Prisoners (1998) General population Schizophrenia and delusional disorder 8% 0.5% Personality disorder 66% 5.3% Neurotic disorder (e.g. depression) 45% 13.8% Drug dependency 45% 5.2% Alcohol dependency 30% 11.5% Prevalence (1)
Prevalence (2) Why? Penrose (1930s-1940s) Sentencing Deprivation (e.g. Houchin 2005) Defining equivalence Primary and secondary care Complex & multiple need Mono–problem services Who is responsible? A wellbeing approach
A prisoner’s eye view Someone to talk to Preparation for release Something meaningful to do Help in a crisis Therapy and medication Advocacy
Some other important thoughts Continuity of care Special groups Women Young people Minority groups and foreign prisoners The prisoner’s family Screening and identification Peer mentors ‘Recovery‘ & rehabilitation Diversion
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