Inverse care for mentally ill prisoners: unmet needs in forensic mental health services

Autor: Mari Anne Harty, James Tighe, Graham Thornicroft, Morven Leese, Janet Parrott
Rok vydání: 2003
Předmět:
Zdroj: Journal of Forensic Psychiatry & Psychology. 14:600-614
ISSN: 1478-9957
1478-9949
DOI: 10.1080/1478994031000152763
Popis: Previous studies have demonstrated increasing levels of psychiatric morbidity among the UK prison population. Few studies of this population have been conducted using systematic needs assessment instruments. We tested the hypotheses that mentally disordered offenders (MDOs) who go into prison from the community differ significantly from general adult patients in having (1) more needs and (2) more unmet needs. We compared 73 consecutive male patients who had psychotic illness and were transferred from prison with 84 male patients who had psychotic illness and were in the community. Patients were interviewed using the Camberwell Assessment of Need schedule (CAN). Inmate medical records were examined and prison healthcare staff were interviewed. The results showed that the prison group had significantly more total needs on average and significantly more unmet needs than their general adult patient counterparts. The greater unmet needs were in the following domains: psychotic symptoms, psychological distress,...
Databáze: OpenAIRE
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