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Early detection and early intervention in prison: improving outcomes and reducing prison returns

Evans, C; Forrester, A; Jarrett, M; Huddy, V; Campbell, CA; Byrne, M; Craig, T; (2017) Early detection and early intervention in prison: improving outcomes and reducing prison returns. Journal of Forensic Psychiatry and Psychology , 28 (1) pp. 91-107. 10.1080/14789949.2016.1261174. Green open access

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Abstract

Our aim was to investigate whether early detection was feasible in prison and whether it could improve mental health outcomes in young prisoners. A secondary aim was to explore whether it can reduce returns to prison. Between 2011 and 2014, a total of 2115 young prisoners were screened, 94 (4.4%) met criteria for ultra-high risk for psychosis and were offered an intervention, 52 actually received it. Return to prison data were sought on the 52 participants, receiving a formal intervention. Of the 52 prisoners who received an intervention, 30.8% returned to custody compared to national average reconviction rates of between 45.4 and 66.5%. Our results suggest that early detection is a feasible option in a prison setting, improving mental health outcomes and reducing returns to prison. Mental health outcomes were recorded for a sub-sample of those receiving the intervention. The results indicated statistically significant improvements on measures of depression, anxiety and psychological distress.

Type: Article
Title: Early detection and early intervention in prison: improving outcomes and reducing prison returns
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/14789949.2016.1261174
Publisher version: http://doi.org/10.1080/14789949.2016.1261174
Language: English
Additional information: © 2016 Informa UK Limited, trading as Taylor & Francis Group.
Keywords: Early intervention; ultra-high risk; prison; offenders; psychosis; psychotic symptoms
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/1546073
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