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The use of psychiatric services before imprisonment: a survey and case register linkage of sentenced prisoners in Melbourne

Published online by Cambridge University Press:  09 July 2009

H. Herrman ,
J. Mills ,
G. Doidge ,
P. McGorry  and
B. Singh
H. Herrman*
Affiliation:
Department of Psychiatry, University of Melbourne, Victoria, Australia
J. Mills
Affiliation:
Department of Psychiatry, University of Melbourne, Victoria, Australia
G. Doidge
Affiliation:
Department of Psychiatry, University of Melbourne, Victoria, Australia
P. McGorry
Affiliation:
Department of Psychiatry, University of Melbourne, Victoria, Australia
B. Singh
Affiliation:
Department of Psychiatry, University of Melbourne, Victoria, Australia
*
1Address for correspondence: Professor Helen Herrman, University of Melbourne, Department of Psychiatry, St Vincent's Hospital, Victoria Parade, Fitzroy, Victoria 3065, Australia.
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Synopsis

Information about contact with psychiatric services before imprisonment was obtained for a stratified random sample of sentenced prisoners, who were not receiving prison psychiatric care, in Melbourne's three metropolitan prisons. The sample of 158 men and 31 women was matched with the longitudinal person-linked records of state psychiatric service use in the Victorian Psychiatric Case Register (VPCR). Records of contact with the state services were found for 54 men (34%) and 19 women (61%), including records of in-patient treatment for 25 men (16%) and 15 women (48%). For 64% of individuals with a positive match, the case-note diagnoses were substance use disorders only. Diagnoses of psychotic disorders were recorded for four prisoners, and mood disorders for another six.

In addition, clinicians conducted standardized diagnostic interviews and enquired about treatment and personal history. A further 24 prisoners reported specialist psychiatric treatment outside the state treatment sector.

This study links the findings from an interview survey of psychiatric morbidity in prisoners with the records available in the VPCR, and emphasizes a number of matters important to the public health. The high rates of previous treatment for substance abuse disorders, the apparent pool of prisoners with largely untreated major depression, and the service needs of those with chronic psychotic disorders are discussed.

Type
Original Articles
Information
Psychological Medicine , Volume 24 , Issue 1 , February 1994 , pp. 63 - 68
Copyright
Copyright © Cambridge University Press 1994

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References

American Psychiatric Association. (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. Revised. APA: Washington, DC.Google Scholar
Bartholomew, A. A., Brain, L. A. & Douglas, A. S. (1967). A medico-psychiatric diagnostic review of remanded (without a request for psychiatric report) male minor offenders. Medical Journal of Australia 11, 267–269.CrossRefGoogle Scholar
Bland, R. C., Newman, S. C., Dyck, R. J. & Orn, H. (1991). Prevalence of psychiatric disorders and suicide attempts in a prison population. Canadian Journal of Psychiatry 35, 407–413.CrossRefGoogle Scholar
Bloom, J. D., Faulkner, L., Shore, J. H. & Rogers, J. L. (1983). The young adult chronic patient and the legal system: a systems analysis. In Effective Aftercare for the 1980s: New Directions for Mental Health Services, No. 19 (ed. Cutler, D. L.), pp. 37–50. Jossey-Bass: San Francisco.Google Scholar
Bonowitz, J. C. & Guy, E. B. (1979). Impact of restrictive civil commitment procedures on a prison psychiatric service. American Journal of Psychiatry 136, 1045–1048.Google Scholar
Coid, J. W. (1984). How many psychiatric patients in prison? British Journal of Psychiatry 145, 78–86.CrossRefGoogle ScholarPubMed
Cook, D. J. (1991). Treatment as an alternative to prosecution: offenders diverted for treatment. British Journal of Psychiatry 158, 785–791.CrossRefGoogle Scholar
Correctional Service Canada (1990). A mental health profile of federally sentenced offenders. Forum on Corrections Research 2, 7.Google Scholar
Glaser, W. F. (1985). Admissions to a prison psychiatric unit. Australian and New Zealand Journal of Psychiatry 19, 45–52.CrossRefGoogle ScholarPubMed
Glaser, W. & Laster, K. (1990). Are the mentally ill being criminalised?: admission of prisoners to psychiatric hospitals before and after the 1986 Mental Health Act (Vic). Australian and New Zealand Journal of Criminology 23, 230–240.CrossRefGoogle Scholar
Gunn, J. (1974). Prisons, shelters, and homeless men. Psychiatric Quarterly 48, 505–512.CrossRefGoogle ScholarPubMed
Gunn, J., Robertson, G., Dell, S. & Way, G. (1978). Psychiatric Aspects of Imprisonment. Academic Press: London.Google Scholar
Gunn, J. G., Maden, A. & Swinton, M. (1991). Treatment needs of prisoners with psychiatric disorders. British Medical Journal 303, 338–341.CrossRefGoogle ScholarPubMed
Herrman, H. (1990). A survey of homeless mentally ill people in Melbourne, Australia. Hospital and Community Psychiatry 41, 1291–1292.Google ScholarPubMed
Herrman, H., McGorry, P., Bennett, P., van Riel, R. & Singh, B. (1989). Prevalence of severe mental disorders in disaffiliated people in inner Melbourne. American Journal of Psychiatry 146, 1179–1184.Google ScholarPubMed
Herrman, H., McGorry, P., Mills, J. & Singh, B. (1991). Hidden severe psychiatric morbidity in sentenced prisoners: an Australian study. American Journal of Psychiatry 148, 236–239.Google ScholarPubMed
Jemelka, R., Trupin, E. & Chiles, J. A. (1989). The mentally ill in prisons: a review. Hospital and Community Psychiatry 40, 481–491.Google ScholarPubMed
Krupinski, J. (1986). Longitudinal analysis of psychiatric patient registers: the experience in Victoria, Australia. In Psychiatric Case Registers and Public Health (ed. Giel, G. H. M. M., Gulbinat, W. H. and Henderson, J. H.), pp. 89–94. Elsevier Science Publishers: Amsterdam.Google Scholar
Lamb, H. R. (1984). Deinstitutionalisation and the homeless mentally ill. Hospital and Community Psychiatry 35, 899–907.Google Scholar
Lamb, H. R. & Grant, R. W. (1982). The mentally ill in an urban county jail. Archives of General Psychiatry 39, 17–22.CrossRefGoogle Scholar
Lamb, H. R. & Grant, R. W. (1983). Mentally ill women in a county jail. Archives of General Psychiatry 40, 363–368.CrossRefGoogle Scholar
Penrose, L. S. (1939). Mental disease and crime: outline of a comparative study of European statistics. British Journal of Medical Psychology 18, 1–15.CrossRefGoogle Scholar
Sosowsky, L. (1980). Explaining the increased arrest rate among mental patients: a cautionary note. American Journal of Psychiatry 137, 1602–1605.Google ScholarPubMed
Steadman, H. J. & Ribner, S. A. (1980). Changing perceptions of the mental health needs of inmates in local jails. American Journal of Psychiatry 137, 1115–1116.Google ScholarPubMed
Taylor, P. R. & Gunn, J. (1984). Violence and psychosis. I. Risk of violence among psychotic men. British Medical Journal 288, 1945–1949.CrossRefGoogle ScholarPubMed
Teplin, L. A. (1983). The criminalization of the mentally ill: speculation in search of data. Psychological Bulletin 94, 54–67.CrossRefGoogle ScholarPubMed
Teplin, L. A. (1990). The prevalence of severe mental disorder among urban jail detainees: comparison with the Epidemiologic Catchment Area Program. American Journal of Public Health 80, 663–669.CrossRefGoogle ScholarPubMed
Turner, T. H. & Tofler, D. S. (1986). Indicators of psychiatric disorder among women admitted to prison. British Medical Journal 292, 651–653.CrossRefGoogle ScholarPubMed
Vaillant, G. E. (1973). A 20-year follow-up of New York narcotic addicts. Archives of General Psychiatry 29, 237–241.CrossRefGoogle ScholarPubMed
Vaillant, G. E. (1987). Time: an important dimension of psychiatric epidemiology, In Psychiatric Epidemiology: Progress and Prospects (ed. Cooper, B.), pp. 167–177. Croom Helm: London.Google Scholar
Weller, M. P. I., Weller, B. G. A. & Badenoch, D. (1988). Mentally abnormal prisoners on remand. British Medical Journal 297, 559.CrossRefGoogle ScholarPubMed