Book contents
- Seminars in Forensic Psychiatry
- College Seminars Series
- Seminars in Forensic Psychiatry
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Chapter 1 Violence and Mental Disorder
- Chapter 2 Violence and Mental Disorder
- Chapter 3 Outcomes from the Key Inquiries and the Evolution of Modern Forensic Psychiatry
- Chapter 4 Prison Psychiatry
- Chapter 5 Legal Issues and Expertise in Forensic Psychiatry
- Chapter 6 Expertise, Structured Professional Judgement and Risk Assessment
- Chapter 7 Models of Care in Forensic Psychiatry
- Chapter 8 Psychopharmacology of Chronic Aggression and Violence in Forensic Settings
- Chapter 9 Ward Milieu and the Management of In-Patient Violence
- Chapter 10 Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies
- Chapter 11 Assessment of Personality Disorder, Psychopathy and Associated Offending Behaviour
- Chapter 12 Stalking and Threats to Harm and Kill
- Chapter 13 Sexual Offending
- Chapter 14 Terrorism-Related Assessments
- Chapter 15 Forensic Psychotherapy and Psychological Therapies in Forensic Mental Health Settings
- Chapter 16 Forensic Aspects of Medical Negligence
- Chapter 17 Child and Adolescent Forensic Mental Health Services
- Chapter 18 Women’s Services in Forensic Psychiatry
- Chapter 19 Forensic Psychiatry and Intellectual Disability
- Chapter 20 Cultural Service Delivery in Forensic Mental Health Services
- Chapter 21 Tackling Ethnic Inequality in Forensic Mental Healthcare
- Chapter 22 Academic Forensic Psychiatry
- Chapter 23 The No-Nonsense Guides
- Index
- References
Chapter 4 - Prison Psychiatry
Published online by Cambridge University Press: 06 June 2024
- Seminars in Forensic Psychiatry
- College Seminars Series
- Seminars in Forensic Psychiatry
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Chapter 1 Violence and Mental Disorder
- Chapter 2 Violence and Mental Disorder
- Chapter 3 Outcomes from the Key Inquiries and the Evolution of Modern Forensic Psychiatry
- Chapter 4 Prison Psychiatry
- Chapter 5 Legal Issues and Expertise in Forensic Psychiatry
- Chapter 6 Expertise, Structured Professional Judgement and Risk Assessment
- Chapter 7 Models of Care in Forensic Psychiatry
- Chapter 8 Psychopharmacology of Chronic Aggression and Violence in Forensic Settings
- Chapter 9 Ward Milieu and the Management of In-Patient Violence
- Chapter 10 Community Forensic Psychiatry Including Liaison with Health, Criminal Justice and Public Protection Agencies
- Chapter 11 Assessment of Personality Disorder, Psychopathy and Associated Offending Behaviour
- Chapter 12 Stalking and Threats to Harm and Kill
- Chapter 13 Sexual Offending
- Chapter 14 Terrorism-Related Assessments
- Chapter 15 Forensic Psychotherapy and Psychological Therapies in Forensic Mental Health Settings
- Chapter 16 Forensic Aspects of Medical Negligence
- Chapter 17 Child and Adolescent Forensic Mental Health Services
- Chapter 18 Women’s Services in Forensic Psychiatry
- Chapter 19 Forensic Psychiatry and Intellectual Disability
- Chapter 20 Cultural Service Delivery in Forensic Mental Health Services
- Chapter 21 Tackling Ethnic Inequality in Forensic Mental Healthcare
- Chapter 22 Academic Forensic Psychiatry
- Chapter 23 The No-Nonsense Guides
- Index
- References
Summary
This chapter seeks to provide clinicians with a better understanding of prisons and overcome many of the myths and misconceptions, with the objective of making the environment more attractive and interesting for future psychiatrists. In addition to a wide need and a rich variety of conditions, the psychiatrist in prison must contend with barriers to care such as working without a mental health act and, when a patient needs to be transferred and treated outside of prison, navigating complicated pathways to care. Mental disorder is prevalent in all prison systems. Pathways into prison may be related to general factors, specific factors such as delusions and comorbidities and complications of mental illness such as homelessness and breakdown of relationships, as well as service provision issues. The prevailing policy has been to divert prisoners in need of hospital care out of prisons. Court diversion models can focus on any point in the pathway from community to the criminal justice system. In prison, specialist mental health services are needed to address the high levels of morbidity due to self-harm, drug use, suicide and self-harm, hunger strikes and many other manifestations of developmental problems and traumatic experiences.
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- Seminars in Forensic Psychiatry , pp. 92 - 118Publisher: Cambridge University PressPrint publication year: 2024