Did female prisoners with mental disorders receive psychiatric treatment before imprisonment?

BMC Psychiatry

Stefan Priebe³  Jan Mir¹  Sinja Kastner¹  Adrian P Mundt² 

[1] Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Charité Campus Mitte, Charitéplatz 1, Berlin, 10117, Germany;Escuela de Medicina sede Puerto Montt, Universidad San Sebastián, Puerto Montt, Chile;Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, Newham Centre for Mental Health, London E13 8SP, UK

关键词: Outpatient mental health treatment;    Psychiatric hospitalized care;    Mental health;    Prisoners;   

Others  :  1090396
DOI  :  10.1186/s12888-015-0387-z

 received in 2014-08-20, accepted in 2015-01-15,  发布年份 2015

【 摘 要 】

Background

Throughout the world, high prevalence rates of mental disorders have been found in prison populations, especially in females. It has been suggested that these populations do not access psychiatric treatment. The aim of this study was to establish rates of psychiatric in- and outpatient treatments prior to imprisonment in female prisoners and to explore reasons for discontinuation of such treatments.

Methods

150 consecutively admitted female prisoners were interviewed in Berlin, Germany. Socio-demographic characteristics, mental disorders, and previous psychiatric in- and outpatient treatments were assessed by trained researchers. Open questions were used to explore reasons for ending previous psychiatric treatment.

Results

A vast majority of 99 prisoners (66%; 95% CI: 58–73) of the total sample reported that they had previously been in psychiatric treatment, 80 (53%; 95 CI: 45–61) in inpatient treatment, 62 (41%; 95 CI: 34–49) in outpatient treatment and 42 (29%; 21–39) in both in- and outpatient treatments. All prisoners with psychosis and 72% of the ones with any lifetime mental health disorder had been in previous treatment. The number of inpatient treatments and imprisonments were positively correlated (rho = 0.27; p < 0.01). Inpatient treatment was described as successfully completed by 56% (N = 41) of those having given reasons for ending such treatment, whilst various reasons were reported for prematurely ending outpatient treatments.

Conclusion

The data do not support the notion of a general ‘mental health treatment gap’ in female prisoners. Although inpatient care is often successfully completed, repeated inpatient treatments are not linked with fewer imprisonments. Improved transition from inpatient to outpatient treatment and services that engage female prisoners to sustained outpatient treatments are needed.

【 授权许可】

   
2015 Mundt et al.; licensee BioMed Central.

【 参考文献 】

• [1]Fazel S, Seewald K: Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis. Br J Psychiatry 2012, 200(5):364-73.
• [2]Fazel S, Bains P, Doll H: Substance abuse and dependence in prisoners: a systematic review. Addiction 2006, 101(2):181-91.
• [3]Fazel S, Danesh J: Serious mental disorder in 23000 prisoners: a systematic review of 62 surveys. Lancet 2002, 359(9306):545-50.
• [4]Jordan BK, Schlenger WE, Fairbank JA, Caddell JM: Prevalence of psychiatric disorders among incarcerated women. II. Convicted felons entering prison. Arch Gen Psychiatry 1996, 53(6):513-9.
• [5]Steadman HJ, Osher FC, Robbins PC, Case B, Samuels S: Prevalence of serious mental illness among jail inmates. Psychiatr Serv 2009, 60(6):761-5.
• [6]von Schönfeld CE, Schneider F, Schroder T, Widmann B, Botthof U, Driessen M: Prävalenz psychischer Störungen, Psychopathologie und Behandlungsbedarf bei weiblichen und männlichen Gefangenen. Der Nervenarzt 2006, 77(7):830-41.
• [7]Butler T, Allnutt S, Cain D, Owens D, Muller C: Mental disorder in the New South Wales prisoner population. Aust N Z J Psychiatry 2005, 39(5):407-13.
• [8]Binswanger IA, Merrill JO, Krueger PM, White MC, Booth RE, Elmore JG: Gender differences in chronic medical, psychiatric, and substance-dependence disorders among jail inmates. Am J Public Health 2010, 100(3):476-82.
• [9]Fazel S, Baillargeon J: The health of prisoners. Lancet 2011, 377(9769):956-65.
• [10]Baillargeon J, Binswanger IA, Penn JV, Williams BA, Murray OJ: Psychiatric disorders and repeat incarcerations: the revolving prison door. Am J Psychiatry 2009, 166(1):103-9.
• [11]Baillargeon J, Penn JV, Knight K, Harzke AJ, Baillargeon G, Becker EA: Risk of reincarceration among prisoners with co-occurring severe mental illness and substance use disorders. Adm Policy Ment Health 2010, 37(4):367-74.
• [12]Lamb HR, Weinberger LE: The shift of psychiatric inpatient care from hospitals to jails and prisons. J Am Acad Psychiatry Law 2005, 33(4):529-34.
• [13]Lamb HR, Weinberger LE: Some perspectives on criminalization. J Am Acad Psychiatry Law 2013, 41(2):287-93.
• [14]Lamb HR, Weinberger LE, Marsh JS, Gross BH: Treatment prospects for persons with severe mental illness in an urban county jail. Psychiatr Serv 2007, 58(6):782-6.
• [15]Mundt AP, Chow WS, Arduino M, Barrionuevo H, Fritsch R, Girala N, et al. Psychiatric hospital beds and prison populations in South America Since 1990: does the penrose hypothesis apply? JAMA Psychiatry 3 Dec 2014, epub ahead of print, doi:10.1001/jamapsychiatry.2014.2433
• [16]Wright B, Duffy D, Curtin K, Linehan S, Monks S, Kennedy HG: Psychiatric morbidity among women prisoners newly committed and amongst remanded and sentenced women amongst the Irish prison system. Ir J Psych Med 2006, 23(2):47-53.
• [17]Maden T, Swinton M, Gunn J: Psychiatric disorder in women serving a prison sentence. Br J Psychiatry 1994, 164(1):44-54.
• [18]Mohan D, Scully P, Collins C, Smith C: Psychiatric disorder in an Irish female prison. Crim Behav Ment Health 1997, 7(3):229-35.
• [19]Joukamaa M: Mental health of finnish prisoners: Results of a survey. The Journal of Forensic Psychiatry 1993, 4(2):261-71.
• [20]Davidson M, Humphreys MS, Johnstone EC, Owens DG: Prevalence of psychiatric morbidity among remand prisoners in Scotland. Br J Psychiatry 1995, 167(4):545-8.
• [21]Brinded PMJ, Stevens I, Mulder RT, Fairley N, Malcolm F, Wells JE: The Christchurch prisons psychiatric epidemiology study: methodology and prevalence rates for psychiatric disorders. Crim Behav Ment Health 1999, 9(2):131-43.
• [22]International Standard Classification of Education ISCED 2011 [http://www.uis.unesco.org/Education/Documents/isced-2011-en.pdf]
• [23]Mundt A, Kliewe T, Yayla S, Ignatyev Y, Busch M, Heimann H, et al.: Social characteristics of psychological distress in disadvantaged areas of Berlin. Int J Soc Psychiatry 2014, 60(1):75-82.
• [24]Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC: The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998, 59 Suppl 20:22–33;quiz 34–57.
• [25]Fydrich T, Renneberg B, Schmitz B, Wittchen HU: SKID-II. Strukturiertes Klinisches Interview für DSM-IV. Achse II: Persönlichkeitsstörungen. Hogrefe, Göttingen; 1997.
• [26]Hsieh HF, Shannon SE: Three approaches to qualitative content analysis. Qual Health Res 2005, 15(9):1277-88.
• [27]Dudeck M, Kopp D, Kuwert P, Drenkhahn K, Orlob S, Luth HJ, et al.: Prevalence of psychiatric disorders in prisoners with a short imprisonment: results from a prison in north Germany. Psychiatr Prax 2009, 36(5):219-24.
• [28]Steadman HJ, Monahan J, Duffee B, Hartstone E: The Impact of State Mental Hospital Deinstitutionalization on United States Prison Populations, 1968–1978. Journal of Criminal Law and Criminology 1984, 75(2):474-90.
• [29]Duffy DLS, Kennedy HG: Psychiatric morbidity in the male sentenced Irish prisons population. Ir J Psych Med 2006, 23(2):54-62.
• [30]Sodhi-Berry N, Preen DB, Alan J, Knuiman M, Morgan VA: Pre-sentence mental health service use by adult offenders in Western Australia: Baseline results from a longitudinal whole-population cohort study. Crim Behav Ment Health 2014, 24(3):204-21.
• [31]Mir J, Priebe S, Mundt AP: People with mental disorders in East and West Germany: Indicators of institutionalized care since reunification. Nervenarzt 2013, 84(7):844-50.