Point prevalence of mental disorder in unconvicted male prisoners in England and Wales
Point prevalence of mental disorder in unconvicted male prisoners in England and Wales
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DOI：
10.1136/bmj.313.7071.1524
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发表时间：
1996-12-14
影响因子：
--
通讯作者：
Maden, A
中科院分区：
文献类型：
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作者：
Brooke, D;Taylor, C;Maden, A
目的：确定男性未定罪囚犯中精神障碍的患病率，并评估这一人群的治疗需求。设计：随机选择的男性还押人口的横截面的半结构化访谈和病例记录审查。非出席者由监狱名册上的下一个名字所取代。设置-三个青少年罪犯的机构和13个成年男子监狱。主题-750名囚犯，占9.4%的横截面样本的男性未定罪人口。主要结果measures-Prevalence的ICD-10诊断的精神障碍，和相关的治疗需求。主要诊断为：药物滥用，285人（38%）;神经症，192人（26%）;人格障碍，84人（11%）;精神病，36人（5%）;其他和不确定，36人（0.5%）。受试者可能有不止一种诊断。平均拒绝率为18%。在总共414名囚犯（55%）被判定有立即治疗的需要：转移到NHS病床，64（9%）;治疗的监狱卫生保健服务，131（17%）;动机访谈药物滥用，115（15%）;和治疗性社区安置，104（14%）。精神病的发病率是一般人群的四到五倍。根据我们的研究结果推断，还押人口整体上可能包含约680名需要转移到医院接受精神病治疗的男性，其中包括约380名患有严重精神疾病的囚犯。
Objectives-To determine prevalence of mental disorder among male unconvicted prisoners and to assess the treatment needs of this population.Design-Semi-structured interview and case note review of randomly selected cross section of male remand population. Non-attenders were replaced by the next name on prison roll.Setting-Three young offenders' institutions and 13 adult men's prisons.Subjects-750 prisoners, representing 9.4% cross sectional sample of male unconvicted population.Main outcome measures-Prevalence of ICD-10 diagnoses of mental disorder, and associated treatment needs.Results-Psychiatric disorder was diagnosed in 369 (63%) inmates. The main diagnoses were: substance misuse, 285 (38%); neurotic illness, 192 (26%); personality disorder, 84 (11%); psychosis, 36 (5%); other and uncertain, 36 (0.5%). Subjects could have more than one diagnosis. The average refusal rate was 18%. In total 414 inmates (55%) were judged to have an immediate treatment need: transfer to an NHS bed, 64 (9%); treatment by prison health care services, 131 (17%); motivational interviewing for substance misuse, 115 (15%); and therapeutic community placement, 104 (14%).Conclusions-Mental disorder was common among male unconvicted prisoners. Psychosis was present st four or five times the level found in the general population. Extrapolation of our results suggests that remand population as a whole probably contains about 680 men who need transfer to hospital for psychiatric treatment, including about 380 prisoners with serious mental illness.