Search results for ‘Subject term:"mental health problems"’ Sort:
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Failure in community care: psychiatry's dilemma
- Author:
- COID Jeremy
- Journal article citation:
- British Medical Journal, 26.3.94, 1994, pp.805-806.
- Publisher:
- British Medical Association
Argues that after decades of scandals associated with substandard care in institutions come scandals in the community, and that in inner-city areas where psychiatric services are seriously underfunded professionals' lives will be made increasingly difficult.
Violence and psychiatric morbidity in the national household population of Britain: public health implications
- Authors:
- COID Jeremy, et al
- Journal article citation:
- British Journal of Psychiatry, 189(1), July 2006, pp.12-19.
- Publisher:
- Cambridge University Press
It is unclear whether psychiatric morbidity contributes to the small proportion of the population responsible for a large percentage of antisocial behaviour, including violence. The aim was to measure associations between psychiatric morbidity and severity, chronicity and types of victims of violence in the national household population of Britain. Cross-sectional survey of persons in households (n=8397).Data included self-reported location, victims and outcome of violence over the previous 5 years. Diagnoses were determined by computer-assisted interviews. Hazardous drinking was associated with over half of all incidents involving injury. Antisocial personality disorder conveyed an attributable risk of 24% of respondents reporting victim injuries, but screening positive for psychosis conveyed an attributable risk of only 1.2%. The burden of care resulting from violence associated with hazardous drinking supports population interventions. Despite exceptional risks, half of respondents with antisocial personality disorder were not violent, indicating limitations in targeted interventions to detain high-risk individuals.
Ethnic differences in prisoners: risk factors and psychiatric service use
- Authors:
- COID Jeremy, et al
- Journal article citation:
- British Journal of Psychiatry, 181(12), December 2002, pp.481-487.
- Publisher:
- Cambridge University Press
The aim of this article is to compare early environmental risks, stressful daily living experiences and reported use of psychiatric services in prisoners from different ethnic groups. Fewer Black and South Asian male prisoners reported childhood traumas and conduct disorder, and fewer Black prisoners experienced stressful prison experiences, than White prisoners. Fewer Black women had received previous psychiatric treatment, and fewer Black men had their psychiatric problems identified in prison. Black prisoners were less likely to have received psychiatric treatment than Whites. The lower prevalence of psychiatric morbidity observed in Black prisoners corresponds with reduced exposure to risk factors. Higher rates of imprisonment might be explained by higher rates of conduct disorder, adolescent-onset criminality and disadvantage within the criminal justice system.
Ethnic differences in prisoners: criminality and psychiatric morbidity
- Authors:
- COID Jeremy, et al
- Journal article citation:
- British Journal of Psychiatry, 181(12), December 2002, pp.473-480.
- Publisher:
- Cambridge University Press
In England and Wales, persons of African-Caribbean origin are more likely to be both imprisoned and admitted to secure hospitals. The authors examined Home Office data on all persons in prison, and carried out a two-stage cross-sectional survey of 3142 remanded and sentenced, male and female, prisoners in all penal establishments in England and Wales in 1997. The research confirmed high rates of imprisonment for Black people and lower rates for South Asians. Different patterns of offending and lower prevalence of psychiatric morbidity were observed in Black prisoners. Despite increased risks of imprisonment, African-Caribbeans show less psychiatric morbidity than White prisoners. This contrasts with the excess of African-Caribbeans in secure hospitals, an inconsistency possibly in part due to the effects of ethnic groups on admission procedures.
Medium secure forensic psychiatry services: comparison of seven English health regions
- Authors:
- COID Jeremy, et al
- Journal article citation:
- British Journal of Psychiatry, 178, January 2001, pp.55-61.
- Publisher:
- Cambridge University Press
Regional medium secure developments have proceeded unevenly, with wide variations in resources to deliver services. This study compares patients admitted to seven (pre-reorganisation) regional services and styles of serve delivery. It was discovered that un-coordinated development led to under-provision despite high demand. Certain regions prioritised offender patients and did not support local psychiatric services. New standards are required for service specification and resource allocation to redress inequality. Traditional performance measures were of limited usefulness in comparing services.