Six nations: a clinical scenario comparison of systems for prisoners with psychosis in Australia, Bolivia and four European nations

BJPsych International

article

Anne Aboaja¹  Prashant Pandurangi²  Susana Almeida³  Luca Castelletti⁴  Guillermo Rivera-Arroyo⁵  Annette Opitz-Welke⁶  Justus Welke⁷  Stephen Barlow⁸ 

[1] PhD, MRCPsych, Consultant Forensic Psychiatrist, Forensic Service, Roseberry Park Hospital, Tees, Esk & Wear Valleys NHS Foundation Trust;FRCPsych, FRANZCP, Consultant Forensic Psychiatrist, Victorian Institute of Forensic Mental Health;MD, Consultant Psychiatrist, Psychiatric and Mental Health Clinic, São João de Deus Prison Hospital;MD, Consultant Psychiatrist, Dipartimento Salute Mentale;MD, Professor of Psychopathology, Department of Psychology, Universidad Privada de Santa Cruz;PhD, Consultant Forensic Psychiatrist, Institute of Forensic Psychiatry, Charité University Berlin;MD, MSc, Epidemiologist, Institute of Forensic Psychiatry, Charité University Berlin;FRCPsych, Consultant Forensic Psychiatrist, Nottinghamshire Healthcare NHS Foundation Trust, Rampton Hospital

关键词: forensic mental health services;    prison;    involuntary treatment;    psychotic disorders;    global inequalities;   

DOI  :  10.1192/bji.2022.16

学科分类：神经外科学

来源: Cambridge University Press

【 摘 要 】

This paper compares across six nations the mental health systems available to prisoners with the highest acuity of psychosis and risk combined with the lowest level of insight into the need for treatment. Variations were observed within and between nations. Findings highlight the likely impact of factors such as mental health legislation and the prison mental health workforce on a nation's ability to deliver timely and effective treatment close to home for prisoners who lack capacity to consent to treatment for their severe mental illness. The potential benefits of addressing the resulting inequalities are noted.

【 授权许可】

CC BY|CC BY-NC-SA|CC BY-NC-ND