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麦考瑞assignment代写:囚犯精神障碍
2017-04-10 01:50
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麦考瑞assignment代写:囚犯精神障碍
The statistics on the prevalence of mental disorders among prisoners show that the problem is extremely large. Gunn, Maden & Swinton (1991) found that, amongst sentenced prisoners, mental health problems were experienced by 57% of females and 37% of males. Similarly, Maden, Taylor, Brooke & Gunn (1995) found that, amongst prisoners on remand, levels of mental ill health were 76% amongst females and 63% amongst males. Many, though, with mental disorders have more than one diagnosis. Singleton, Meltzer & Gatward (1998) found that eight out of ten prisoners had a dual diagnosis, while only one in ten were free of any kind of mental illness. One major problem that has been seen in prisons is the simple failure to identify mental ill health. Birmingham, Mason & Grubin (1996), for example, examined those on remand at Durham prison and found that 26% had mental health problems with one-third of these being of a serious nature. The majority of these disorders had not been identified by the standard prison screening procedure. Recent research has pointed to integrated treatment pathways as the best way of treating dual diagnosis patients (Department of Health, 2002a).Treatment of those with mental health problems in the Prison Service has been changing rapidly over the past decade or more as a range of innovations have been brought to bear on the identified problems. As Birmingham (2004) describes, Prison Service doctors used to be responsible for the treatment of prisoners, but now there is a new principle of equivalence so that prisoners should receive equivalent care to that provided by the NHS. Other innovations include the use of a Care Programme Approach as well as the Counselling Assessment Referral Advice and Throughcare (CARAT) services (DoH, 2002b). These CARAT services are for those prisoners with substance misuse disorders.
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