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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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