Mental health in-reach in an urban UK remand prison

International Journal of Prisoner Health
Andrew ForresterPiyal Sen

Abstract

Prison mental health in-reach teams (MHITs) have developed in England and Wales over the last decade. Services have been nationally reviewed, but detailed descriptions of their work have been scarce. The purpose of this paper is to describe the functions of one MHIT in a busy, ethnically diverse, male remand prison in London, UK. Clinical and demographic data were collected for prisoners referred to the MHIT using a retrospective design over an 18-week period in 2008/2009 (n=111). Foreign national prisoners and sentenced prisoners were significantly under-referred. Most referrals were already known to community mental health services, although around a quarter accessed services for the first time in prison. Around a third presented with self-harm/suicide risks. Substance misuse problems were common. Although the MHIT had evolved systems to promote service access, prisoner self-referrals were limited. Foreign national prisoners require enhanced investment to improve service access. MHITs identify people with mental disorders for the first time in prisons, but better screening arrangements are needed across systems. An evaluation of multiple MHIT models could inform a wider delivery template. Originality/value - One of the first ...Continue Reading

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Citations

Jan 21, 2016·Criminal Behaviour and Mental Health : CBMH·Gareth HopkinAndrew Forrester
Feb 6, 2016·Social Psychiatry and Psychiatric Epidemiology·Chiara SameleGareth Hopkin
Nov 5, 2016·Journal of Forensic and Legal Medicine·Karen SladeAndrew Forrester
Apr 21, 2018·International Journal of Environmental Research and Public Health·Nick BourasThomas Craig
Jun 24, 2017·Epidemiology and Psychiatric Sciences·P SenA Forrester
Jul 7, 2016·Psychiatry, Psychology, and Law : an Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law·Gareth HopkinAndrew Forrester
Aug 21, 2018·British Medical Bulletin·A ForresterJ Shaw
Mar 3, 2020·Frontiers in Psychiatry·Britta NeumannAnnette Opitz-Welke

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