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Mental illness and the provision of mental health services in prisons

Forrester, A., Till, A., Simpson, A. and Shaw, J. 2018. Mental illness and the provision of mental health services in prisons. British Medical Bulletin 127 (1) , pp. 101-109. 10.1093/bmb/ldy027

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Abstract Introduction Around 11 million people are held in prisons internationally, and criminal justice systems are overburdened with a high prevalence of multiple psychiatric disorders. In England and Wales over 200 000 people enter prisons each year, and in many cases, this facilitates their first contact with mental health services. Sources of data Research, evaluations, government reports and independent reviews. Areas of agreement Screening, Triage, Assessment, Intervention and Re-integration (STAIR) are necessary components of prison mental health provision, offering an opportunity to improve the wellbeing of a complex population. Areas of controversy There are serious problems with service provision across many parts of the world, with human rights abuses occurring in some States. Screening and service delivery models still require substantial development. In England and Wales, self-harm, self-inflicted deaths and violence are increasing. Growing points Introducing comprehensive mental health models throughout prisons would offer a massive public health initiative, providing new services for the socially disadvantaged. A rights-based framework would be useful in ensuring systemic improvements, especially in low and middle-income countries. Areas timely for developing re

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Oxford University Press (OUP)
ISSN: 0007-1420
Date of Acceptance: 19 July 2018
Last Modified: 12 Aug 2021 23:45

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