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Prevalence of mental disorders at admission to the penal justice system in emerging countries: a study from Chile

Published online by Cambridge University Press:  19 June 2015

A. P. Mundt Open the ORCID record for A. P. Mundt [Opens in a new window] ,
S. Kastner ,
S. Larraín ,
R. Fritsch  and
S. Priebe
A. P. Mundt*
Affiliation:
Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK Department of Psychiatry and Mental Health, Hospital Clínico Universidad de Chile, Santiago, Chile Escuela de Medicina sede Puerto Montt, Universidad San Sebastián, Santiago, Chile
S. Kastner
Affiliation:
Department of Psychiatry and Mental Health, Hospital Clínico Universidad de Chile, Santiago, Chile Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Berlin, Germany
S. Larraín
Affiliation:
Department of Psychiatry and Mental Health, Hospital Clínico Universidad de Chile, Santiago, Chile
R. Fritsch
Affiliation:
Department of Psychiatry and Mental Health, Hospital Clínico Universidad de Chile, Santiago, Chile Department of Psychology, Universidad de los Andes, Santiago, Chile
S. Priebe
Affiliation:
Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK
*
*Address for correspondence: A. P. Mundt, Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, Newham Centre for Mental Health, London E13 8SP, UK. (Email: [email protected])
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Abstract

Background.

Previous mental health surveys conducted in prisons within emerging countries recruited samples of all prisoners at any single point in time. However, this sampling strategy results in an overrepresentation of long-term prisoners as compared with those studies recruiting from all admissions over time. This study aimed to assess mental disorders in consecutively admitted prisoners soon after admission, in order to address service needs of people with short-term imprisonments and people at early stages of imprisonment.

Method.

Disorders were assessed in a sample of 229 male and 198 female prisoners, consecutively committed to the penal justice system in Santiago de Chile, using the structured Mini-Neuropsychiatric interview. Prevalence rates were calculated as per cent values. Ninety-five per cent confidence intervals were calculated for the proportions.

Results.

Illicit drug and/or alcohol use disorders in the year prior to admission were present in 173 (76%) male and 64 (32%) female prisoners. The substances most frequently causing addiction were cocaine-based products in 108 (47%) male and 42 (21%) female prisoners. Current major depression was present in 124 (54%) male and 86 (43%) female prisoners, and current non-affective psychotic disorders in 18 (8%) male and in 10 (5%) female prisoners. High suicidal risk was present in 64 (28%) male prisoners and in 29 (15%) female prisoners.

Conclusion.

When consecutive prisoners are assessed at admission, rates of mental health and substance use disorders were higher than in previous studies in emerging countries that had sampled from all existing prisoners at a time. Affective disorders and suicide risk appear more prevalent than in admission studies conducted in Western high-income countries. Previous research may have systematically underestimated the extent of mental health problems in prisoners, which poses a major public health challenge in emerging countries.

Keywords

Admissionmental disordersprevalenceprisonsubstance use disorders
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 25 , Issue 5 , October 2016 , pp. 441 - 449
Copyright
Copyright © Cambridge University Press 2015 

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References

Adesanya, A, Ohaeri, JU, Ogunlesi, AO, Adamson, TA, Odejide, OA (1997). Psychoactive substance abuse among inmates of a Nigerian prison population. Drug and Alcohol Dependence 47, 39–44.Google Scholar
Andreoli, SB, dos Santos, MM, Quintana, MI, Ribeiro, WS, Blay, SL, Taborda, JG, de Jesus Mari, J (2014). Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil. PLoS ONE 9, e88836.Google Scholar
Assadi, SM, Noroozian, M, Pakravannejad, M, Yahyazadeh, O, Aghayan, S, Shariat, SV, Fazel, S (2006). Psychiatric morbidity among sentenced prisoners: prevalence study in Iran. British Journal of Psychiatry 188, 159–164.Google Scholar
Baillargeon, J, Penn, JV, Knight, K, Harzke, AJ, Baillargeon, G, Becker, EA (2010). Risk of reincarceration among prisoners with co-occurring severe mental illness and substance use disorders. Administration and Policy in Mental Health 37, 367–374.Google Scholar
Bulten, E, Nijman, H, Van Der Staak, C (2009). Psychiatric disorders and personality characteristics of prisoners at regular prison wards. International Journal of Law and Psychiatry 32, 115–119.CrossRefGoogle ScholarPubMed
Butler, T, Allnutt, S (2003) Mental illness among New South Wales prisoners. http://www.justicehealth.nsw.gov.au/publications/mental-illness-among-nsw-prisoners-2003.pdf (retrieved 13 March 2015).Google Scholar
Clarke, JG, Stein, LA, Martin, RA, Martin, SA, Parker, D, Lopes, CE, Mcgovern, AR, Simon, R, Roberts, M, Friedman, P, Bock, B (2013). Forced smoking abstinence: not enough for smoking cessation. JAMA Internal Medicine 173, 789–794.Google Scholar
Colmenares Bermúdez, E, Romero Mendoza, M, Rudríguez Ruiz, E, Durand-Smith, A, Saldívar Hernández, G (2007). Female depression and substance dependence in the Mexico City penitentiary system. Salud Mental 30, 53–61.Google Scholar
Curtin, K, Monks, S, Duffy, D, Linehan, SA, Kennedy, HG (2009). Psychiatric morbidity in male remanded and sentenced committals to the Irish prison system. Irish Journal of Psychological Medicine 26, 169–173.Google Scholar
Easley, CE (2011). Together we can make a difference: the case for transnational action for improved health in prisons. Public Health 125, 675–679.Google Scholar
Fazel, S, Baillargeon, J (2011). The health of prisoners. Lancet 377, 956–965.CrossRefGoogle ScholarPubMed
Fazel, S, Danesh, J (2002). Serious mental disorder in 23000 prisoners: a systematic review of 62 surveys. Lancet 359, 545–550.Google Scholar
Fazel, S, Seewald, K (2012). Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis. British Journal of Psychiatry 200, 364–373.CrossRefGoogle ScholarPubMed
Fazel, S, Bains, P, Doll, H (2006). Substance abuse and dependence in prisoners: a systematic review. Addiction 101, 181–191.Google Scholar
Fydrich, T, Renneberg, B, Schmitz, B, Wittchen, HU (1997). SKID-II. Strukturiertes Klinisches Interview für DSM-IV. Achse II: Persönlichkeitsstörungen, Hogrefe: Göttingen.Google Scholar
Gunter, TD, Arndt, S, Wenman, G, Allen, J, Loveless, P, Sieleni, B, Black, DW (2008). Frequency of mental and addictive disorders among 320 men and women entering the Iowa prison system: use of the MINI-Plus. Journal of the American Academy of Psychiatry and the Law 36, 27–34.Google Scholar
Hassan, L, Birmingham, L, Harty, MA, Jarrett, M, Jones, P, King, C, Lathlean, J, Lowthian, C, Mills, A, Senior, J, Thornicroft, G, Webb, R, Shaw, J (2011). Prospective cohort study of mental health during imprisonment. British Journal of Psychiatry 198, 37–42.Google Scholar
Lim, S, Harris, TG, Nash, D, Lennon, MC, Thorpe, LE (2015). All-cause, drug-related, and HIV-related mortality risk by trajectories of jail incarceration and homelessness among adults in New York City. American Journal of Epidemiology 181, 261–270.CrossRefGoogle ScholarPubMed
Mir, J, Kastner, S, Priebe, S, Konrad, N, Ströhle, A, Mundt, AP (2015). Treating substance abuse is not enough: comorbidities in consecutively admitted female prisoners. Addictive Behaviors 46, 25–30.Google Scholar
Mundt, AP, Alvarado, R, Fritsch, R, Poblete, C, Villagra, C, Kastner, S, Priebe, S (2013). Prevalence rates of mental disorders in Chilean prisons. PLoS ONE 8, e69109.Google Scholar
Mundt, AP, Chow, WS, Arduino, M, Barrionuevo, H, Fritsch, R, Girala, N, Minoletti, A, Mitkiewicz, F, Rivera, G, Tavares, M, Priebe, S (2015 a). Psychiatric hospital beds and prison populations in South America since 1990: does the Penrose hypothesis apply? JAMA Psychiatry 72, 112–118.CrossRefGoogle ScholarPubMed
Mundt, AP, Kastner, S, Mir, J, Priebe, S (2015 b). Did female prisoners with mental disorders receive psychiatric treatment before imprisonment? BMC Psychiatry 15.Google Scholar
Naidoo, S, Mkize, DL (2012). Prevalence of mental disorders in a prison population in Durban, South Africa. African Journal of Psychiatry 15, 30–35.Google Scholar
Parsons, S, Walker, L, Grubin, D (2001). Prevalence of mental disorder in female remand prisons. Journal of Forensic Psychiatry 12, 194–202.Google Scholar
Pondé, MP, Freire, AC, Mendonça, MS (2011). The prevalence of mental disorders in prisoners in the city of Salvador, Bahia, Brazil. Journal of Forensic Sciences 56, 679–682.Google Scholar
Sheehan, DV, Lecrubier, Y, Sheehan, KH, Amorim, P, Janavs, J, Weiller, E, Hergueta, T, Baker, R, Dunbar, GC (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry 59 (Suppl. 20), 22–33; quiz 34–57.Google Scholar
Stompe, T, Brandstätter, N, Ebner, N, Fischer-Danziger, D (2010). Psychische Störungen bei Haftinsassen. Journal für Neurologie, Neurochirurgie und Psychiatrie 11, 20–23.Google Scholar
Trestman, RL, Ford, J, Zhang, W, Wiesbrock, V (2007). Current and lifetime psychiatric illness among inmates not identified as acutely mentally ill at intake in Connecticut's jails. Journal of the American Academy of Psychiatry and the Law 35, 490–500.Google Scholar
Unesco Institute for Statistics (2011). International Standard Classification of Education ISCED. Montreal. http://www.uis.unesco.org/Education/Documents/isced-2011-en.pdf (retrieved 19 August 2014).Google Scholar
Vicente, B, Kohn, R, Rioseco, P, Saldivia, S, Levav, I, Torres, S (2006). Lifetime and 12-month prevalence of DSM-III-R disorders in the Chile psychiatric prevalence study. American Journal of Psychiatry 163, 1362–1370.Google Scholar
Walker, J, Illingworth, C, Canning, A, Garner, E, Woolley, J, Taylor, P, Amos, T (2014). Changes in mental state associated with prison environments: a systematic review. Acta Psychiatrica Scandinavica 129, 427–436.CrossRefGoogle ScholarPubMed
Walmsley, R (2013). World Prison Population List, 10th edn. International Center for Prison Studies: London.Google Scholar
Wright, B, Duffy, D, Curtin, K, Linehan, S, Monks, S, Kennedy, HG (2006). Psychiatric morbidity among women prisoners newly committed and amongst remanded and sentenced women amongst the Irish prison system. Irish Journal of Psychological Medicine 23, 47–53.Google Scholar
Zahari, MM, Hwan Bae, W, Zainal, NZ, Habil, H, Kamarulzaman, A, Altice, FL (2010). Psychiatric and substance abuse comorbidity among HIV seropositive and HIV seronegative prisoners in Malaysia. American Journal of Drug and Alcohol Abuse 36, 31–38.Google Scholar