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Prison psychiatry

Sharon Jakobowitz, Paul Bebbington, Nigel McKenzie, Rachel Iveson, Gary Duffield, Mark Kerr, Helen Killaspy
BACKGROUND: In a companion paper, we established high levels of psychiatric morbidity in prisoners (Bebbington et al. Soc Psychiatry Psychiatr Epidemiol, 2016). In the current report, we evaluate how this morbidity translates into specific needs for treatment and the consequent implications for services. Mental health treatment needs and the extent to which they had been met were assessed in a representative sample of prisoners in a male and a female prison in London (Pentonville and Holloway)...
November 22, 2016: Social Psychiatry and Psychiatric Epidemiology
Athanasios Douzenis
According to the Greek Penal Law if someone "because of a morbid disturbance of his mental functioning" (article 34) is acquitted of a crime or misdemeanour that the law punishes with more than 6 months imprisonment, then the court orders that this individual should be kept in a public psychiatric institution if the court reaches the conclusion that this person poses a threat to public safety.1 Individuals who have broken the law and deemed "not guilty by reason of insanity" are treated in psychiatric units of Psychiatric Hospitals according to the article 69 of the Penal Code...
July 2016: Psychiatrikē, Psychiatriki
C Maaß, A Wettermann, D Schläfke
The forensic clinic for addiction treatment in Rostock is a forensic institution for patients who committed crimes under the influence of psychotropic substances. Regardless of the severity of the offence, patients receive different kinds of treatment depending on the therapy program. Criminal recidivism can be seen as one of the most important factors to validate success in treatment. Due to this purpose, an extensive recidivism study including all former patients from 2001 to 2012 was conducted at our clinic...
October 2016: Fortschritte der Neurologie-Psychiatrie
Annette Hanson
Due to the growing number of ageing prisoners in the American correctional system, penal institutions are increasingly caring for patients with chronic and potentially terminal medical conditions. To address this problem states have attempted sentencing reform initiatives and adopted compassionate release programmes; however, these efforts have failed to significantly reduce the number of elderly or seriously ill inmates. Correctional mental health services are now called upon to aid in the care of prisoners at the end of life...
September 26, 2016: International Review of Psychiatry
D Galland, I Tisserant, L Notardonato
INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is one of the most common and challenging childhood neurobehavioral disorders. ADHD may have behavioral consequences and involvements in minor and serious crimes. Our work aims to establish links between ADHD and forensic psychiatry. METHODS: A review of international scientific literature concerning the relationship between ADHD and forensic psychiatry was conducted using the PudMed electronic database...
September 13, 2016: L'Encéphale
C Vélez-Álvarez, C Barrera-Valencia, A V Benito-Devia, M Figueroa-Barrera, S M Franco-Idarraga
OBJECTIVE: To assess depressive symptoms in men deprived from freedom in a prison in a Colombian intermediate city. MATERIAL AND METHOD: A cross sectional study was performed on a sample of three hundred and three patients in the Medium Security penitentiary and Prison Facility of the city of Manizales between April and May 2014. The information was collected through the Zung self-rating depression scale (SDS), subsequently there were established the positive results for depression screening according to the final score of the scale...
October 2016: Revista Española de Sanidad Penitenciaria
Brian J Holoyda, Charles L Scott
As the need for mental healthcare services within correctional settings in the US increases, so does the need for a mental health workforce that is motivated to work within such systems. One potentially effective method by which to increase the number of psychiatrists working in jails, prisons, and parole clinics is to provide exposure to these environments during their training. Correctional settings can serve as unique training sites for medical students and psychiatric residents and fellows. Such training experiences can provide a host of benefits to both trainees and staff within the correctional mental health system...
August 30, 2016: International Review of Psychiatry
Romain Arnal, Gülen Ayhan, Éric Pinganaud, Célia Basurko, Louis Jehel
Despite the recent interest in psychiatric illness in prison, the psychopathology of the Remire-Montjoly prison population remains largely unknown. Subject to significant population movements, French Guiana and its prison houses a very mixed population in which recent history has left a strong mark (earthquake in Haïti, civil war in Suriname, violence related to gold mining population and drug trafficking). These negative life events appear as potential vectors of psychological trauma. Additionally, strong links have been established in the literature between post-traumatic stress disorder (PTSD) and many other psychiatric disorders, including suicidal behavior and addictions...
2016: Santé Mentale Au Québec
Pavlos Ntafoulis
Combat stress cases were traced in historical texts and military manuals on warfare from the Middle Byzantine period; they were mainly labelled as cowardice. Soldiers suffered from nostalgia or exhaustion; officers looked stunned, or could not speak during the battle. Cruel punishments were often enforced. Suicide and alcohol abuse were rarely mentioned. The Byzantines' evacuation system for battle casualties was well organized. Psychological operations were conducted and prisoners-of-war were usually part of them...
August 10, 2016: History of Psychiatry
Ottilingam Somasundaram, A G Tejus Murthy
This article refers to materials of psychiatric interest found in the Manimekalai written by the 2(nd) Century CE Buddhist poet Sathanar. From the early description of a wandering psychotic in the streets of Pukar, the ancient maritime capital of the Cholas it is opined that this description fits that of present-day schizophrenia. A drunkard making fun of a Jain monk and a cross-dressed individual are also found in the same streets. Manimekalai's request to the Chola king to convert the prison to a place of piety with Buddhist monks is mentioned...
April 2016: Indian Journal of Psychiatry
Felice Carabellese, Alan R Felthous
Originally a hedge against the death penalty, the insanity defense came to offer hospitalization as an alternative to imprisonment. In the late 19th century Italy opened inpatient services first for mentally ill prisoners and then for offenders found not guilty by reason of insanity. Within the past decade, a series of decrees has resulted in transferring the responsibility for treating NGRI acquittees and "dangerous" mentally ill prisoners from the Department of Justice to the Department of Health, and their treatment from Italy's high security forensic psychiatric hospitals (OPGs) to community regional facilities (REMSs, Residences for the Execution of Security Measures), community mental health facilities, one of which is located in each region of Italy...
March 2016: Behavioral Sciences & the Law
Anthony C Tamburello, Elizabeth Ferguson
Serious mental illness is highly prevalent in jails and prisons, and treatment with psychiatric medications is often required. However, operational factors and patient characteristics make prescribing in correctional settings uniquely challenging. The American Academy of Psychiatry and the Law has approved the formation of a working group to create a Resource Document examining best practices for prescribing psychiatric medications in these settings.
2016: Journal of Health Care for the Poor and Underserved
Stephanie Collier, Susan Hatters Friedman
This naturalistic exploratory study describes the characteristics of women prisoners referred to the forensic psychiatry service of the largest women's prison in New Zealand. Forensic psychiatrists diagnosed more than one-third of the referred female inmates with psychotic disorders, and they diagnosed post-traumatic stress disorder in one-fifth. The majority of the women reported substance use prior to incarceration, as well as a history of personal victimization by family violence. Of the women prisoners referred to community mental health services at release, two-thirds attended the arranged outpatient mental health follow-up appointment...
July 2016: Behavioral Sciences & the Law
Gérard Laurencin
From the 19th century to the present day, the history of psychiatry in prisons has evolved considerably. In parallel with successive laws, codes and articles, psychiatry has gained in structure. From the "medical prison", mental health consultations in every detention centre, the regional medico-psychological services, to today's specially equipped hospital units (UHSA), prisoners receive both preventive care as well as curative treatment.
March 2016: Soins. Psychiatrie
T Fovet, P A Geoffroy, G Vaiva, C Adins, P Thomas, A Amad
CONTEXT: The high prevalence of psychiatric disorders in prison and the aging of inmates should lead to the consideration of gerontopsychiatry in the prison environment. OBJECTIVE: This review aims to emphasize the clinical characteristics and associated comorbidities of elderly prisoners with psychiatric disorders. We examined the international literature in September 2013 and performed the literature search with PubMed electronic database using the following Mesh headings: "prisons", "prisoners", "geriatric psychiatry", "geriatric assessment", "geriatric nursing"...
April 2016: L'Encéphale
Charlotte Ann Gadegaard, Lars Peter Andersen, Annie Hogh
This longitudinal study investigates the relationship between prevention behaviors, that is, enacted violence prevention policies, and exposure to workplace violence and threats across four different high risk work sectors: psychiatry, special schools, eldercare, and the prison and probation services. Logistic regression analysis of a 1-year follow-up sample of 3.016 employees from these four sectors shows that prevention behaviors are significantly and negatively associated with self-reported exposure to workplace violence and threats-in the prison and probation services, eldercare, and in psychiatry, while no significant associations are found for special schools...
November 29, 2015: Journal of Interpersonal Violence
Yoji Nakatani, Suguru Hasuzawa
This article describes the background and recent changes in French forensic mental health. The literature suggests that three law reforms have been crucial to changes in the mental health system. First, the Penal Code of 1992 redefined the provisions of criminal responsibility and introduced the category of diminished responsibility. Second, a controversial law for preventive detention (rétention de sûretê) was enacted in 2008, according to which criminals with severe personality disorders are subject to incarceration even after the completion of their prison sentences if they are still considered to pose a danger to the public...
2015: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
Santiago Almanzar, Craig L Katz, Bruce Harry
The prevalence of psychiatric conditions among prisoners in Latin America is greatly underestimated, and because of the lack of awareness about mental illness among service providers in Latin American prisons, oftentimes these conditions go unrecognized or are not treated properly. In the worst-case scenarios, human rights violations occur. Despite the high levels of need, many prisoners have not received adequate or timely treatment. The sparse existing literature documents prison conditions throughout Latin American countries, ranging from poor to extremely harsh, overcrowded, and life threatening...
September 2015: Journal of the American Academy of Psychiatry and the Law
Mehdi Amini, Abbas Pourshahbaz, Parvaneh Mohammadkhani, Mohammad Reza Khodaie Ardakani, Mozhgan Lotfi
BACKGROUND: Fundamental problems with Personality Disorders (PD) diagnostic system in the previous version of DSM, led to the revision of DSM. Therefore, a multidimensional system has been proposed for diagnosis of personality disorder features in DSM-5. In the dimensional approach of DSM-5, personality disorders diagnosis is based on levels of personality functioning (Criteria A) and personality trait domains (Criteria B). OBJECTIVES: The purpose of this study was firstly, to examine the DSM-5 levels of personality functioning in antisocial and borderline personality disorders, and second, to explore which levels of personality functioning in patients with antisocial and borderline personality disorders can better predicted severity than others...
August 2015: Iranian Red Crescent Medical Journal
Jérôme Englebert
The objective of this study is to present a theoretical paper about a clinical issue. Our aim is to propose some clinical and semiological considerations for a psychopathological conception of psychopathy. We will discuss several major theoretical works dedicated to this nosographic entity (mainly those of Schneider [Psychopathic Personalities (1923). London, Cassell, 1950], Cleckley [The Mask of Sanity. St. Louis, Mosby, 1941] and Hare [The Hare Psychopathy Checklist - Revised Manual, ed 2. Toronto, Multi-Health Systems, 2003])...
2015: Psychopathology
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