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Personality disorders in prison: aren't they all antisocial?

Merrill Rotter1, Bruce Way, Michael Steinbacher

  • 1Department of Psychiatry, Albert Einstein College of Medicine, 1500 Waters Place, Bronx, NY 10461, USA. mrotter@omh.state.ny.us

The Psychiatric Quarterly
|November 7, 2002
PubMed
Summary

This study examines personality disorder prevalence in New York State prisons, comparing inpatient and outpatient rates. Findings highlight challenges in assessing and treating personality pathology within correctional mental health services.

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Area of Science:

  • Forensic Psychiatry
  • Correctional Mental Health
  • Psychopathology

Background:

  • Providing mental health services in correctional facilities presents significant clinical, administrative, and structural challenges.
  • Character pathology, specifically personality disorders, complicates the treatment of other mental illnesses and often becomes the primary intervention focus.

Purpose of the Study:

  • To review the prevalence of personality disorders within the New York State prison mental health services caseload.
  • To compare inpatient and outpatient rates of personality disorders in the prison system.
  • To contextualize these rates against general state mental health system data.

Main Methods:

  • Review of prevalence data for personality disorders among inmates utilizing mental health services.

Related Experiment Videos

  • Comparative analysis of inpatient versus outpatient treatment rates for various personality disorders.
  • Examination of personality disorder assessment within the unique prison environment.

    • Main Results:

    • Personality disorders are a significant concern within correctional mental health services.
    • Specific personality disorders show varying prevalence rates in inpatient versus outpatient settings.
    • The prison environment influences the assessment and management of personality pathology.

    Conclusions:

    • Effective management of personality disorders is crucial for comprehensive correctional mental health care.
    • Further research and tailored interventions are needed to address the complexities of personality pathology in incarcerated populations.
    • Initiatives addressing serious mental illness and personality traits leading to disciplinary issues require careful consideration.