An optimal trauma-informed pathway for PTSD, complex PTSD and other mental health and psychosocial impacts of trauma in prisons: an expert consensus statement

Crole-Rees, Clare, Tomlin, Jack, Kalebic, Natasha, Argent, Sarah, Berrington, Claudia, Chaplin, Edward, Davies, Jason, Hoskins, Matthew, James, Lucie, Jarrett, Manuela, John, Oliver, Jones, Lewis, Kothari, Radha, Kretzschmar, Imogen, MacManus, Deirdre, Martin, Michael, McKinnon, Iain, O'Connor, Gwen, Petrillo, Madeline, Phillips, Marie, Poole, Rob, Popovic, Isidora, Simpson, Alexander, Taylor, Pamela ORCID: https://orcid.org/0000-0002-3998-6095, Wigham, Sarah and Forrester, Andrew ORCID: https://orcid.org/0000-0003-2510-1249 2024. An optimal trauma-informed pathway for PTSD, complex PTSD and other mental health and psychosocial impacts of trauma in prisons: an expert consensus statement. Psychology, Crime & Law 10.1080/1068316X.2024.2394807

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Abstract

People in prisons have high levels of trauma exposure throughout their lives. Presentations are often complex, with a high prevalence of PTSD and CPTSD and other mental health comorbidities. Prisons themselves can be stressful and traumatising environments. There are challenges in the delivery of effective treatments for PTSD and CPTSD. There is a need for the development of effective clinical pathways for these conditions that are embedded within trauma-informed organisational approaches. Responding to this need, this report is the result of a multidisciplinary expert consensus meeting and review of the research literature on PTSD, CPTSD, associated comorbidities and optimal approaches to trauma-informed practice. The group consisted of 24 expert representatives from psychology, psychiatry, healthcare, academia, social care and Welsh Government. The meeting commenced with presentations on various aspects of the clinical pathway for PTSD and complex PTSD in prisons, and of applications of trauma-informed practice within prisons. Small sub-groups then provided practical recommendations and solutions relevant to their assigned topic. Findings were presented to all meeting attendees for another round of discussion and debate, until consensus was reached. The resulting recommendations provide guidance to improve identification, treatment and support for people living in prison who have experienced trauma.

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Medicine
Publisher:	Taylor & Francis
ISSN:	1068-316X
Funders:	Welsh Government, Offender Health Research Network Cymru, Traumatic Stress Wales
Date of First Compliant Deposit:	13 September 2024
Date of Acceptance:	12 August 2024
Last Modified:	07 Oct 2024 08:27
URI:	https://orca.cardiff.ac.uk/id/eprint/171910

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