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The interface between general and prison psychiatry – the consultant's perception

  • Sara Smith (a1), Vincent Baxter (a2) and Martin Humphreys (a2)
Extract
AIMS AND METHOD

A postal questionnaire was sent to 100 Section 12 (2) approved consultant psychiatrists in the West Midlands to ascertain their perceptions of the role of general psychiatric services in the care of imprisoned patients with mental disorder previously cared for by generic services.

RESULTS

Of 59 respondents 90% believed they could contribute to the care of imprisoned patients with mental disorders. Ten per cent would delegate total responsibility to specialist forensic services. Lack of awareness of imprisonment of patients was a common problem.

CLINICAL IMPLICATIONS

Insufficient liaison between prison and general psychiatric services may impede the provision of psychiatric care in prison and prevent discharge planning in line with the Care Programme Approach and current Government guidelines.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Adam, S. (2000) Health Care Services for Prisoners. NHS Executive Circular 27/7/00.
Brooke, D., Taylor, C., Gunn, J., et al (1996) Point prevalence of mental disorder in unconvicted male prisoners in England and Wales. BMJ, 313, 15241527.
Davidson, M., Humphreys, M. S., Johnstone, E. C., et al (1995) Prevalence of psychiatric morbidity among remand prisoners in Scotland. British Journal of Psychiatry, 167, 545548.
Gunn, J., Maden, A. & Swinton, S. (1991) Treatment needs of prisoners with psychiatric disorders. BMJ, 303, 338341.
HM Prison Services NHS Executive (1999) The Future Organisation of Prison Health Care. Report by the Joint Prison Service and National Health Service Executive Working Group. Leeds: NHS Executive.
Lart, R. (1997) Bridging the gap. Community Care, 1170, 3031.
National Association for the Care and Resettlement of Offenders (1993) Mentally Disturbed Prisoners and Winson Green. A study of Staff and Prisoner Perceptions at HMP Birmingham. London: NACRO.
Office for National Statistics (1998) Psychiatric Morbidity Amongst Prisoners in England and Wales. London: Stationery Office.
Reed, J. L. (1992) Review of Health and Social Services for Mentally Disordered Offenders and Others Requiring Similar Services. London: HMSO.
Reed, J. L. & Lyne, M. (1997) The quality of health care in prison: results of a year's programme of semi-structured inspections. BMJ, 315, 14201424.
Reed, J. L. & Lyne, M. (2000) Inpatient care of mentally ill people in prison: results of a year's programme of semi-structured inspections. BMJ, 320, 10311034.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The interface between general and prison psychiatry – the consultant's perception

  • Sara Smith (a1), Vincent Baxter (a2) and Martin Humphreys (a2)
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