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PubMed2006

[Expert recommendations for the diagnosis and treatment of chronic hepatitis C infection in the prison setting].

The prevalence of HCV infection in Spanish prisons is very high (38.5%). The characteristics of the infected patients, particularly the high rate of HIV coinfection, makes it very likely that the morbidity and mortality produced by serious liver disease secondary to this infection will increase considerably in the coming years. A group of Spanish experts with experience in patients who are inmates has been invited to establish a series of recommendations for the diagnosis and treatment of chronic hepatitis C infection in Spanish prisons.

HIV Infections↗
PubMed1980

A service program of antituberculosis chemotherapy with five drugs for four months in the treatment of drug addicts and prisoners with pulmonary tuberculosis in Hong Kong. Hong Kong Chest Service/British Medical Research Council.

The results are reported of a service in Hong Kong of intensive antituberculosis chemotherapy with 5 drugs given daily for 4 months, or until discharge from hospital or release from prison if earlier, in the treatment of male Chinese drug addicts and prisoners who had pulmonary tuberculosis positive for acid-fast bacilli on microscopic examination of the sputum. Of 69 patients who received 4 months of chemotherapy, all those with sputum cultures negative for M. tuberculois initially, and more than 80% of those with positive cultures, 41% of whom had strains resistant to isoniazid, streptomycin, or both drugs, achieved quiescent disease, which was maintained for a year of follow-up. Some of the patients who received less than 4 months of chemotherapy also reponded well. Despite the 5 drugs, the frequency of adverse reactions to the regimen was low.

Antitubercular Agents↗
PubMed1976

Breaking into the prison: conducting a medical research project.

Three major tasks face the researcher in a medical experiment employing prisoners as experimental subjects. Understanding the nature of the subject, crossing the territorial boundary, and obtaining informed consent are prerequisites for the successful implementation of research in the prison and rely heavily on the personal integrity of the invesitgator.

Disclosure↗
PubMed2006

Language and cultural barriers in the assessment of enemy prisoners of war and other foreign nationals.

The authors describe difficulties encountered in the assessment and treatment of enemy prisoners of war and foreign civilians during Operation Enduring Freedom and Operation Iraqi Freedom. Of prime concern was the complexity of evaluating and working with patients through translators. Secondary concerns included self-protective behaviors of and fears experienced by patients, which complicated the patient-provider relationship. Future difficulties could be reduced by training translators in medical interviewing, training providers in the skills used by translators, informing providers of command and political policy, and producing concrete, portable information in written or other forms for enemy prisoners to reduce inherent mistrust.

Culture↗
PubMed2006

Collaborations between criminal justice and mental health systems for prisoner reentry.

OBJECTIVE: This study assessed reentry programs throughout the nation for people with mental illness who were leaving prisons or jails and developed a classification of service strategies based on practices that are emerging in the field in response to this need. METHODS: A national survey identified service strategies that assist people who are incarcerated in prisons or jail and have a mental illness reenter the community. Data were used to develop a typology of reentry service strategies. RESULTS: Fifty-eight reentry programs were identified. Program descriptions were developed for 50. Findings supported the use of a 2x2 typology of initiatives, with one factor being whether the criminal justice or mental health system initiated the program and the other being the degree of collaboration between the two systems. CONCLUSIONS: If the funding trend indicated by this survey continues, the criminal justice system will become a primary funder of treatment services for offenders with mental illness who are returning to the community. No one knows how this shift in funding will affect the provision of mental health services.

Community Mental Health Services↗
PubMed1998

Persons with severe mental illness in jails and prisons: a review.

OBJECTIVE: The presence of severely mentally ill persons in jails and prisons is an urgent problem. This review examines this problem and makes recommendations for preventing and alleviating it. METHODS: MEDLINE, Psychological Abstracts, and the Index to Legal Periodicals and Books were searched from 1970, and all pertinent references were obtained. RESULTS AND CONCLUSIONS: Clinical studies suggest that 6 to 15 percent of persons in city and county jails and 10 to 15 percent of persons in state prisons have severe mental illness. Offenders with severe mental illness generally have acute and chronic mental illness and poor functioning. A large proportion are homeless. It appears that a greater proportion of mentally ill persons are arrested compared with the general population. Factors cited as causes of mentally ill persons' being placed in the criminal justice system are deinstitutionalization, more rigid criteria for civil commitment, lack of adequate community support for persons with mental illness, mentally ill offenders' difficulty gaining access to community treatment, and the attitudes of police officers and society. Recommendations include mental health consultation to police in the field; formal training of police officers; careful screening of incoming jail detainees; diversion to the mental health system of mentally ill persons who have committed minor offenses; assertive case management and various social control interventions, such as outpatient commitment, court-ordered treatment, psychiatric conservatorship, and 24-hour structured care; involvement of and support for families; and provision of appropriate mental health treatment.

Commitment of Persons with Psychiatric Disorders↗
PubMed2005

Canadian occupational therapists' contributions to prisoners of war in World War II.

BACKGROUND: A small number of Canadian occupational therapists provided materials to prisoners of war who were experiencing occupational deprivation in German camps during World War II. Although the occupational therapy contribution was relatively minor relative to the overall efforts of assistance to prisoners of war, it represented dedication, commitment and further sacrifice at a time when occupational therapists faced difficult choices. METHOD: An historical research method approach was employed to gather information from primary sources found in the Canadian Association of Occupational Therapy archives. Secondary sources were also consulted to provide additional background information. This paper outlines the need and context for the response, method of organization, materials sent, challenges experienced, and impact that this effort had on both POWs and the occupational therapists themselves. PRACTICE IMPLICATIONS: This account may inform and inspire current day occupational therapists who are considering the implications of occupational deprivation within frameworks of social and occupational justice.

History, 20th Century↗
PubMed1990

Mortality following release from prison.

We have studied deaths occurring after release from prison in the Canton of Geneva during the period 1982-86. The mortality rate during the first year after release was about 5 deaths/1000 person years, a rate over four times the age-adjusted rate in the general population. The majority of deaths were due to overdose by opiate drugs among young, frequently imprisoned drug abusers, and occurred within the first few weeks after release. Likely risk factors include loss of tolerance to opiates while in prison, and psychological and social stresses following release.

Adolescent↗
PubMed1990

Correlates of suicidal history in male prisoners.

The relationship between suicide and previous attempt thereto is generally recognized. In this study of adult male prisoners, those with a history of attempted suicide were compared with age-matched controls in order to evaluate factors associated with suicidal behaviour. As well as confirming its relationship with certain other factors (notably mental illness and addiction) it was found that prisoners with many previous convictions were much more likely to have attempted suicide. It is suggested that conviction rate might be a useful addition to the measures already employed in assessing suicidal risk.

Adult↗
PubMed1993

A study of 133 suicides among Canadian federal prisoners.

This paper reviews the literature on prison suicide. The characteristics of suicide within the Canadian Federal Penitentiary Service are compared with previous data. In the population examined, prison suicide was found to be a predominantly male phenomenon, not associated with age, offence type, previous convictions or length of sentence. It was most commonly committed by hanging, frequently occurring in the period shortly after sentencing. Suicide was associated with single marital status, earlier suicide attempts, a history of drug or alcohol abuse, and a previous history of psychiatric illness.

Canada↗
PubMed2001

Prisoners with HIV/AIDS: a participatory learning and action initiative in Malaysia.

Rapid participatory research and project development is possible within a tightly controlled social context such as a prison. Having gained access, based on trust and mutual respect, external agents may then facilitate significant change. Given adequate support, incarcerated people with HIV/AIDS and limited medical access may be able to develop mutual care, social support and income-generating activities. In the Malaysian context, we estimated in 1998 that up to one-quarter of prisoners with HIV had indicators of significant disease. We estimated that significant indicators remained unrevealed among between one-half and two-thirds of these. Given prevailing conditions, these would probably only be amenable to peer-based care.

Female↗
PubMed2002

Psychopathology and tattooing among prisoners.

Tattooing has always been associated with criminals. Indeed, it is both an administrative and clinical problem in prisons. This article looks at the relationship between psychopathology and tattooing infractions within prison. Using a sample of 8,574 male inmates in the Colorado Department of Corrections, initial admission personality testing was compared to tattooing infractions within the next 2 years. Personality types more likely to engage in tattooing included Antisocial, Sadistic, Negativistic, and Borderline. Compulsive personality types engaged in relatively less tattooing. Clinical syndromes associated with more tattooing included Mania, Drug Abuse, Post-Traumatic Stress disorder, and Thought Disorder.

Adolescent↗
PubMed2002

Violations of out-group and in-group regulations in the eyes of ordinary and protected prisoners: an instance of judgmental modularity.

According to the functional theory of cognition, everyday life blaming for wrongdoing reflects individuals' functional morality. The judgments of normative people were found to be modular, that is, changeable as a function of the social role taken at the moment of the judgment. This article presents several empirical indications that prisoners' functional moral judgments are modular as well. These studies were conducted within the experimental framework of functional measurement, which was chosen due to its ability to bypass prisoners' suspicion and resistance to out-group investigations. The studies focus on delinquents' core moral issues such as eyewitness testimony and informing to out-group authorities. As expected, the judgments of ordinary and protected inmates were modular. It is claimed that these findings are applicable to offender rehabilitation and correction and to offender therapy.

Attitude↗
PubMed2006

Psychological treatment of men convicted of gender violence: a pilot study in Spanish prisons.

In this article, the effectiveness of a psychological treatment program for men who are in prison for committing a serious offence of gender violence is tested. The sample consisted of 52 men who were imprisoned in eight Spanish prisons. The psychological treatment was a cognitive-behavioral program, in a group format, with 20 weekly sessions that lasted for 8 months. The results showed a significant improvement of irrational beliefs, about both women and violence, as a strategy to cope with everyday difficulties and a significant decrease of psychopathological symptomatology, anger, and hostility. On the other hand, results indicated that the only difference between the patients who dropped out of treatment and those who completed it was the level of initial motivation for treatment. Implications of this study for clinical practice and future research in this field are discussed.

Adaptation, Psychological↗
PubMed1992

Psychiatric disorders in prisoners referred for assessment: a preliminary study.

The psychiatric profile of a consecutive series of 69 men and women prisoners referred for assessment over a nine month period was examined. Thirty-six point two percent had a major psychiatric disorder and a further 53.6% had a minor psychiatric illness. One-third of the sample had a previous criminal record, and approximately one-half had past psychiatric contacts. Schizophrenic patients with active symptoms appear to be more likely to commit violent offenses. Of ten prisoners who committed murder, nine were patients with schizophrenia. Almost all the psychotic patients had active symptoms at the time that they committed their offenses. The most probable reason for the commission of their crime was psychosis. Some underlying psychosocial factors are also discussed. Ways of minimizing the vulnerability and victimization of individuals with serious mental disorders are suggested. Because this was a highly selective sample, the results should be viewed with some caution. More research is needed to determine the criminal behaviour of the mentally ill in general, and schizophrenics in particular.

Adult↗
PubMed2001

Clinical outcomes in a prison telepsychiatry clinic.

The effectiveness of a prison telepsychiatry service was evaluated from a user perspective. Forty-five inmates (41 male, 4 female) completed the Symptom Rating Checklist-90-Revised (SCL-90-R) on three occasions, once before the teleconsultation and twice during treatment. The psychiatrist completed the Clinical Global Impression Scale--Severity Index (CGI) after each teleconsultation. Forty-nine per cent of inmates were aged under 30 years, 24% were aged between 30 and 39 years, while 27% were aged over 40 years. The inmates' mean SCL-90-R scores decreased over time, indicating less psychiatric distress. The psychiatrist reported patient improvement over time as assessed by the CGI. Telepsychiatry is an effective means of delivering mental health services to the prison population.

Adult↗
PubMed1979

Suicide in prison.

Records of 186 suicides among male prisoners in England between 1958 and 1971 emphasize the differences between the prison population and the population at large. The suicide rate may well be three times greater. The records show that sentence of more than 18 months' duration, whether anticipated or actually received, is associated with a greater risk of suicide than shorter sentence, and that suicide is most likely to be committed during the first few weeks in custody.

Attention↗