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Prison psychiatry

Ranjan Bhattacharyya
The communication between G. S Bose and Sigmund Freud is a well-documented fact, and philosophical blend of rich cultural experiences is unique to modification of traditional psychoanalysis in the context of development of psychiatry in West Bengal. The Calcutta lunatic asylum was established at Bhowanipore, and first general hospital psychiatric unit was formed at R. G. Kar Medical College, Calcutta. Prof. Ajita Chakraborty was a pioneer to describe her struggling days in the early career and shared her views with experiences in her autobiography...
February 2018: Indian Journal of Psychiatry
Stefano Ferracuti, Massimo Biondi
The reform of the penitentiary system (law 103/2017) which is about to enter into force in Italy represents a Copernican revolution for the management of psychiatric patients who are also authors of a crime. The change would have consequences similar to what happened with the law 180 of 1978. The basic principles on which the new Law is based are: 1) the extension of the faculty to suspend the sentence also for inmates and prisoners affected by a serious mental illness; 2) the full integration of the National Health System (SSN) and DSM in the penitentiary institutions; 3) the establishment of "sections for prisoners with disabilities", special sections for exclusive management for individuals with mental disorders, to be implemented inside the prisons and jails; 4) the possibility probation and parole for prisoners with sentences up to 6 years if suffering from mental illness with a procedure similar to the one already enacted for persons with drug dependency...
January 2018: Rivista di Psichiatria
Vikram Patel, Kamaldeep Bhui
Chaining of people with mental disorders, and their incarceration and abuse in prisons or mental hospitals, is an affront to psychiatry and humanity. Although mental healthcare always needs attention to cultural and social contexts, this must never be at the cost of allowing human rights violations to go unchallenged. A rights-based approach must enforce well-established international human rights conventions, and scale-up comprehensive community services around the needs and preferences of people affected by mental disorders...
January 2018: British Journal of Psychiatry: the Journal of Mental Science
A Dorina Denzel, Joke M Harte, Mattis van den Bergh, Erik J A Scherder
BACKGROUND: Black and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms. Aims To explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders. METHOD: In this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview...
January 2018: BJPsych Open
Daphne K Sharpe, Jasmine K Hall, Sochima Ochije, Rahn K Bailey
In 2000, the Institute of Medicine stunned many professionals with their published report that noted the vast number of deaths that occur each year in hospitals across the United States which reach as many as 98,000. Therefore, it comes as no surprise that the healthcare arena faces litigious issues regularly, with some specialties budgets being significantly impacted by the cost of maintaining liability insurance. Legal Nurse Consultants and forensic physicians working in tandem but who work independently from treating clinicians can carry out forensic independent medical examinations (IME)...
March 2018: Medico-legal Journal
N Bouras
Psychiatry and society are interrelated and the biopsychosocial model continues to dominate the clinical psychiatric practice. Some doubts have been expressed in recent years about the value and the wide acceptance of the biopsychosocial model. Ghaemi (2009)1 considers it to be anti-humanistic and advocates the use of less eclectic, less generic, and less vague alternatives. The fundamental changes that have been witnessed in our times across the spectrum of biology, psychology and sociology have made necessary that a conceptual clarity should prevail...
July 2017: Psychiatrikē, Psychiatriki
Ernst Berger, Caroline Paar
Since 1 July 2012 the Austrian Ombudsman Board (AOB) together with its six regional expert commissions form the so called "National Prevention Mechanism" implementing the UN Optional Protocol to the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (OPCAT). The commissions are mandated to conduct regular, unrestricted and unannounced visits to all types of places in which there is or can be a deprivation or restriction of personal liberty, such as prisons, police stations, but also psychiatric hospitals or residential homes/groups for children and juveniles supervised by youth welfare services...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Andrew Foote, Britta Ostermeyer
Psychiatrists and clinicians encounter unique situations, challenges, and requirements in the treatment of jail and prison inmates in the emergency department. This article reviews the historical legal highlights pertaining to medical and psychiatric care of inpatients, as well as the professional, ethical, and legal aspects that allow clinicians to evaluate, treat, and properly disposition their inmate patients. In particular, this article discusses the specific suicide risk factors related to inmates and correctional facilities that should be ascertained and managed in a clinician's suicide risk assessment and intervention planning in this special high suicide risk patient population...
September 2017: Psychiatric Clinics of North America
Alo Jüriloo, Lauri Pesonen, Hannu Lauerma
BACKGROUND: As in many European countries, Finnish psychiatric services experienced a rapid process of deinstitutionalization in the 1990s. In recent decades, the decrease in numbers of psychiatric hospital beds has in several countries been found to be linked with increasing criminality among severely mentally ill individuals. It has been concluded that deinstitutionalization could be the main reason for this development. AIM: To investigate whether the prevalence of severely mentally ill persons to prison is a growing trend also in Finland...
July 24, 2017: Nordic Journal of Psychiatry
S Allison, T Bastiampillai, J Licinio, D A Fuller, N Bidargaddi, S S Sharfstein
Low numbers of hospital-based psychiatric beds create problems for people with severe mental illness (SMI), when they face extended emergency department (ED) waits, higher thresholds for admission to an acute bed, and short revolving-door stays with high rates of rehospitalisation. Limited access to inpatient treatment has been associated with higher suicide risk, premature mortality, homelessness, violent crime and incarceration. Ultimately, people with SMI can be transinstitutionalised to the criminal justice system...
July 11, 2017: Molecular Psychiatry
B D Kelly
The history of psychiatry is a history of therapeutic enthusiasm, with all of the triumph and tragedy, hubris and humility that such enthusiasm brings. During the 1800s and early 1900s, Ireland-s public asylums were routinely overcrowded, unhygienic and, quite commonly, fatal. The asylums became all-too-convenient options for a society with an apparently insatiable hunger for institutions, incarceration and control. The emergence of clinical professionals, both medical and nursing, was inevitably a factor in this complex mix, but the effects of any search for professional prestige were dwarfed by asylum doctors' clear outrage at what the asylum system became...
March 10, 2017: Irish Medical Journal
Stephanie C Yarnell, Paul D Kirwin, Howard V Zonana
Correctional systems, already struggling to meet the basic and functional requirements of older prisoners, will be further challenged by the increasing medical and psychiatric needs of this population. Mental health and general medical care for older adults requires specific on-site or consultation expertise in geriatric medicine and psychiatry, as well as potential changes in infrastructure, both of which may be prohibitively expensive. However, compassionate and effective treatment of older prisoners requires that prison and legal systems facilitate this expert care...
June 2017: Journal of the American Academy of Psychiatry and the Law
Phillip J Resnick
In the United States the Accreditation Council of Graduate Medical Education determines the curriculum required for fellows in forensic psychiatry to become board certified as a subspecialist. Areas that must be covered during the one year fellowship include criminal issues, such as insanity; civil issues, such as tort law and Workers' Compensation; legal regulation of psychiatry, such as confidentiality and involuntary hospitalization; and correctional psychiatry issues, such as dual agency and prisoner's rights...
December 2016: Indian Journal of Psychiatry
Krzysztof Rutkowski, Edyta Dembińska
The paper illustrates the research on post-traumatic disorders conducted in Kraków at the Department of Psychotherapy and the Department of Psychiatry of the Jagiellonian University Medical College after 1989. The political changes that occurred in Poland after 1989 allowed the research to be extended with new groups of survivors. Having conducted the research of the former concentration camp prisoners, the study started to be carried out in the two research teams: 1) the former prisoners of the Stalinist period, Siberian deportees, war veterans and others were examined at the former Social Pathology Institute of the Department of Psychiatry, Jagiellonian University Medical College and the work is continued at the Department of Psychotherapy, Jagiellonian University Medical College; 2) at the Child and Adolescent Psychiatric Clinic the research of the Holocaust survivors and their families has been carried on by the same team up to the present day...
October 31, 2016: Psychiatria Polska
Krzysztof Rutkowski, Edyta Dembińska
The paper presents the post-war history of post-traumatic research conducted at the Department of Psychiatry of the Jagiellonian University and the analysis of the main research approaches and selected publications. The time after World War II passed in Poland in two directions: coping with the finished war trauma and simultaneously the experience of communist persecution trauma. First scientific publications appeared in the fifties and were focused on the research of former concentration camps prisoners (KZ-Syndrome)...
October 31, 2016: Psychiatria Polska
David C Devonis, Jessica Triggs
In 1968, Karl Menninger, a highly visible and vocal U.S. psychiatrist, published a call to action on prison reform, The Crime of Punishment (Menninger, 1966/1968). This widely circulated book's central idea is that punishment as practiced in penal settings is an injustice amounting to a crime. At the outset, The Crime of Punishment quickly achieved national attention. Within mainstream psychology, its antipunishment message encountered a changed climate in which punishment, thought ineffective during the period 1930 through 1960, was redefined as an effective component in learning...
February 2017: History of Psychology
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)...
February 2017: 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...
February 2017: International Review of Psychiatry
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