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Gerth J, Endrass J, Weber M, Graf M, Singh JP, Rossegger A. Exploring the mental healthcare needs of Swiss pre-trial detainees: A pilot investigation of an on-site psychiatric day clinic. Front Psychiatry 2022; 13:924861. [PMID: 35928770 PMCID: PMC9345322 DOI: 10.3389/fpsyt.2022.924861] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 06/27/2022] [Indexed: 12/15/2022] Open
Abstract
INTRODUCTION Research has established that justice-involved individuals experience significant mental health problems. However, mental healthcare in correctional settings is often not sufficiently accessible to meet the demand. Hence, to improve the availability of mental healthcare services, especially for pre-trial detainees, the first Swiss on-site psychiatric day clinic (PDC) was established in 2019. The present cross-sectional observational study aimed to evaluate the need of psychiatric care in pre-trial detention and the PDC's potential to improve it. METHODS File record data were collected from the Office of Corrections and Rehabilitation of the Canton of Zurich. Differences in primary psychiatric care consultations and psychiatric hospital admissions between pre-trial detainees and sentenced prisoners were examined. In addition, a total cohort of pre-trial detainees of the first 18 months of PDC operations was examined to identify differences between three treatment groups: (1) pre-trial detainees exclusively treated in the PDC (n = 41), (2) pre-trial detainees exclusively treated in a psychiatric hospital (n = 58), and (3) pre-trial detainees treated in both the PDC as well as a psychiatric hospital (n = 16). RESULTS In the 5 years before the PDC opened, pre-trial detainees had significantly more primary psychiatric care consultations and were admitted to psychiatric hospitals on significantly more occasions than were sentenced prisoners. In the first 18 months of the PDC, psychiatric hospital admission rates for pre-trial detainees decreased by 18.5% and pretrial detainees exclusively treated in the PDC differed significantly from other treatment groups concerning mental disorder, gender, and alleged index offense. They were more likely to be diagnosed with adjustment disorders and were less likely to be diagnosed with schizophrenia spectrum disorder. CONCLUSION The use of mental health care among pre-trial detainees is significantly more frequent than among sentenced prisoners concerning both primary care and inpatient treatment. Since establishment of the novel on-site PDC admissions to psychiatric hospitals were found to decrease. Data indicates that especially male pre-trial detainees with adjustment disorders benefitted from this innovative path forward in correctional healthcare. Further research is needed to improve the PDC's service for female pre-trial detainees.
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Affiliation(s)
- Juliane Gerth
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Department of Research and Development, Office of Corrections and Rehabilitation, Zurich, Switzerland
| | - Jérôme Endrass
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Department of Research and Development, Office of Corrections and Rehabilitation, Zurich, Switzerland.,Department of Forensic Psychiatry, University of Basel, Basel, Switzerland
| | - Michael Weber
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Department of Research and Development, Office of Corrections and Rehabilitation, Zurich, Switzerland
| | - Marc Graf
- Department of Forensic Psychiatry, University of Basel, Basel, Switzerland.,Department of Forensic Psychiatry, University Psychiatric Hospitals, Basel, Switzerland
| | - Jay P Singh
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Publication Academy Inc., Reston, VA, United States
| | - Astrid Rossegger
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Department of Research and Development, Office of Corrections and Rehabilitation, Zurich, Switzerland.,Department of Forensic Psychiatry, University of Basel, Basel, Switzerland
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Heller P, Morosan L, Badoud D, Laubscher M, Jimenez Olariaga L, Debbané M, Wolff H, Baggio S. Prevalence Rates and Evolution of Psychiatric Disorders Among Incarcerated Youths in Comparison With Non-incarcerated Youths. Front Psychiatry 2021; 12:784954. [PMID: 35069287 PMCID: PMC8782264 DOI: 10.3389/fpsyt.2021.784954] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 12/13/2021] [Indexed: 01/31/2023] Open
Abstract
Background: Our main objective was to provide estimates of the prevalence rates of psychiatric disorders and comorbidities among youths in a juvenile detention center in Geneva, Switzerland. We also aimed to investigate potential positive effects of intensive psychotherapeutic and educational services this center provides. Finally, we examined psychiatric care prior to and after custody as well as the evolution of the youths' mental health during detention. Methods: We conducted a longitudinal study including a group of incarcerated (n = 86) and a group of non-incarcerated (n = 169) youths (12-18 years old). Measures included diagnoses of psychiatric disorders, cognitive functions, trauma, psychopathic traits and the Youth Self-Report (aggressive behavior, attentional disorders, criminal behavior, social withdrawal, anxiety, depression and somatic complaints) collected at baseline and at discharge for the incarcerated group. Data were analyzed using mixed-effect models. Results: Psychiatric disorders were prevalent in the incarcerated group (82.6, 95% CI: 71.6-90.7%), but young people also often suffered from several disorders simultaneously. Two-thirds of the incarcerated participants had a diagnosis of two or more psychiatric disorders. Regarding health care, most incarcerated participants (79.1%) had psychiatric care prior to detention. The planned care after detention was associated with psychiatric comorbidities, care being more likely planned for those with comorbidities (p = 0.030). Compared to the non-incarcerated group, the incarcerated group had lower scores on cognitive functioning (p < 0.001) and higher scores on trauma (p < 0.021) and psychopathic traits (p < 0.034). The youths' stay in the detention center was associated with a positive change of mental health, with externalized problems being significantly reduced at the end of their stay (p = 0.017). Conclusion: Our findings showed that youths in conflict with the law are characterized by (1) their internal vulnerabilities: a high prevalence of psychiatric disorders and psychiatric comorbidities, lower cognitive functions, externalized problems and psychopathic traits; (2) environmental factors: victims of violence and sexual abuse; and (3) their psychiatric history. Besides, the evolution of the most prevalent issues was favorable over time, which puts into question the usual perspective about the deleterious effect of detention.
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Affiliation(s)
- Patrick Heller
- Division of Prison Health, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.,Department of Psychiatry, University of Geneva, Geneva, Switzerland
| | - Larisa Morosan
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Deborah Badoud
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Manon Laubscher
- Division of Prison Health, Geneva University Hospitals, University of Geneva, Geneva, Switzerland
| | - Lisa Jimenez Olariaga
- Division of Prison Health, Geneva University Hospitals, University of Geneva, Geneva, Switzerland
| | - Martin Debbané
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Hans Wolff
- Division of Prison Health, Geneva University Hospitals, University of Geneva, Geneva, Switzerland
| | - Stéphanie Baggio
- Division of Prison Health, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.,Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
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Bessler C, Stiefel D, Barra S, Plattner B, Aebi M. Psychische Störungen und kriminelle Rückfälle bei männlichen jugendlichen Gefängnisinsassen. ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2019; 47:73-88. [DOI: 10.1024/1422-4917/a000612] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Zusammenfassung. Fragestellung: Die Prävalenz psychischer Störungen unter inhaftierten Jugendlichen ist hoch. Offen ist die Frage, ob damit eine erhöhte kriminelle Rückfälligkeit einhergeht. Methodik: Zwischen dem 01.08.2010 und 31.10.2012 wurden im kantonalen Jugendgefängnis Zürich alle inhaftierten männlichen Jugendlichen bei Eintritt psychiatrisch untersucht (N = 122). Die psychischen Störungen wurden anhand eines standardisierten Interviews erfasst. Nach der Haftentlassung wurden die Probanden im Kantonalen Rechtsinformationssystem betreffend Rückfälligkeit während eines Jahres nachkontrolliert. Ergebnisse: 90.2 % der Insassen litten unter mindestens einer psychiatrischen Störung. Über 70 % der Jugendlichen waren zum Zeitpunkt ihrer Inhaftierung von mehreren psychiatrischen Erkrankungen betroffen. Es konnten vier voneinander unabhängige Störungskategorien unterschieden werden: affektive Störungen, Angststörungen, Verhaltensstörungen und Abhängigkeitserkrankungen. Betreffend Rückfälligkeit fand sich, dass Jugendliche mit Verhaltensstörungen und/oder einer Abhängigkeitserkrankung häufiger mit einer Gewaltstraftat rückfällig wurden als aus dem Gefängnis entlassene Jugendliche ohne psychische Erkrankungen. Zudem zeigte sich, dass je jünger die inhaftierten Jugendlichen waren, desto kürzer war die Zeit nach ihrer Entlassung, bis sie eine Gewaltstraftat verübten. Schlussfolgerungen: Aufgrund der hohen Prävalenz von psychischen Störungen unter inhaftierten Jugendlichen ist es notwendig, dass diese Minderjährigen auch jugendpsychiatrisch-psychologisch untersucht und adäquat behandelt werden. Neben der psychiatrischen Versorgung der minderjährigen Gefängnisinsassen kann so auch den Anforderungen eines effektiven Opferschutzes und dem Sicherheitsbedürfnis unserer Gesellschaft entsprochen werden.
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Affiliation(s)
- Cornelia Bessler
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
| | - Dorothea Stiefel
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
| | - Steffen Barra
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
| | - Belinda Plattner
- Kinder- und Jugendpsychiatrie, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich
| | - Marcel Aebi
- Psychiatrische Universitätsklinik Zürich, Klinik für Forensische Psychiatrie, Zentrum für Kinder- und Jugendforensik, Zürich, Schweiz
- Psychiatrische Universitätsklinik Zürich, Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Zürich, Schweiz
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Wangmo T, Hauri S, Meyer AH, Elger BS. Patterns of older and younger prisoners' primary healthcare utilization in Switzerland. Int J Prison Health 2017; 12:173-84. [PMID: 27548019 DOI: 10.1108/ijph-03-2016-0006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose The purpose of this paper is to identify primary health concerns prompting older and younger prisoners in Switzerland to consult a nurse or a general practitioner (GP) within the prison healthcare setting, and explores if these reasons for visits differ by age group (49 years and younger vs 50 years and older). The authors used 50 years and older as the benchmark for older prisoners in light of literature indicating accelerated aging among prisoners. Design/methodology/approach Retrospective information from medical records of 406 prisoners were collected for a period of six months. This study analyzed the reasons for which prisoners visited the nurses and GPs available to them through the prison healthcare service. These reasons were coded using the International Classification of Primary Care-version 2. Data were analyzed descriptively and four generalized linear models were built to examine whether there was an age group difference in reasons for visiting nurses and GPs. Findings The health reasons for visiting nurses and GPs by 380 male prisoners from 13 Swiss prisons are presented. In the six month period, a total of 3,309 reasons for visiting nurses and 1,648 reasons for visiting GPs were recorded. Prisoner participants' most common reasons for both visits were for general and unspecified complaints and musculoskeletal problems. Older prisoners sought significantly more consultations for cardiovascular and endocrine problems than younger prisoners. Research limitations/implications Nurses play an important role in addressing healthcare demands of prisoners and coordinating care in Swiss prisons. In light of age-related healthcare demands, continuing education and training of both nurses and GPs to adequately and efficiently address the needs of this prisoner group is critical. Allowing prisoners to carry out some care activities for minor self-manageable complaints will reduce the demand for healthcare. Originality/value This study presents unique data on healthcare concerns for which prisoners visit prison nurses and GPs. It highlights the varied needs of older prisoners as well as how these needs are addressed based on the availability of the primary healthcare provider within the prison.
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Affiliation(s)
- Tenzin Wangmo
- Institute for Biomedical Ethics, University of Basel , Basel, Switzerland
| | - Sirin Hauri
- Faculty of Medicine, University of Basel , Basel, Switzerland
| | - Andrea H Meyer
- Department of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel , Basel, Switzerland
| | - Bernice S Elger
- Institute for Biomedical Ethics, University of Basel , Basel, Switzerland
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Young S, Greer B, Church R. Juvenile delinquency, welfare, justice and therapeutic interventions: a global perspective. BJPsych Bull 2017; 41:21-29. [PMID: 28184313 PMCID: PMC5288089 DOI: 10.1192/pb.bp.115.052274] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Revised: 02/15/2016] [Accepted: 04/07/2016] [Indexed: 11/23/2022] Open
Abstract
This review considers juvenile delinquency and justice from an international perspective. Youth crime is a growing concern. Many young offenders are also victims with complex needs, leading to a public health approach that requires a balance of welfare and justice models. However, around the world there are variable and inadequate legal frameworks and a lack of a specialist workforce. The UK and other high-income countries worldwide have established forensic child and adolescent psychiatry, a multifaceted discipline incorporating legal, psychiatric and developmental fields. Its adoption of an evidence-based therapeutic intervention philosophy has been associated with greater reductions in recidivism compared with punitive approaches prevalent in some countries worldwide, and it is therefore a superior approach to dealing with the problem of juvenile delinquency.
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Affiliation(s)
- Susan Young
- Imperial College London, London, UK
- Broadmoor Hospital, Crowthorne, UK
| | | | - Richard Church
- South London and Maudsley NHS Foundation Trust, London, UK
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Moschetti K, Stadelmann P, Wangmo T, Holly A, Bodenmann P, Wasserfallen JB, Elger BS, Gravier B. Disease profiles of detainees in the Canton of Vaud in Switzerland: gender and age differences in substance abuse, mental health and chronic health conditions. BMC Public Health 2015; 15:872. [PMID: 26358116 PMCID: PMC4566300 DOI: 10.1186/s12889-015-2211-6] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Accepted: 09/02/2015] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Literature on the disease profile of prisoners that differentiates by age and gender remains sparse. This study aimed to describe the health of correctional inmates in terms of substance abuse problems and mental and somatic health conditions, and compare it by gender and age. METHODS This study examined cross-sectional data from the Canton of Vaud in Switzerland on the health conditions of detainees who were in prison on January 1, 2011 or entered prison in 2011. Health conditions validated by physician examination were reported using the International Classification of Diseases (ICD) version 10. The analyses were descriptive by groups of prisoners: the entire sample (All), Men, Older adults and Women. RESULTS A total of 1,664 individuals were included in the analysis. Men comprised 91.5 % of the sample and had a mean age of 33 years. The other 8.5 % were women and had an average age of 39. Older adults (i.e., age 50 and older) represented 7 % of the total sample. Overall, 80 % of inmates were non-Swiss citizens, but the proportion of Swiss prisoners was higher among the older adults (51 %) and women (29 %). Overall, 41 % of inmates self-reported substance abuse problems. Of those, 27 % were being treated by psychiatrists for behavioral disorders related to substance abuse. Chronic infectious diseases were found in 9 % of the prison population. In addition, 27 % of detainees suffered from serious mental health conditions. Gender and age had an influence on the disease profile of this sample: compared to the entire prison population, the older inmates were less likely to misuse illegal drugs and to suffer from communicable infections but exhibited more problems with alcohol and a higher burden of chronic health conditions. Female prisoners were more disposed to mental health problems (including drug abuse) and infectious diseases. In terms of chronic diseases, women suffered from the same conditions as men, but the diseases were more prevalent in women. CONCLUSION It is important to understand the different disease profiles of prisoners by gender and age, as it helps identify the needs of different groups and tailor age-and gender-specific interventions.
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Affiliation(s)
- Karine Moschetti
- Institut universitaire de médecine sociale et préventive, Unité d'evaluation des soins, University Hospital of Lausanne (CHUV), Route de la Corniche 10, 1010, Lausanne, Switzerland.
- Technology Assessment Unit (UET), University Hospital of Lausanne (CHUV), Lausanne, 1011, Switzerland.
- IEMS - Plateforme interfacultaire en économie et management de la santé, University of Lausanne CH, Internef Building, Lausanne, 1015, Switzerland.
| | - Pierre Stadelmann
- Institut universitaire de médecine sociale et préventive, Unité d'evaluation des soins, University Hospital of Lausanne (CHUV), Route de la Corniche 10, 1010, Lausanne, Switzerland.
- IEMS - Plateforme interfacultaire en économie et management de la santé, University of Lausanne CH, Internef Building, Lausanne, 1015, Switzerland.
| | - Tenzin Wangmo
- Institute for Biomedical Ethics, Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, Basel, 4056, Switzerland.
| | - Alberto Holly
- Institut d'économie et management de la santé (IEMS), HEC Lausanne and Département d'économétrie et d'économie politique (DEEP), University of Lausanne, Internef Building, Lausanne, 1015, Switzerland.
| | - Patrick Bodenmann
- Vulnerable Population Center, Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, 1011, Switzerland.
| | - Jean-Blaise Wasserfallen
- Technology Assessment Unit (UET), University Hospital of Lausanne (CHUV), Lausanne, 1011, Switzerland.
| | - Bernice S Elger
- Institute for Biomedical Ethics, Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, Basel, 4056, Switzerland.
- Centre universitaire romand de médecine légale, University of Geneva, Geneva, Switzerland.
| | - Bruno Gravier
- Service of Correctional Medicine and Psychiatry (SMPP), University Hospital of Lausanne (CHUV), Prilly-Lausanne, 1008, Switzerland.
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Deonandan R, Lockhart JW, Mahony B, Mindlin G, Laine-Gossin J, Audam N, Nel L, Sissons M, Vineberg B. Clinical complaints amongst patients in a Guyanese prison. Glob J Health Sci 2012; 4:47-50. [PMID: 23121742 PMCID: PMC4776958 DOI: 10.5539/gjhs.v4n6p47] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Accepted: 08/19/2012] [Indexed: 11/25/2022] Open
Abstract
Background: Incarcerated populations are at particular risk for developing specific health conditions. Prior studies of prisons in developing countries have focused on the threat of communicable diseases, though anecdotal evidence suggests that chronic conditions are of particular concern. This study constitutes the first published investigation of health complaints offered by residents of a prison in the South American nation of Guyana. Method: In 2010, a medical team sent by the Toronto non-governmental organization Ve’ahavta visited the Mazaruni prison in the interior of Guyana. Data on patient encounters was collected as part of the triage activity. Results: Care was given to 108 patients, staff and family members. Contrary to literature expectations, 50% of complaints concerned musculoskeletal issues, while only 11% were genitor-reproductive. Upon examination, 30.6% of patients were experiencing musculoskeletal problems, most commonly back pain. Conclusion: Future medical interventions to this and comparable low- and middle-income country prisons should more vigorously consider physiotherapeutic interventions, in addition to the expected addressing of infectious diseases.
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