eprintid: 1530827 rev_number: 51 eprint_status: archive userid: 608 dir: disk0/01/53/08/27 datestamp: 2016-12-06 13:24:35 lastmod: 2021-10-05 00:40:27 status_changed: 2017-03-03 14:33:55 type: article metadata_visibility: show creators_name: Bebbington, P creators_name: Jakobowitz, S creators_name: McKenzie, N creators_name: Killaspy, H creators_name: Iveson, R creators_name: Duffield, G creators_name: Kerr, M title: Assessing needs for psychiatric treatment in prisoners: 1. Prevalence of disorder ispublished: pub subjects: CAM divisions: UCL divisions: B02 divisions: C07 divisions: D79 divisions: D07 divisions: F76 keywords: Epidemiology, Needs for care, Prevalence, Prisoners, Psychiatric disorders, Psychosis, Substance abuse note: Copyright © The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. abstract: BACKGROUND: High levels of psychiatric morbidity in prisoners have important implications for services. Assessing Needs for Psychiatric Treatment in Prisoners is an evaluation of representative samples of prisoners in a male and a female prison in London. This paper reports on the prevalence of mental disorders. In a companion paper, we describe how this translates into mental health treatment needs and the extent to which they have been met. METHODS: Prisoners were randomly sampled in a sequential procedure based on the Local Inmate Data System. We interviewed roughly equal numbers from the following groups: male remand; male sentenced prisoners (Pentonville prison); and female remand; female sentenced prisoners (Holloway prison). Structured assessments were made of psychosis, common mental disorders, PTSD, personality disorder and substance abuse. RESULTS: We interviewed 197 male and 171 female prisoners. Psychiatric morbidity in male and female, sentenced and remand prisoners far exceeded in prevalence and severity than in equivalent general population surveys. In particular, 12% met criteria for psychosis; 53.8% for depressive disorders; 26.8% for anxiety disorders; 33.1% were dependent on alcohol and 57.1% on illegal drugs; 34.2% had some form of personality disorder; and 69.1% had two disorders or more. Moreover, in the year before imprisonment, 25.3% had used mental health services. CONCLUSIONS: These rates of mental ill-health and their similarity in remand and sentenced prisoners indicate that diversion of people with mental health problems from the prison arm of the criminal justice system remains inadequate, with serious consequences for well-being and recidivism. date: 2017-02 date_type: published official_url: http://dx.doi.org/10.1007/s00127-016-1311-7 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green article_type_text: Journal Article verified: verified_manual elements_id: 1194166 doi: 10.1007/s00127-016-1311-7 pii: 10.1007/s00127-016-1311-7 lyricists_name: Bebbington, Paul lyricists_name: Jakobowitz, Sharon lyricists_name: Killaspy, Helen lyricists_name: McKenzie, Nigel lyricists_id: PEBEB37 lyricists_id: SJAKO85 lyricists_id: HTKIL41 lyricists_id: NCMCK94 actors_name: Bebbington, Paul actors_id: PEBEB37 actors_role: owner full_text_status: public publication: Social Psychiatry and Psychiatric Epidemiology volume: 52 number: 2 pagerange: 221-229 event_location: Germany issn: 1433-9285 citation: Bebbington, P; Jakobowitz, S; McKenzie, N; Killaspy, H; Iveson, R; Duffield, G; Kerr, M; (2017) Assessing needs for psychiatric treatment in prisoners: 1. Prevalence of disorder. Social Psychiatry and Psychiatric Epidemiology , 52 (2) pp. 221-229. 10.1007/s00127-016-1311-7 <https://doi.org/10.1007/s00127-016-1311-7>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/1530827/1/Bebbington_Assessing_needs1.pdf