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The importance of psychiatric illness in newly arrested prisoners.

One hundred ninety-nine male prisoners without prior felony convictions were evaluated through a structured personal interview administered within 24 hours of this arrest. While 46 per cent met psychiatric diagnostic criteria, only 5 per cent demonstrated a need for acute treatment for their affective disorder or organic brain syndrome. It is felt that the alcoholics (15 per cent) and drug-abusing prisoners (12 per cent) might benefit from counseling but were not in need of emergency care. The characteristics of men in each diagnostic group are discussed.

Affective Symptoms↗

Coping and recovery styles in the Vietnam era prisoner of war.

Of the nearly 600 Vietnam War American prisoners of war (POWs), 332 were United States Air Force flyers who had suffered maltreatment, confinement, and boredom for months to years. We examined four coping styles of USAF POWs related to successful/unsuccessful coping and resistance stance during captivity and cognitive integration of the prisoner experience after repatriation. Findings indicate that no coping style is clearly associated with an increased risk of postrepatriation psychiatric morbidity. Postrepatriation MMPI scales indicate personality differences between individuals in the various coping groups.

Adaptation, Psychological↗

Optometric services in the prison system.

Traditionally, optometric services have been limited to practitioners' offices or clinical settings. Recently more optometric practitioners have ventured out of the office to provide eye care to those who otherwise would not receive such care. This report discusses the need to provide eye care to prison inmates. It also addresses the nature of vision and eye problems more common among the prison population and the need for mandated eye care for the inmates.

Delivery of Health Care↗

Crowding in prison: the relationship between changes in housing mode and blood pressure.

The relationship between change in mode of housing and corresponding blood pressure (BP) change was investigated among 568 male prisoners as an analogue to animal studies which have shown that crowding elevates BP. The transfer from single occupancy cells to multiple occupancy dormitories was associated with a statistically significant mean increase in systolic blood pressure (SBP). In contrast, men who remained in single cells had little mean change in SBP over time. Inmates who were retransferred to cells after a short stay in dormitories experienced a mean decline in SBP, which suggests that crowding may be reversible in its early stages. SBP also decreased after continued stay in the dormitories, indicating that adaptation may occur. The implications of these findings for crowding theory and their contribution to an understanding of response to the prison environment are discussed.

Adult↗

Saliva testosterone and criminal violence in young adult prison inmates.

Free testosterone was measured in the saliva of 89 male prison inmates. Inmates with higher testosterone concentrations had more often been convicted of violent crimes. The relationship was most striking at the extremes of the testosterone distribution, where 9 out of 11 inmates with the lowest testosterone concentrations had committed nonviolent crimes, and 10 out of 11 inmates with the highest testosterone concentrations had committed violent crimes. Among the inmates convicted of nonviolent crimes, those higher in testosterone received longer times to serve before parole and longer punishments for disciplinary infractions in prison. In the housing unit where peer ratings were most reliable, inmates rated as tougher by their peers were higher in testosterone.

Adolescent↗

Nursing with prisoners: the practice of caring, forensic nursing or penal harm nursing?

The number of incarcerated persons in the United States has been increasing dramatically over the last two decades. Incarcerated men and women have increased rates of serious and chronic physical and mental illnesses and therefore require substantial health care efforts. Caring for prisoners is a difficult and often unrewarding experience for health care providers, particularly within a social climate that encourages noncaring behaviors. This article critically analyzes three philosophic stances toward nursing care with prisoners and suggests their philosophic commensurability within traditional nursing practice. Implications for nursing practice, research, and education are discussed.

Empathy↗

Predominance of multi-drug-resistant LAM and Beijing family strains among Mycobacterium tuberculosis isolates recovered from prison inmates in Tula Region, Russia.

The genotypic characteristics and drug susceptibility profiles of clinical isolates of Mycobacterium tuberculosis recovered from prison hospital patients in the Tula region (central Russia) during 2001 and 2002 are reported. The emergence of multi-drug-resistant tuberculosis (TB) poses a major health risk to the population, with economic implications for TB control. Prisons serve as a continuous source of TB transmission. The results showed that members of the LAM and Beijing families are major contributors to the epidemiological picture of TB in the population studied. The two families of strains accounted for most of the drug-resistant TB in the population. The genotypic characteristics of the M. tuberculosis predominant LAM strain that was responsible for 31 % of TB cases in this setting are presented.

Adult↗

Change in HIV-antibody seroprevalence rates in i.v. drug dependent prisoners.

In 1985 a high HIV-seroprevalence (44.2%) was found in a cohort of parenteral drug addicted prisoners in Innsbruck, Austria. In a longitudinal study from March 1985 to March 1989 we investigated the epidemiology of HIV-infection as well as possible changes in the drug taking behaviour of this defined population at risk. During the study HIV-seroprevalence rates in drug dependent prisoners showed a statistical decrease to 30%. A concomitant increase in admission to any kind of therapy programmes as well as an increasing change from 'heavy use' (mainly taking heroin i.v.) to 'non-heavy use' (mainly taking drugs orally) could be noted. The influence of preventive measures, such as comprehensive AIDS-information, special therapy programmes including the methadone substitution programme, and the unrestricted availability of needles and syringes is discussed.

Adolescent↗

HIV risk of transmission behaviour amongst HIV-infected prisoners and its correlates.

Thirty-eight from a total of 42 known HIV-positive prisoners in the Irish prison system voluntarily cooperated in a survey of psychological attitudes, knowledge of risk behaviour, intentions with respect to future risk behaviour, and actual past risk behaviour. Of this group, 65% reported that they had put others at risk of HIV, since they became aware of their own HIV+ status. Only 16% stated that they would definitely not share their drug-taking equipment in the future and 32% that they would always use a condom in sexual intercourse. In general, psychological and biographical variables were not strongly related to whether or not the respondents had put others at risk of HIV. Nor were there any significant differences in knowledge of at risk behaviour between those who had and those who had not put others at risk. However, there was some evidence for considerable independence between risk-taking behaviour in the sexual and in the drug-taking domains, in that risk-taking in one area was not highly predictive of risk-taking in the other.

Acquired Immunodeficiency Syndrome↗

Mantoux positivity among prison inmates--New South Wales, 1996.

OBJECTIVES: To determine the prevalence of Mantoux positivity in a prison population; identify risk factors associated with tuberculosis infection; and assess the risk of tuberculosis transmission in a correctional system. METHOD: Cross sectional random sample (between May and August 1996) of inmates stratified by sex, age and Aboriginality. Participants were 789 adult inmates (657 male and 132 female) from 27 New South Wales (NSW) correctional centres (24 male and 3 female). RESULTS: Of the 789 inmates (657 male and 132 female) included in the survey, 639 were given a Tuberculin skin test (Mantoux). Eighty-four (13%) were Mantoux positive. A higher proportion of male inmates were Mantoux positive compared with females (14% vs. 8%, p = 0.08). Significant independent predictors of Mantoux positivity were: being male, aged over 25 years, Aboriginal, born overseas and resident at a jail where there had been a recent tuberculosis outbreak. CONCLUSION: Screening of inmates in NSW prisons based on the principle of risk stratification is appropriate. IMPLICATIONS: While the risk of tuberculosis transmission in NSW jails is currently considered low, continued surveillance is recommended.

Adolescent↗

Sharing the holocaust experience: communication behaviors and their consequences in families of ex-partisans and ex-prisoners of concentration camps.

This study concerns the manner in which the traumatic events suffered by the parent in the Nazi holocaust are communicated to the second generation born after the Second World War. Additionally we investigated the effects of differences in wartime experiences on subsequent communication behaviors. Communication behaviors in families whose parents had been prisoners in concentration camps were compared with those of families who had displayed active resistance (i.e., were partisans) during the Second World War. The data indicate greater legitimacy and openness in discussing holocaust-related issues in the homes of ex-partisans than in the homes of ex-prisoners in concentration camps. Also, sons and daughters of the former group have better knowledge of the holocaust and hold more favorable attitudes than do sons and daughters in the second group. The implications of these findings are discussed.

Adult↗

Risk of harm: inmates who harm themselves while in prison psychiatric treatment.

In this study, 242 randomly selected male offenders who were receiving psychiatric treatment in prison were administered psychological and neuropsychological evaluations and were followed during their treatment in a prison psychiatric hospital. Offenders who harmed themselves in treatment were compared to those who did not harm themselves. Eighteen percent of offenders harmed themselves, the severity of which required medical intervention. Young age, drug abuse, absence of Axis I mental disorder but presence of Axis II borderline personality disorder identified offenders who harmed themselves. Psychopathy checklist-revised (PCL-R) total rating > or = 30 and PCL-R Factor 2 (antisocial lifestyle) rating also identified offenders who harmed themselves. Additionally, offenders who harmed themselves also were 8.36 times more likely than their cohorts to harm treatment staff. Theoretical understanding of offenders who harm themselves, the importance of considering the environmental context in identifying risk factors for self-harm, and implications for treatment are suggested.

Age Factors↗

Parental loss, depression and violence. III. Epidemiological studies of female prisoners.

Information was obtained from 95 incarcerated female prisoners on their history of violence, on their feelings of depression, their suicide attempts, and on their history of loss of parents. The data revealed that the loss of father before the age of 10 years was more highly correlated with signs of depression in these women prisoners than was loss of mother. Women who reported at least one suicide attempt in the past were significantly more depressed on the self-report measure of depression than the other women, and were more likely to be judged as violent on the basis of several independent indices. The results support the hypothesis that violence toward others and suicidal behavior are part of the same phenomenon of impairment in control mechanisms.

Depression↗

Prisoners and autonomy: implications for the informed consent process with vulnerable populations.

This article uses certain essential characteristics of the principle of autonomy to explore the issue of prisoners' rights to decision-making and action in general, and research participation in particular. Exploring the moral principle of autonomy and its importance in furthering human rights will inform nurses who are conducting research with prisoners or other vulnerable populations.

Coercion↗

Prisoners' personality: a factor analytically derived structure.

A factor analytic study of personality questionnaire data obtained from a group of 175 long-term prisoners revealed a factor structure which appears to be peculiar to prisoners. In particular, hostility and anxiety obtain prominence in the structure, while the theoretically significant dimension of extraversion is relegated in importance.

Anxiety↗

Strongyloides stercoralis infection in former Far East prisoners of war.

Out of 602 consecutive people who had been prisoners of war in the Far East and were screened for tropical diseases, 88 (15%) were found to have Strongyloides stercoralis infection a mean period of 30 years after their return from the tropics. The classical strongyloid creeping eruption was the most common symptom (84%), while gastrointestinal disturbances were rare (5%). Thiabendazole was highly effective in eradicating the infection. Strongyloidiasis is an important condition, as when the host is immunosuppressed fatal hyperinfection may occur. Many undiagnosed cases of strongyloidiasis must exist among former prisoners of war, and it is thus important to identify and treat these patients.

Aged↗

The physician and prison hunger strikes: reflecting on the experience in Turkey.

The medical ethics of a physician's relationship with a prisoner who is participating in a collective hunger strike has become a major public, professional, and governmental concern in The Republic of Turkey. This article examines the Turkish experience and debate about physician ethics during prison hunger strikes. It is hoped that this analysis will be of use to those formulating policy in similar situations.

Dissent and Disputes↗

Persisting nutritional neuropathy amongst former war prisoners.

Of 898 former Far East prisoners of war, assessed between 1968 and 1981, 49 (5.5%) had evidence of persisting symptomatic neurological disease dating back to their periods of malnutrition in captivity. The commonest syndromes were peripheral neuropathy (often of "burning foot" type), optic atrophy, and sensori-neural deafness. Though nutritional neuropathies disappeared soon after release in most ex-Far East prisoners of war, in some they have persisted up to 36 years since exposure to the nutritional insult.

Amblyopia↗