Search results for ‘Subject term:"mental health problems"’ Sort:
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Examining prisoner experience of an equine assisted psychotherapy
- Authors:
- ROBINSON-EDWARDS Shona, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 40(3-4), 2019, pp.111-124.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine prisoner experience of an equine assisted psychotherapy (EAP). This paper explores the use of therapeutic interventions; specifically focussing on EAP, within this paper EAP constitutes the use of horses in therapy and involves a team approach from equine and mental health experts. Design/methodology/approach: This paper took a qualitative approach; due to the exploratory nature of this study a phenomenological approach was adopted. Interpretative phenomenological analysis was deemed appropriate; the intervention took place in an adult, male, open condition prison in England (Category D) however participants who engaged in the equine intervention were from both the open prison and a nearby closed Category C prison. The equine intervention was delivered by qualified therapists who worked to help improve emotional regulation among participants with a history of drug and alcohol abuse. Findings: The findings within this paper identify a strong correlation between EAP and positive experiences expressed by participants. Alternative approaches such as animal assisted therapies are worthy of consideration when attempting to support the rehabilitation and treatment needs of incarcerated clients. Participants achieved a number of goals and their confidence improved as they felt a sense of achievement. Research limitations/implications: This paper demonstrates the complexities of therapeutic interventions. Research relating to EAP in the UK is few and far between, consequently understanding is limited. This paper seeks to offer an insight into this topic and build upon this research in the future. Practical implications: Access to prison for research purposes is challenging. Due to the nature of this study and the resources required sometimes EAP therapy cannot be implemented in or near many prisons in England and Wales. Therefore gaining access to this prison and exploring the data is the first phase of further research in this area. Social implications: Researching the way individuals experience therapeutic interventions is a “growing phenomenon”. This paper aimed to explore EAP interventions, however due to the sample size it was imperative that the role of EAP was not misrepresented. Therefore this papers intention is to raise awareness of EAP interventions and therapeutic interventions in prisons in England and Wales. (Edited publisher abstract)
Gender differences, mental health and substance mis-use amongst prisoners
- Author:
- CLULEY Emma
- Journal article citation:
- Probation Journal, 60(3), 2013, pp.361-366.
- Publisher:
- Sage
This research analysis is part of the Surveying Prisoner Crime Reduction (SPCR) longitudinal survey of 1435 newly sentenced prisoners in England and Wales in 2005 and 2006. The sample consisted of 1303 male and 132 female prisoners and looks at the mental health and substance mis-use of male and female prisoners. (Publisher abstract)
Fatally flawed: has the state learned lessons from the deaths of children and young people in prison?
- Authors:
- PRISON REFORM TRUST, INQUEST
- Publisher:
- Prison Reform Trust
- Publication year:
- 2012
- Pagination:
- 76p.
- Place of publication:
- London
Following the death of Joseph Scholes, a 16 year old boy who died at Stoke Heath Young Offender Institution in 2002, there was widespread public and parliamentary concern and calls made for a public inquiry. That inquiry never took place and since Joseph died on 24 March 2002, nine children and 191 young people aged 24 and under have died in prison or, in the case of two of the children, imprisoned in a secure training centre. The report, commissioned by the Prison Reform Trust as part of its Out of Trouble five year programme to reduce child and youth imprisonment, examined the experiences of 98 children and young people who died between 2003 and 2010. The report found that the children and young people who died: were some of the most disadvantaged in society and had experienced problems with mental health, self-harm, alcohol and/or drugs; had significant interaction with community agencies before entering prison yet in many cases there were failures in communication and information exchange between prisons and those agencies; despite their vulnerability, they had not been diverted out of the criminal justice system at an early stage and had ended up remanded or sentenced to prison; were placed in prisons with unsafe environments and cells; experienced poor medical care and limited access to therapeutic services in prison; had been exposed to bullying and treatment such as segregation and restraint; and were failed by the systems set up to safeguard them from harm.
Deinstitutionalization and dual diagnosis
- Author:
- SCHMETZER Alan D.
- Journal article citation:
- Journal of Dual Diagnosis, 3(2), 2007, pp.95-101.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Individuals with co-occurring mental health and addiction disorders often fall between addiction and mental health treatment provision. This paper briefly summarises the history of both mental illness and addiction treatment in the USA, and notes the emergence of the term dual diagnosis in the late 1980s at a time when recreational drug use and the de-institutionalisation of the mentally ill were both rising sharply. However, the large numbers of mentally ill people with a dual diagnosis of substance abuse, and associated complex needs, are now producing a return to an earlier model of ‘care’: increasing numbers of these patients are institutionalised, although not in asylums or hospitals but in prison. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
A pilot study of dual diagnosis training in prisons
- Author:
- HUGHES Elizabeth
- Journal article citation:
- Journal of Mental Health Workforce Development, 1(4), 2006, pp.5-14.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
People with dual diagnosis have complex needs and vulnerabilities that may lead to incarceration in prisons. This article reports on a pilot training programme for dual diagnosis which was developed and piloted in five London prisons. The training was based on training needs assessment of prison staff and consultation with service users. The course was evaluated by a brief questionnaire that included items on attitudes, self-efficacy and knowledge about working with dual diagnosis. The evaluation revealed that all workers, no matter what method of training they received increased their perception of their skills (self-efficacy) and increased their attitudes. Knowledge remained the same (although the pre-training scores were high). There was no difference between the two types of training when mean scores were compared at post-training. It is concluded that the training pilot was evaluated positively and did indicate that it has some effect on attitudes and self-efficacy.
Life sentenced
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Today, May 2007, pp.8-10.
- Publisher:
- Pavilion
- Place of publication:
- Hove
There are currently over 4,000 women in the UK's prisons and numbers are rising. This article looks at the recently published Home Office funded report which argues for a radical change in the way women with mental health problems are treated within the criminal justice system.
Gender specific standards to improve health and wellbeing for women in prison in England
- Authors:
- PEDEN Jo, et al
- Publisher:
- Public Health England
- Publication year:
- 2018
- Pagination:
- 205
- Place of publication:
- London
These standards set out evidence-based good practice in addressing the health and wellbeing needs of women in prison. The document contains six key principles and 122 standards covering 10 topic areas. The ten topic areas are: general, health and wellbeing; mental health, self-harm and suicide; substance misuse; violence and abuse; sexual and reproductive health; pregnancy and families; older women; nutrition and diet; physical activity; and weight management. The standards have been developed from a literature review of current evidence and reviewed through consultation with national and international experts. They are designed to complement existing national and international health standards and guidance for women in prison. The document will be useful for commissioners of services, service providers and all employees who work in the female prisons. It is also relevant for local authorities and community providers who may provide services to women on leaving prison. (Edited publisher abstract)
What can be done to improve outcomes for prisoners with a dual diagnosis?
- Authors:
- MOYES Hattie Catherine Ann, HEATH Joshua James, DEAN Lucy Victoria
- Journal article citation:
- Advances in Dual Diagnosis, 9(1), 2016, pp.14-25.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to review the literature on offenders with a dual diagnosis and discuss how prison-based services can improve to better meet the needs of prisoners with co-occurring substance misuse and mental health disorders. Design/methodology/approach: A comprehensive literature search of PsycINFO, JSTOR, PubMed and Google Scholar, reviewing international studies on dual diagnosis amongst offender and community samples spanning the last three decades, supplemented by international policy, guidance papers and reports was conducted to explore how services can be improved. Findings: It was found that research into dual diagnosis amongst prisoners internationally was scarce. However, from the evidence available, several consistent factors emerged that led to the following recommendations: integrated treatment needs to be coordinated and holistic, staged and gender-responsive; increased availability of "low level", flexible interventions; transitional support and continuity of care upon release with the utilisation of peer mentors; comprehensive assessments in conducive settings; mandatory dual diagnosis training for staff; and increased funding for female/gender-responsive services. Implications: The recommendations can inform commissioners, funders and service providers of areas where support must be improved to address the needs of prisoners with a dual diagnosis. Improved outcomes for prisoners with a dual diagnosis would likely have a positive effect on society, with improvements in mental health and substance misuse treatment impacting on rates of reoffending. (Edited publisher abstract)
Mental health of women detained by the criminal courts: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2014
- Pagination:
- 52
- Place of publication:
- Edinburgh
This report details findings from themed visits on the care and treatment women with mental health problems receive when imprisoned or detained by the criminal courts in Scotland. Visits took place between May and September 2013 and a total of 51 women were interviewed (30 women across five prisons and 21 women in eight hospital). Issues examined included use of drugs and alcohol; children and family contact; and domestic violence and abuse. The experiences of women varied considerably. The report also highlights the different experiences that women receive once they are in the hospital system and the need for better community support to prevent the need for detention. Recommendations include: improved mental health assessment for those charged with violent and disruptive behaviour; better coordination between addition and mental health services; supporting mothers in prison to maintain contact with their children, and improving community support for women experiencing mental health problems. (Original abstract)
Dual diagnosis among incarcerated populations: exception or rule?
- Authors:
- SCOTT Charles L., LEWIS Catherine F., MCDERMOTT Barbara E.
- Journal article citation:
- Journal of Dual Diagnosis, 3(1), 2006, pp.33-58.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Over 2 million individuals were incarcerated in jails and prisons in the United States in 2004. Multiple studies indicate that the prevalence of mental illness and substance use disorders is substantially higher in correctional environments when compared with rates in the community. The objective of this paper is to provide information on the prevalence of dual diagnosis among those incarcerated and the importance of assessing comorbidity for determining treatment needs of inmates. For the purposes of this article, the definition of dual diagnosis includes mental disorders and coexisting substance use disorders, mental disorders and coexisting developmental disabilities, and developmental disabilities and coexisting substance abuse disorders. An extensive electronic literature search was conducted through PubMed, Medline, Department of Justice, and the National Commission on Correctional Health Care. Studies examining the prevalence of mental illness and substance use in jails and prisons, female inmates, and inmates with developmental disabilities were reviewed. The literature reviewed indicated a high comorbidity of mental illness and substance use disorders in incarcerated individuals. Providers should be aware of issues regarding dual diagnosis in special populations among those incarcerated to include female offenders and offenders with developmental disabilities. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).