Abstract
Purpose
To investigate to what extent mental health treatment needs are met in white and black and minority ethnic (BME) prisoners.
Methods
Treatment needs of a random sample of male (n = 197) and female (n = 171) prisoners were assessed with standardised instruments. Interventions provided were confirmed through face-to-face interviews and case note review.
Results
BME prisoners comprised 44% of participants. Treatment for depression, personality disorder and alcohol abuse was more often needed by White than BME prisoners. Needs were more frequently met in White than BME prisoners (48.5% vs 38.2%; p < 0.05), largely due to the delivery of psychological treatments.
Conclusions
BME prisoners had fewer of their mental health needs met.
References
Singleton N, Meltzer H, Gatward R, Coid J, Deasy D (1998) Psychiatric morbidity among prisoners in England and Wales. TSO, London
Bebbington P, Jakobowitz S, McKenzie N, Killaspy H, Iveson R, Duffield G, Kerr M (2016) Assessing needs for psychiatric treatment in prisoners: 1. Prevalence of disorder. Soc Psychiatry Psychiatr Epidemiol 52:221–229
Jakobowitz S, Bebbington P, McKenzie N, Iveson R, Duffield G, Kerr M, Killaspy H (2017) Assessing needs for psychiatric treatment in prisoners: 2. Met and unmet need. Soc Psychiatry Psychiatr Epidemiol 52:231–240
Department of Health (2005) Delivering race equality in mental health care: an action plan for reform inside and outside services and the Government’s response to the independent inquiry into the death of David Bennett. The Stationery Office
Bhui K, Stansfeld S, Hull S, Priebe S, Mole F, Feder G (2003) Ethnic variations in pathways to and use of specialist mental health services in the UK Systematic review. Br J Psychiatry 182:105–116
Sass B, Moffat J, Bhui K, Mckenzie K (2009) Enhancing pathways to care for black and minority ethnic populations: a systematic review. Int Rev Psychiatry 21:430–438
Coid J, Petruckevitch A, Bebbington P, Brugha D, Jenkins R, Farrell M, Lewis G, Singleton N (2002) Ethnic differences in prisoners: II. risk factors and psychiatric service use. Br J Psychiatry 181:481–487
Bhui K, Brown P, Hardie T, Watson JP, Parrott J (1998) African-Caribbean men remanded to Brixton Prison. Psychiatric and forensic characteristics and outcome of final court appearance. Br J Psychiatry 172:337–344
Denzel AD, van Esch AYM, Harte JM, Scherder EJA (2016) Ethnic variations in psychotic disorders in the criminal justice system: a systematic review. Aggress Violent Behav 29:20–29
Bebbington PE, Marsden L, Brewin C, Lesage A (1996) Measuring the need for psychiatric treatment in the general population: the community version of the MRC needs for care assessment. Psychol Med 26:229–236
Lewis G, Pelosi A, Araya RC, Dunn G (1992) Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychol Med 22:465–486
Brown GW, Harris TO (1978) Social origins of depression: a study of psychiatric disorder in women. Tavistock, London
World Health Organization (1992) SCAN: schedules for clinical assessment in neuropsychiatry. WHO, Geneva
King M, Nazroo J, Weich S, McKenzie K, Bhui K, Karlsen S, Stansfeld S, Tyrer P, Blanchard M, Lloyd K, McManus S, Sproston K, Erenns B (2005) Psychotic symptoms in the general population of England a comparison of ethnic groups (the EMPIRIC study). Soc Psychiatry Psychiatr Epidemiol 40:375–381
Weich S, Nazroo J, Sproston K, McManus S, Blanchard M, Erens B, Karlsen S, King M, Lloyd K, Stansfeld S (2004) Tyrer P common mental disorders and ethnicity in England: the EMPIRIC Study. Psychol Med 34:1543–1551
Acknowledgements
This study was funded by the National Forensic Mental Health R&D Programme (Ref. MRD 12/83).
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On behalf of all authors, the corresponding author states that there is no conflict of interest.
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Ethical approval was obtained from the Thames Valley Research Ethics Committee (Ref. 05/MRE 12/52), in line with the 1964 Declaration of Helsinki and its later amendments.
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McKenzie, N., Killaspy, H., Jakobowitz, S. et al. Assessing needs for psychiatric treatment in prisoners: 3. Comparison of care received by black and minority ethnic prisoners and by white prisoners. Soc Psychiatry Psychiatr Epidemiol 54, 883–886 (2019). https://doi.org/10.1007/s00127-019-01663-4
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DOI: https://doi.org/10.1007/s00127-019-01663-4