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