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Admissions to a prison psychiatric unit.

W F Glaser

    The Australian and New Zealand Journal of Psychiatry
    |March 1, 1985
    PubMed
    Summary

    This study analyzed psychiatric patients in a metropolitan jail, finding most had severe mental illness and prior treatment. A subgroup of socially isolated schizophrenics committed violent offenses, highlighting inadequate prison psychiatric care.

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    Area of Science:

    • Forensic Psychiatry
    • Clinical Psychology

    Background:

    • A significant portion of incarcerated individuals present with severe mental health conditions.
    • Previous in-patient treatment is common among this population, indicating a history of complex care needs.

    Purpose of the Study:

    • To analyze the psychiatric, social, and criminal histories of psychiatric patients admitted to a metropolitan jail.
    • To identify characteristics of offenders with severe mental illness and assess the adequacy of prison psychiatric services.

    Main Methods:

    • Retrospective analysis of psychiatric, social, and criminal histories of 50 consecutive admissions to a psychiatric division in a jail.
    • DSM-III diagnoses were applied to assess mental illness prevalence.

    Main Results:

    • 72% had schizophrenic, affective, or organic mental illness; 56% had chronic physical disabilities; 84% had prior in-patient treatment.
    • 54% exhibited psychopathology requiring urgent attention, with 54% of offenses against the person.
    • A distinct subgroup of socially isolated schizophrenics with no prior convictions committed a significant proportion of violent offenses.

    Conclusions:

    • The study population, particularly the subgroup of isolated schizophrenics, exemplifies challenges in managing psychiatrically disturbed offenders.
    • Current prison psychiatric facilities are inadequate for the complex needs of this population, bypassing crucial clinical, social, and legal considerations.

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