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Updated: Jun 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

Mental patients in prisons.

Julio Arboleda-Flórez1

  • 1Queen's University, Kingston, Ontario, Canada.

World Psychiatry : Official Journal of the World Psychiatric Association (WPA)
|October 9, 2009
PubMed
Summary

Prisons are increasingly acting as de facto mental health systems due to the significant number of individuals with mental conditions. This paper examines the prevalence of mental illness in correctional facilities and offers management strategies.

Area of Science:

  • Forensic Psychiatry
  • Criminology
  • Mental Health Services Research

Background:

  • Mental conditions impact cognitive, emotional, and volitional personality functions critical for legal judgments.
  • A complex relationship exists between mental illness and criminality, leading to a high prevalence of individuals with mental disorders in prisons.
  • Correctional systems worldwide function as significant, albeit de facto, components of mental health systems.

Purpose of the Study:

  • To investigate the relationship between mental illness and criminality.
  • To estimate the prevalence of mental illness among prison populations globally.
  • To provide guidance for managing individuals with mental conditions within correctional systems.

Main Methods:

  • Systematic review and meta-analysis of existing studies on mental illness prevalence in prisons.
Keywords:
Mental illnessepidemiologymental health systemsprisons

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  • Analysis of legal and psychological factors influencing the intersection of mental health and the criminal justice system.
  • Synthesis of data from diverse international studies to establish prevalence estimates.
  • Main Results:

    • Prisons house a substantial and disproportionate number of individuals with mental health conditions.
    • Prevalence estimates of mental illness in correctional facilities vary across different countries and studies.
    • The findings underscore the critical role of correctional facilities in de facto mental healthcare provision.

    Conclusions:

    • The significant overlap between mental illness and incarceration necessitates integrated mental health strategies within prisons.
    • Effective management protocols are crucial for addressing the needs of the growing mental patient population in correctional systems.
    • Further research is needed to fully elucidate the causal pathways and inform evidence-based interventions.