The British journal of psychiatry : the journal of mental science · 2014
Discharges to prison from medium secure psychiatric units in England and Wales.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Doyle Michael, Coid Jeremy, Archer-Power Laura, Dewa Lindsay, Hunter-Didrichsen Alice, Stevenson Rachel, Wainwright Verity, Kallis Costas, Ullrich Simone, Shaw Jenny
Аннотация
BACKGROUND: Early findings from a national study of discharges from 32 National Health Service medium secure units revealed that nearly twice as many patients than expected were discharged back to prison.
AIMS: To compare the characteristics of those discharged back to prison with those discharged to the community, and consider the implications for ongoing care and risk.
METHOD: Prospective cohort follow-up design. All forensic patients discharged from 32 medium secure units across England and Wales over a 12-month period were identified. Those discharged to prison were compared with those who were discharged to the community.
RESULTS: Nearly half of the individuals discharged to prison were diagnosed with a serious mental illness and over a third with schizophrenia. They were a higher risk, more likely to have a personality disorder, more symptomatic and less motivated than those discharged to the community.
CONCLUSIONS: Findings suggest that alternative models of prison mental healthcare should be considered to reduce risks to the patient and the public.
AIMS: To compare the characteristics of those discharged back to prison with those discharged to the community, and consider the implications for ongoing care and risk.
METHOD: Prospective cohort follow-up design. All forensic patients discharged from 32 medium secure units across England and Wales over a 12-month period were identified. Those discharged to prison were compared with those who were discharged to the community.
RESULTS: Nearly half of the individuals discharged to prison were diagnosed with a serious mental illness and over a third with schizophrenia. They were a higher risk, more likely to have a personality disorder, more symptomatic and less motivated than those discharged to the community.
CONCLUSIONS: Findings suggest that alternative models of prison mental healthcare should be considered to reduce risks to the patient and the public.