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41 How. J. Crim. Just. 1 (2002)

handle is hein.journals/hjcj41 and id is 1 raw text is: The Howard journal Vol 41 No 1. February 2002 ISSN 0265-5527, pp. 1-13 Prisoners with Psychosis in England and Wales: A One-Year National Follow-Up Study DAVID MELZER, BRIAN D. M. TOM, TRAOLACH BRUGHA, TOM FRYERS, ADRIAN GROUNDS, TONY JOHNSON, HOWARD MELTZER AND NICOLA SINGLETON David Melzer is Clinical Senior Research Associate, and Brian Tom is Statistician, Department of Public Health and Primay Care, University of Cambridge; Traolach Brugha is Professor of Psychiaty, and Tom Fyers is Visiting Professor of Public Mental Health, Section of Social and Epidemiological Psychiaty, University of Leicester; Adrian Grounds is University Lecturer in Forensic Psychiaty, Institute of Criminology, University of Cambridge; Tony Johnson is Senior Statistician, MRC Biostatistics Unit, Institute of Public Health, University of Cambridge; Howard Meltzer and Nicola Singleton are Principal Social Researchers, Social Survey Division, Office for National Statistics Abstract: It is well established that significant numbers ofprisoners have psychosis, yet little is known of what happens to them over time. One hundred and forty prisoners with probable psychosis from the National Survey of Psychiatric Morbidity in 1isons were re-interviewed at one-year follow-up. During the follow-up year 10% (95% CI 2-17) were admitted to hospitals, detox or medium secure units. At follow-up, 65 % (95% CI 52-77) had 'caseness' levels of current psychiatric illness, but less than a quarter had appointments with psychiatric professionals: for violent or sexual offenders, only 41% had such appointments. Three per cent of those released were in supported accommodation at follow-up. The presence of people with psychosis in prisons has caused concern in the UK and elsewhere (Chelala 1999; Fryers et al. 1998; HM Inspectorate of Prisons 1996). In 1997, the Office for National Statistics survey of psychiatric morbidity of all prisons in England and Wales (Singleton et al. 1999) reported that 7% (95% CI 3-11) of sentenced men, 10% (95% CI 6-14) of remanded men and 14% (95% CI 8-20) of women had psychotic mental illness, in clinical interviews. However, what has been unclear is whether these prisoners were eventually engaged in psychiatric and social care. A one-year national follow-up interview study of prisoners with probable psychosis from the ONS survey was undertaken, to establish clinical, health and social outcomes, and to describe the care received between baseline and follow-up interviews, in both those remaining in prison and those released during follow-up. 1 @ Blackwell Publishers Ltd. 2002, 108 Cowley Road, Oxford OX4 1JF, UK and 350 Main Street, Malden, MA 02148, USA

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