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Ethical Issues in Prison Psychiatry

Author : Norbert Konrad
Publisher : Springer Science & Business Media
Page : 435 pages
File Size : 42,38 MB
Release : 2013-08-23
Category : Medical
ISBN : 9400700865

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Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.

Psychiatric Services in Jails and Prisons

Author : American Psychiatric Association. Task Force to Revise the APA Guidelines on Psychiatric Services in Jails and Prisons
Publisher : American Psychiatric Publishing
Page : 106 pages
File Size : 48,98 MB
Release : 2000
Category : Medical
ISBN :

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For the past decade, the first edition of this unique book has lighted the way for those seeking to navigate the perilous shoals of providing mental health services in jails and prisons. These guidelines have been used and cited extensively in many contexts: educational, planning, and legal. They also have been used by surveyors and monitors of correctional facilities. Since the publication of the first edition, American jails and prisons have seen many changes, including considerable litigation, the development of consumer groups, and the creation of some exemplary programs. However, there has also been a dramatic increase in the population of U.S. jails and prisons. In September 1989, when the first edition of these guidelines was published, our nation's jails and prisons held an estimated 1.2 million men and women. This number is now 1.8 million. Many studies have consistently demonstrated that about 20% of these inmates have serious mental illnesses, and as many as 5% are actively psychotic. With upward of 700,000 men and women entering the U.S criminal justice system each year with active symptoms of serious mental disorders, with 75% of these people having co-occurring substance abuse disorders, and with these persons likely to stay incarcerated four or five times longer than similarly charged people without mental disorders, what are our duties and responsibilities? How do we live up to our personal moral principles, our professional ethics, and our public service obligations in the face of these overwhelming numbers? This is the question to which this book is addressed. This book is intended both to prod to action and to provide comprehensive guidance on how to fulfill these responsibilities to ourselves, our profession, and these badly underserved patients. We have the technologies for treatment and the knowledge and the skills, yet limited resources and public and professional resistance often impede appropriate response. We believe that these guidelines can help overcome many of these sources of resistance through informed action. More active involvement of our profession, as described in these guidelines, is needed, is possible, and will make a difference.

American Prisons

Author : SpearIt
Publisher : First Edition Design Pub.
Page : 108 pages
File Size : 29,89 MB
Release : 2017-08-07
Category : Social Science
ISBN : 1506904882

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This book is a critical exploration of prisons in contemporary America. Paying special attention to race and Islam, the work draws on a range of data and sources, including interviews and written correspondence with current and ex-prisoners, documentary research, and congressional hearings on topics that include criminal justice and religion, culture, conversion, radicalization, and reform. Keywords: American Prisons, Islam, Muslim, Conversion, Culture, Criminal Justice, Race, Religion, Latinos, Radicalization

Prisons and Health in the Age of Mass Incarceration

Author : Jason Schnittker
Publisher : Oxford University Press
Page : 201 pages
File Size : 13,1 MB
Release : 2022
Category : Ex-convicts
ISBN : 0190603828

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"In Homeward, Bruce Western (2018) describes the shock, panic, and bewilderment of people recently released from prison. From the immediate joy of leaving confinement and returning to family and friends, people released from prison soon encounter stress, isolation, depression, and anxiety. Reintegrating is difficult under the best of circumstances, but it is made all the more difficult by a criminal record and poor health. For many people returning from prison, securing adequate medical care is a relief and even an opportunity. In his interviews, Western describes A.J., who served a two-year sentence, much of it spent in solitary confinement, and continued to suffer from severe anxiety and isolation. But seven weeks from release, AJ was keen to share good news: "I'm on my meds now. I got a doctor. I can go out and be around people" (p. 56). Another person Western interviewed, Carla, received extensive counseling and medical treatment while in prison, including for Hepatitis C, a heart problem, and back pain. But months after release her chronic conditions and disability grew worse, preventing her from working, diminishing her enthusiasm, and accelerating her slide into depression (p. 58-59)"--

Serving the Stigmatized

Author : Wesley T. Church II
Publisher : Oxford University Press
Page : 401 pages
File Size : 32,74 MB
Release : 2018-06-26
Category : Social Science
ISBN : 0190678763

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America's incarceration rate was roughly constant from 1925 to 1973, with an average of 110 people behind bars for every 100,000 residents. By 2013, however, the rate of incarceration in state and federal prisons had increased sevenfold to 716. Compared with 102 for Canada, 132 for England and Wales, 85 for France, and a paltry 48 in Japan, the United States is the worlds' most aggressive jailer. When one factors in those on parole or probation, the American correctional system is in control of more than 7.3 million Americans, or one in every 31 U.S. adults. This means that 6.7 million adult men and women -- about 3.1 percent of the total U.S. adult population -- are now very non-voluntary members of America's "correctional community." Some key questions that need to be addressed are: "What are we doing with those 7.3 million Americans? How are they being treated while they are incarcerated? How can we best prepare them to return to their communities?" More than 650,000 offenders are released back into our communities every year; however, 70% are rearrested within three years of their release. Serving the Stigmatized is the first book of its kind that explores best practices when dealing with a specific prison population while under some form of institutional control. If the established goal of a correctional facility is to "rehabilitate," then it is imperative that the rehabilitation is effective and does not simply serve as a political buzz word. The timing of releasing this book coincides with a real movement in the United States, supported by both conservative and liberal advocates and foundations, to decrease the size of the prison population by returning more offenders to their communities. The text examines 14 specific populations and how to effectively treat them in order to better serve them and our communities.

The Handbook of Forensic Mental Health in Africa

Author : Adegboyega Ogunwale
Publisher : Routledge
Page : 305 pages
File Size : 41,97 MB
Release : 2021-06-17
Category : Medical
ISBN : 1000405052

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The Handbook of Forensic Mental Health in Africa traces the history of forensic mental health in Africa, discussing the importance of considering cultural differences when implementing Western-validated practices on the continent while establishing state-of-the-art assessment and treatment of justice-involved persons. Experts in the field of forensic mental health throughout Africa explore the current state of forensic mental health policy and service provision, as well as the unique ethical challenges which have arisen with the recent growth of interest in the field. The African and international research literature on violence risk assessment, competency to stand trial, malingering assessment, Not Guilty by Reason of Insanity (NGRI) evaluations, report writing as an expert witness and mental health legislation in the context of forensic practice are explored throughout. Finally, future directions for forensic mental health in Africa are discussed for juvenile, female and elderly offenders. This text is ideal for mental health, criminal justice and legal professionals working in clinical, research and policy contexts.

The Growth of Incarceration in the United States

Author : Committee on Causes and Consequences of High Rates of Incarceration
Publisher : National Academies Press
Page : 800 pages
File Size : 38,48 MB
Release : 2014-12-31
Category : Law
ISBN : 9780309298018

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After decades of stability from the 1920s to the early 1970s, the rate of imprisonment in the United States has increased fivefold during the last four decades. The U.S. penal population of 2.2 million adults is by far the largest in the world. Just under one-quarter of the world's prisoners are held in American prisons. The U.S. rate of incarceration, with nearly 1 out of every 100 adults in prison or jail, is 5 to 10 times higher than the rates in Western Europe and other democracies. The U.S. prison population is largely drawn from the most disadvantaged part of the nation's population: mostly men under age 40, disproportionately minority, and poorly educated. Prisoners often carry additional deficits of drug and alcohol addictions, mental and physical illnesses, and lack of work preparation or experience. The growth of incarceration in the United States during four decades has prompted numerous critiques and a growing body of scientific knowledge about what prompted the rise and what its consequences have been for the people imprisoned, their families and communities, and for U.S. society. The Growth of Incarceration in the United States examines research and analysis of the dramatic rise of incarceration rates and its affects. This study makes the case that the United States has gone far past the point where the numbers of people in prison can be justified by social benefits and has reached a level where these high rates of incarceration themselves constitute a source of injustice and social harm. The Growth of Incarceration in the United States examines policy changes that created an increasingly punitive political climate and offers specific policy advice in sentencing policy, prison policy, and social policy. The report also identifies important research questions that must be answered to provide a firmer basis for policy. This report is a call for change in the way society views criminals, punishment, and prison. This landmark study assesses the evidence and its implications for public policy to inform an extensive and thoughtful public debate about and reconsideration of policies.

From the Inside

Author : Graham Durcan
Publisher :
Page : 76 pages
File Size : 33,87 MB
Release : 2008-01-01
Category : Mentally ill prisoners
ISBN : 9781870480758

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From the Inside is based on interviews with 98 prisoners in five West Midlands prisons. It finds that mental ill health is not the exception but the rule. It sets out what prisoners themselves say they need to improve their mental health.