for diagnosing mental illness as used in the Australian National Survey of Mental Health and Wellbeing. Results: Overall, 43% of those screened had at least one of the following diagnoses: psychosis, anxiety disorder, or affective disorder. Reception prisoners suffered from mental illness to a greater extent than sentenced prisoners (46% vs. 38%). Women had higher levels of psychiatric morbidity than men (61% vs. 39%). Nine percent (9%) of all prisoners had experienced psychotic symptoms (due to any cause) in the prior 12 months. Twenty percent (20%) of all prisoners had suffered from at least one type of mood disorder and 36% had experienced an anxiety disorder. Posttraumatic stress disorder was the most common disorder, diagnosed in 26% of receptions and 21% of sentenced prisoners. Conclusions: These findings confirm that prisoners are a highly mentally disordered group compared with the general community. Given the high prevalence of mental illness identified by this study, it is essential that prison mental health services be adequately resourced to address the demand and, at minimum, ensure that mental health does not deteriorate during incarceration.
31
Nagar, Maayan. "“Degrees of Freedom”: Comparing Mental Distress of Populations with Different Levels of Access to Care-Prisoners, Psychiatric Patients and General Population." Healthcare 10, no. 9 (September 8, 2022): 1726. http://dx.doi.org/10.3390/healthcare10091726.
Full textAbstract:
Objectives: The study presents an analysis of the risk for common mental disorders (CMDs) in populations with different levels of access to mental health care. Methods: We merged and statistically compared the representative data of prisoners to data collected from psychiatric clinics and the general population. Participants across all samples completed the General Health Questionnaire. Results: More than half of the inmates met the criteria for CMDs, while rates were 25% in the general population and 80% among psychiatric patients. The odds of prisoners being five times more likely to meet the criteria for CMDs were five times higher than the odds of the general population while controlling for demographic variables. Conclusions: The study highlights the need for prisoners for mental health services. Prisoners face stressful life conditions before and during incarceration while having limited access to medical and psychological treatment stresses the need for systemic interventions.
32
Memarpour, Pegah, Rose Ricciardelli, and Pauline Maasarjian. "Government reports versus offenders’ experiences: toward the resolution of discrepancies in healthcare and healthcare delivery." International Journal of Prisoner Health 11, no. 4 (December 21, 2015): 225–42. http://dx.doi.org/10.1108/ijph-02-2015-0006.
Full textAbstract:
Purpose – Canadian literature on federal correctional institutions and prison living indicate a shortage inadequate and available healthcare services to meet the needs of the prison population, despite prisoners higher rates of health challenges (e.g. mental health, addictions, HIV/AIDS) in comparison to the general population. With fewer resources, concerns arise about the delivery, quantity, and quality of penal healthcare provision. Thus, the authors examines former prisoners’ experiences of, in comparison to government reports on, wait-times, and request processes for healthcare services, as well as issues of access, quality of interactions with healthcare professionals and the regulations and policies governing healthcare provision. The paper aims to discuss these issues. Design/methodology/approach – The authors compare data gathered from interviews with 56 former-federal prisoners with publicly available Correctional Services Canada reports on healthcare delivery, staff-prisoner interactions, programmes and services, and overall physical and mental health to identify consistencies and inconsistencies between the government’s and former prisoners’ understandings of penal healthcare. Findings – Discrepancies exist between prisoners reported experiences of healthcare provision and government reports. Prisoners are dissatisfied with healthcare provision in more secure facilities or when they feel their healthcare needs are not met yet become more satisfied in less secure institutions or when their needs are eventually met. Originality/value – Theories of administrative control frame the analyses, including discrepancies between parolee experiences and Correctional Service Canada reports. Policy recommendations to improve healthcare provision are highlighted.
33
Baidawi, Susan. "Older prisoners: psychological distress and associations with mental health history, cognitive functioning, socio-demographic, and criminal justice factors." International Psychogeriatrics 28, no. 3 (November 17, 2015): 385–95. http://dx.doi.org/10.1017/s1041610215001878.
Full textAbstract:
ABSTRACTBackground:The growth among older prisoner populations, including in Australia, necessitates an understanding of this group in order to generate effective management strategies. One particular concern is the mental well-being of older prisoners. This study aimed to determine the level of psychological distress among sentenced prisoners aged 50 years and older, to compare this level to that seen among younger prisoners and older people in the community, and to investigate which mental health history, cognitive functioning, socio-demographic, and criminal justice characteristics were associated with psychological distress.Methods:A cross-sectional survey of 173 older (M = 63 years) and 60 younger prisoners (M = 34 years) in two Australian jurisdictions was conducted. The Kessler Psychological Distress (K10) scale was administered with prisoners and additional data were collected from interviews and participant health and corrections files. K10 scores were compared to community norms using data from the Australian Health Survey.Results:Average K10 scores of the older prisoners were significantly lower than the younger prisoners’ (p = 0.04), though the effect size was small (r = 0.1). Significantly, higher distress levels were observed in comparison to the general population (p < 0.001), with older prisoners being three times more likely to display very high levels of distress (12.3% vs. 3.7%). Higher psychological distress scores among older prisoners were significantly associated with female gender (p = 0.002) and a history of mental health issues (p = 0.002).Conclusions:While the levels of distress seen among older prisoners were significantly lower than that of younger prisoners, their higher levels of distress in comparison to community norms demonstrate a need for correctional services to be attuned to the mental health of the expanding older prisoner population.
34
Davidson, Mark, Martin S. Humphreys, Eve C. Johnstone, and David G. Cunningham Owens. "Prevalence of Psychiatric Morbidity Among Remand Prisoners in Scotland." British Journal of Psychiatry 167, no. 4 (October 1995): 545–48. http://dx.doi.org/10.1192/bjp.167.4.545.
Full textAbstract:
BackgroundDetermining the prevalence of psychiatric disorders among remand populations has been made a priority in England and Wales. Differences in legal process and psychiatric services in Scotland make similar research there important.MethodDemographic data were collected on 389 prisoners, the Clinical Interview Schedule was completed and cognitive function assessed.ResultsThe prevalence of major psychiatric disorders was low. Less severe symptoms were more common. The sample was of average IQ, but low educational attainment. Reported drug abuse was high.ConclusionsFew of those interviewed required hospital care, but other symptoms and drug-related problems may place heavy demands on prison medical and psychiatric services.
35
Harty, Mari Anne, James Tighe, Morven Leese, Janet Parrott, and Graham Thornicroft. "Inverse care for mentally ill prisoners: unmet needs in forensic mental health services." Journal of Forensic Psychiatry & Psychology 14, no. 3 (December 2003): 600–614. http://dx.doi.org/10.1080/1478994031000152763.
Full text
36
Gulland, A. "Prisoners' mental health could suffer if GPs fail to commission services, warn psychiatrists." BMJ 342, mar09 2 (March 9, 2011): d1549. http://dx.doi.org/10.1136/bmj.d1549.
Full text
37
Roberts, Bridget M., and Darryl Maybery. "Dual Diagnosis Discourse in Victoria Australia: The Responsiveness of Mental Health Services." Journal of Dual Diagnosis 10, no. 3 (July 3, 2014): 139–44. http://dx.doi.org/10.1080/15504263.2014.929332.
Full text
38
Lurigio, Arthur J. "Effective Services for Parolees with Mental Illnesses." Crime & Delinquency 47, no. 3 (July 2001): 446–61. http://dx.doi.org/10.1177/0011128701047003009.
Full textAbstract:
This article is divided into four major sections. The first describes the factors that have resulted in persons with serious mental illnesses' (PSMIs') becoming a growing segment of the correctional population. The second explores the changing face of parole supervision and the implications of those changes for the care of PSMIs on parole. Section three discusses the prevalence of mental illnesses among adult prisoners and probationers and draws inferences from those data to the parolee population. Section three also explores mental health care for prison inmates and special programs for PSMIs on probation and parole. The article concludes with several suggestions for improving parole practices to meet the needs of PSMIs.
39
Gelber, Harry. "The experience of the Royal Children's Hospital mental health service videoconferencing project." Journal of Telemedicine and Telecare 4, no. 1_suppl (March 1998): 71–73. http://dx.doi.org/10.1258/1357633981931542.
Full textAbstract:
In April 1995 the Royal Children's Hospital Mental Health Service in Melbourne piloted the use of videoconferencing in providing access for rural service providers and their clients to specialist child and adolescent psychiatric input. What began as a pilot project has in two years become integrated into the service-delivery system for rural Victoria. The experience of the service in piloting and integrating the use of videoconferencing to rural Victoria has been an important development for child and adolescent mental health services in Australia.
40
Timerzyanov, M. I. "Medical and social health problems of convicted and health care delivery to this category." Kazan medical journal 96, no. 6 (December 15, 2015): 1043–49. http://dx.doi.org/10.17750/kmj2015-1043.
Full textAbstract:
An overview of the literature of domestic and foreign authors concerning the prisoners incarceration conditions and the health status, the most important disease groups and the medical support organization is presented. The prisoners health status significantly differs from the nationwide values, what is related to the maladgusted population stratum concentration, the prison conditions that facilitate some infectious diseases spread, and other factors. These problems are not isolated, as the majority of persons who are in prison, sooner or later return to the community. In the second half of the 1990s in Russia the leading in morbidity structure of convicted were respiratory diseases - 23.5% (respiratory viral infections, chronic non-specific lung disease, pneumonia, etc.); mental disorders - 19.6% (alcoholism, drug addiction), infectious and parasitic diseases - 17.3% (tuberculosis, sexually transmitted infections) diseases of the skin and subcutaneous tissue - 10.9% (scabies, pediculosis). In Russia during the 1990s, the death rate of prisoners increased by 3.2 times (from 323.0 to 1027.3 per 100 thousand of convicts). However, since the late 1990s, there is a steady decline in mortality, which is determined primarily by a decrease in prisoners mortality from tuberculosis. Doctors availability (excluding dentists) for persons who are in prisons in republic of Tatarstan is 45.4 per 10 thousand, nurses availability - 109.1. These values are higher than in the institutions of the Ministry of Health, in terms of doctors - by 3.2%, and nurses - 18.1%. Prisons represent an important public healthcare resources, allowing to identify, treat, and prevent a large group of diseases in complicated target group which is often difficult to get by civilian health services. Existing problems in the prisoners health, poor material and technical resources of medical services are due to inadequate funding of the Department of the correctional system. Lack of legal framework does not allow the administration to take into account features of the most vulnerable categories of prisoners.
41
Pérez-Ramírez, Berenice, Juan J. Barthelemy, Robin E. Gearing, Lindamarie Olson, Natalia Giraldo-Santiago, and Luis R. Torres. "Suicide in Mexican Prisons: Mental Health Symptomology and Risk Factors for Suicidal Ideation and Suicidal Behavior." Prison Journal 101, no. 6 (December 2021): 675–98. http://dx.doi.org/10.1177/00328855211060319.
Full textAbstract:
In Mexico, suicide and suicidal behaviors (SB) have increased 275% since 1990. Prisoners constitute a growing population in Mexico and have been identified as high suicide risk. Using a sample of 194 male prisoners, we measure what demographics and mental health symptomology are associated with suicidal ideation (SI) and SB, and identify what demographics and mental health symptomology predict SI and SB. Global Severity and Adverse Childhood Experiences (ACEs) were significant predictors of experiencing SI, whereas global severity, ACEs, and age were significant predictors of experiencing SB. Findings support increased identification and comprehensive mental health services addressing suicidality in prisons.
42
Leal, Marto, Ligia Kerr, Rosa Maria Salani Mota, Roberto da Justa Pires Neto, David Seal, and Carl Kendall. "Health of female prisoners in Brazil." Ciência & Saúde Coletiva 27, no. 12 (December 2022): 4521–29. http://dx.doi.org/10.1590/1413-812320222712.10222022.
Full textAbstract:
Abstract The majority of the women in prisons comes from the poorest strata of society with limited access to education, income and health services. This contributes to the fact that female prisoners have a higher burden of adverse health events than both male prisoners and women in general population We objectived to estimate the prevalence of different morbidities and risk factors among female prisoners in Brazil. A total of 1,327 women were recruited in this cross-sectional study. Data were collected using a using audio computer-assisted self-interviewing questionnaire, rapid antibody tests and physical examination. The higher prevalences was of syphilis, infection sexually disease, arterial hypertense, asthma, common mental disorders and severe physical violence. Regarding risk factors, 36.3% have good knowledge about HIV, 55.8% were smokers, 72.3% had ever used any illicit drug, 92.1% are sedentary and 92.1% maintained an unhealthy diet. Female prisoners are disproportionately affected by various adverse health conditions. There is a need for an effective surveillance system inside prisons for early diagnosis and treatment.
43
Bartlett, Annie, and Sheila Hollins. "Challenges and mental health needs of women in prison." British Journal of Psychiatry 212, no. 3 (February 28, 2018): 134–36. http://dx.doi.org/10.1192/bjp.2017.42.
Full textAbstract:
SummaryThe world population of women and girls in prison is increasing. Evidence points to high rates of mental health problems. Approaches to these problems vary and include both psychiatric epidemiology and gender-sensitive understanding and intervention. Prison environments and women prisoners' needs are complex and demand gender-aware care in view of women's vulnerability and histories of trauma.Declaration of interestA.B. was a clinical director of the offender care services at Central and North West London National Health Service (NHS) Foundation Trust until August 2016, with responsibility for several women’s prison healthcare services in London and the South East, and is currently clinical director of NHS England London Health in Justice Clinical Network, paid as a salary one day a week.
44
Pyszora, Natalie M., and Julia Telfer. "Implementation of the Care Programme Approach in prison." Psychiatric Bulletin 27, no. 05 (May 2003): 173–76. http://dx.doi.org/10.1192/pb.27.5.173.
Full textAbstract:
Aims and Method Recent government legislation has highlighted the importance of implementation of the Care Programme Approach (CPA) within prisons, as part of the expectation that prisoners receive equivalent standards of healthcare to those provided by the National Health Service. To effectively plan the service provision at HMP Belmarsh, we retrospectively established the number of prisoners in a one-year period who would have fulfilled the criteria for enhanced CPA. Results Of the 91 prisoners found to fulfil the criteria for enhanced CPA, the majority (77%) had a diagnosis of schizophrenia, schizoaffective or delusional disorder, and 58% required transfer to a psychiatric hospital. Of those who required hospital treatment, 75% needed conditions of high- or medium-security. Clinical Implications Successful implementation of the CPA for all prisoners who meet enhanced CPA criteria is likely to have significant resource implications, both for mental health teams working within prisons and local psychiatric services.
45
Reay, Rebecca, Stephen R. Kisely, and Jeffrey C. L. Looi. "Better Access: substantial shift to telehealth for allied mental health services during COVID-19 in Australia." Australian Health Review 45, no. 6 (2021): 675. http://dx.doi.org/10.1071/ah21162.
Full textAbstract:
ObjectiveTo quantify the introduction of new, temporary telehealth Medicare Benefits Schedule (MBS) items delivered by allied mental health professionals (AMHPs) through the Better Access initiative during the COVID-19 pandemic in Australia. MethodsMBS-item service data for clinical psychologists, registered psychologists, social workers, and occupational therapists were extracted for existing face-to-face, remote videoconferencing and new, temporary telehealth items for the study period April–December 2020. The total number of services in Australia were compared with the baseline period of 2019. Given the second wave of increased COVID-19 infections and prolonged lockdowns in the state of Victoria, we compared the per capita rate of services for Victoria versus other states and territories. ResultsDuring the study period, there was an overall 11% increase in all allied mental health consultations. Telehealth use was substantial with 37% of all sessions conducted by videoconferencing or telephone consultations. The peak month was April 2020, during the first wave of increasing COVID-19 cases, when 53% of consultations were via telehealth. In terms of Victoria, there was an overall 15% increase in all consultations compared with the same period in 2019. ConclusionsAllied mental health services via MBS-subsidised telehealth items greatly increased during 2020. Telehealth is an effective, flexible option for receiving psychological care which should be made available beyond the pandemic. What is known about the topic?Little is known about the transition to and delivery of new, temporary Better Access telehealth services by AMHPs during the COVID-19 pandemic. What does this paper add?This paper provides valuable data on the rapid transition to telehealth by AMHPs to provide levels of psychological care commensurate to 2019. Data extends from April to December 2020 and includes the overall number of services provided for each profession, and the proportion of services delivered via face-to-face and telehealth. We highlight the impact of the new, additional items which temporarily raised the cap on sessions. We also illustrate the substantial use of the scheme by those living in Victoria who experienced greater COVID-19-related hardships. What are the implications for practitioners?The continuation of Better Access telehealth services by AMHPs has the potential to extend the reach of mental health care beyond the pandemic.
46
Platford, Bethany. "The feasibility and acceptability of a peer-support group for mental health in Filipino prisons." BJPsych Open 7, S1 (June 2021): S281. http://dx.doi.org/10.1192/bjo.2021.747.
Full textAbstract:
AimsTo assess the feasibility and acceptability of implementing and facilitating a peer-support group for mental health in Filipino prisons.ObjectivesTo identify the logistical issues faced in implementing and facilitating healthcare in Filipino PrisonsTo explore attitudes of potential participants towards the implementation of a peer-support group for mental health in the prisonsTo provide logical recommendations from my findings to inform future mental health support for prisoners in the PhilippinesMethodEthical approval was granted by the University of Leeds prior to data collection. In-country ethical approval was granted through my host Dr Rachael Pickering. Data collection occurred through observations and semi-structured interviews. Participants recruited included six secure-environment healthcare workers, eight prisoners and six ex-prisoners. Both prisoners and ex-prisoners were identified through gatekeepers and informed consent was gained. Interviews were transcribed before coding and themes identified.ResultFeasibility: Bureaucracy and corruption were the main barriers to the potential successful implementation of a peer-support group, which were emergent themes. Space, time and staff were all themes identified that may help facilitate the group.Attitudes: It was noted that there is a significant lack of knowledge surrounding what mental health is and its causes. Stigma and discriminatory actions were also noted by many participants as barrier to the group. However, seven prisoners and five ex-prisoners said they would join.ConclusionThe findings highlighted many barriers but with perservance and local cultural competence this peer-support group could be feasible and be accepted in Filipino prisons. It will be reducing a high unmet need for mental health services in these prisons and if ran successfully with positive effects, will be an example for other prisons across the Philippines and other low-middle income countries.
47
Kothari, Radha, Andrew Forrester, Neil Greenberg, Natasha Sarkissian, and Derek K. Tracy. "Providing mental health services in prisons during the Covid-19 pandemic — challenges and opportunities for growth." Clinical Psychology Forum 1, no. 333 (September 2020): 18–23. http://dx.doi.org/10.53841/bpscpf.2020.1.333.18.
Full textAbstract:
The impact of Covid-19 makes provision of mental health care in prisons particularly challenging. The current impact on staff and prisoners is significant. Staff are under pressure to make ongoing adaptions to how they work and the interventions they are able to offer, whilst increased time spent in lock down and a reduction in services is having a negative effect on the mental health and wellbeing of prisoners. The potential for longer term deleterious consequences is also great given the currently high levels of psychological distress. Clinical psychologists could be invaluable in supporting staff and adaptations to services so support is maintained, but providing this increased level of support within an already stretched system is challenging, particularly given that prisons are predominantly staffed by forensic rather than clinical psychologists. The need for an adequate level of clinical psychology provision within prisons may never have been greater.
48
Senior, Jane, Louis Appleby, and Jenny Shaw. "The management of mental health problems among prisoners in England and Wales." International Psychiatry 11, no. 3 (August 2014): 56–58. http://dx.doi.org/10.1192/s1749367600004483.
Full textAbstract:
This paper reviews the major organisational changes made to the delivery of mental healthcare in prisons in England and Wales since the turn of the century. These changes have included the introduction of ‘in-reach’ services for prisoners with serious mental illness, replicating the work of community mental health teams. In addition, healthcare budgets and commissioning responsibilities have been transferred to the National Health Service. Measures to reduce the rate of suicide in prisons are also considered.
49
Meadows, Graham, and Bruce Singh. "‘Victoria on the Move’: Mental Health Services in a Decade of Transition 1992-2002." Australasian Psychiatry 11, no. 1 (March 2003): 62–67. http://dx.doi.org/10.1046/j.1440-1665.2003.00508.x.
Full textAbstract:
Objective: Australia adopted a national mental health strategy in the early 1990s and each State has had to go through its own implementation process in the intervening years. The present paper describes the process of reform in services in Victoria, and ventures explanations as to why the process may have been more comprehensive and successful than in other States. Conclusions: Victoria adopted a Statewide ‘framework’, defining structural elements of area-based services, with rational resource distribution. A transitional process involving a population health approach and relatively rigid implementation of a tightly specified service framework, within a political environment that favoured strong health services management, was successful in achieving desired structural reforms in this State. This was undoubtedly at the cost of promoting a model of public mental health service delivery that is generally rationed so as to accept only a restricted range of types of referral. New initiatives from the current State government are explicitly targeted to correcting this situation.
50
Solbakken, L., S. Bergvik, and R. Wynn. "Help-seeking behavior of inmates in norwegian prisons." European Psychiatry 64, S1 (April 2021): S469—S470. http://dx.doi.org/10.1192/j.eurpsy.2021.1254.
Full textAbstract:
IntroductionWhile prison inmates have an increased risk of mental illness, psychiatric services are often less accessible and insufficient for this group. A low level of awareness or a fear of becoming stigmatised could also influence the help-seeking behaviour of some inmates.ObjectivesTo study the knowledge and beliefs regarding mental health and mental illness as well as the help-seeking behaviour of inmates in Norwegian prisons.MethodsWe describe a study of help-seeking behaviour and mental health literacy of prisoners. This is a qualitiative study involving in-depth interviews with inmates in prisons in North Norway.ResultsRecruitment and data collection is ongoing. Central topics in the interviews are inmates’ associations regarding positive mental health and how they can enhance their own well-being while in prison, and how other external factors can contribute to increased well-being. Furthermore, the inmates are asked about their attitudes, beliefs, and knowledge regarding mental illness, and what they think might be factors that can contribute to the development of mental illness. Moreover, we cover topics such as the inmates’ beliefs regarding the treatment of mental illness, strategies for handling such health problems, and sources of information regarding mental health and mental illness.ConclusionsThe study will increase knowledge about how prisoners think about mental health and mental illness and the help-seeking behaviours of prison inmates. In a next step, this understanding can be utilized in improving information about well-being, mental illness, and psychiatric services to prisoners.