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"It's Not Like Therapy": Patient-Inmate Perspectives on Jail Psychiatric Services
Leah A Jacobs1, Sequoia N J Giordano2
1School of Social Work, University of Pittsburgh, 2206 Cathedral of Learning, 4200 Fifth Avenue, Pittsburgh, PA, 15260, USA. leahjacobs@pitt.edu.
Administration and Policy in Mental Health
|August 24, 2017
Summary
Patient-inmates found jail environments unsuitable for comprehensive psychiatric care. Strengthening basic jail services and community connections is recommended for better mental health treatment.
Area of Science:
- Public Health
- Psychiatry
- Criminology
Background:
- Jails play a role in public health by treating individuals with psychiatric conditions.
- Debate exists on whether jails should offer comprehensive psychiatric services or focus on basic care (assessments, medication, crisis intervention).
- Patient perspectives have been missing from this debate.
Purpose of the Study:
- To explore patient-inmate perspectives on jail psychiatric services.
- To understand patient experiences to inform the debate on service provision.
Main Methods:
- Qualitative study design.
- Focus on patient-inmate experiences and perspectives regarding psychiatric care within jails.
Main Results:
- The jail environment is perceived as incongruent with comprehensive psychiatric care.
- Patient-inmates' experiences highlight limitations of the jail setting for extensive mental health treatment.
Conclusions:
- Program administrators should prioritize enhancing basic psychiatric services within jails.
- Strengthening connections between jail-based services and community-based providers is crucial for effective, comprehensive care.
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