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1.
N C Med J ; 83(1): 29-32, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34980650

RESUMO

Steadfast leadership from key advocacy groups and individuals working to eliminate disparities in the care and treatment of incarcerated pregnant people in North Carolina jails and prisons led to the passage of HB608, Dignity for Women Who are Incarcerated, in 2021.


Assuntos
Prisioneiros , Feminino , Humanos , North Carolina , Gravidez , Prisões
2.
Esc. Anna Nery Rev. Enferm ; 26: e20210275, 2022. tab, graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1350747

RESUMO

Resumo Objetivo Verificar a prevalência da autoavaliação ruim do estado de saúde em mulheres encarceradas e analisar os fatores associados. Método Trata-se de estudo transversal, realizado entre os anos de 2019 e 2020, por meio de censo, com participação de 99 mulheres. A análise dos fatores associados ao desfecho foi conduzida a partir de um modelo teórico de determinação com três blocos hierarquizados de variáveis. As variáveis foram ajustadas entre si dentro de cada bloco. Aquelas com nível de significância ≤ 0,20 foram incluídas no modelo de regressão de Poisson e ajustadas ao nível superior ao seu, considerando o nível de 5% de significância. Resultados A prevalência da autoavaliação ruim da saúde foi de 31,3% (IC95% = 22,8%-40,9%). Morbidade referida, presença de sintomas de ansiedade e a pior perspectiva em relação às condições de saúde pós-encarceramento foram as variáveis associadas com o desfecho. Considerações finais e implicações para a prática Os fatores associados à ocorrência do evento investigado poderão direcionar medidas que visem à redução dos impactos à saúde durante o período de encarceramento.


Resumen Objetivo Verificar la prevalencia de autoevaluación negativa de la salud en mujeres encarceladas y analizar los factores asociados. Método Se trata de un estudio transversal, realizado entre los años 2019 y 2020, mediante censo, con la participación de 99 mujeres encarceladas. El análisis de factores asociados al resultado se realizó con base en un modelo teórico de determinación con tres bloques jerárquicos de variables. Las variables se ajustaron entre sí dentro de cada bloque. Aquellos con nivel de significancia ≤ 0,20 se incluyeron en el modelo de regresión de Poisson y se ajustaron a un nivel superior al de ellos, considerando un nivel de significancia del 5%. Resultados La prevalencia de autoevaluación negativa de la salud fue 31,3% (IC 95% = 22,8% -40,9%). La morbilidad autoinformada, la presencia de síntomas de ansiedad y la peor perspectiva con respecto a las condiciones de salud después del encarcelamiento fueron las variables asociadas con el resultado. Conclusión e implicaciones para la práctica Los factores asociados a la ocurrencia del evento investigado pueden conducir a medidas destinadas a reducir los impactos en la salud durante el período de encarcelamiento.


Abstract Objective To verify the prevalence of poor self-rated health status among incarcerated women and to analyze the associated factors. Method This is a cross-sectional study, carried out between 2019 and 2020, by means of a census, with the participation 99 women incarcerated. The analysis of factors associated with the outcome was conducted based on a theoretical model of determination with three hierarchical blocks of variables. Variables were adjusted to each other within each block. Those with significance level ≤ 0.20 were included in the Poisson regression model and adjusted to a level higher than theirs, considering a 5% level of significance. Results The prevalence of poor self-rated health was 31.3% (IC95% = 22.8% - 40.9%). Reported morbidity, presence of anxiety symptoms and the worst perspective regarding post-incarceration health conditions were the variables associated with the outcome. Conclusion and implications for practice The factors associated to the occurrence of the investigated event may direct measures aimed to reduce health impacts during the incarceration period.


Assuntos
Humanos , Feminino , Adulto , Prisioneiros , Perfil de Saúde , Saúde da Mulher/estatística & dados numéricos , Autoavaliação Diagnóstica , Acidentes por Quedas , Estudos Transversais , Disparidades nos Níveis de Saúde
3.
Artigo em Alemão | MEDLINE | ID: mdl-34964913

RESUMO

Prisoners have a high risk of dying by suicide and the highest suicide rates are recorded among prisoners on remand. A death by suicide is the most common single cause of death in German correctional institutions. This narrative overview first describes the prison population and its general healthcare needs by paying particular attention to psychiatric and substance use disorders. The main section attends to the prevalence, causes, and risk factors of prison suicide. Suicide prevention measures are presented.As in all parts of the world, the proportion of young men among prisoners in Germany is very high (94% in 2020). Most prisoners are young or middle-aged. The average annual suicide rates among men (105.8/100,000) and women (54.7/100,000) in German prisons are similar to those of most countries in the European Union (full census 2000-2011). Suicide rates among male German prisoners declined continuously from 2000-2013, regardless of age. In contrast, they increased among female prisoners; the reasons for this are not known. Evidence suggests that psychiatric disorders have not been identified.Important suicide prevention measures include shared accommodation and avoidance of solitary confinement, for example by offering work. In addition, validated German-language screening instruments are available to detect suicide risk at an early stage. For effective prison suicide prevention, identifying high-risk individuals, offering appropriate suicide prevention interventions, and developing team-based interventions among prison staff are required.


Assuntos
Prisioneiros , Suicídio , Feminino , Alemanha/epidemiologia , Humanos , Idioma , Masculino , Pessoa de Meia-Idade , Prisões , Fatores de Risco , Suicídio/prevenção & controle
5.
Int J Offender Ther Comp Criminol ; 66(1): 98-122, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33567952

RESUMO

Since lack of empathy is an important indicator of violent behaviors, researchers need consistent and valid measures. This study evaluated the practical significance of a potential physiological correlate of empathy compared to a traditional self-report questionnaire in 18 male violent offenders and 21 general population controls. Empathy skills were assessed with the Interpersonal Reactivity Index (IRI) questionnaire. Heart-Rate Variability (HRV) was assessed with an electrocardiogram. The RMSSD (Root Mean Square of the Successive beat-to-beat Differences), an HRV index implicated in social cognition, was calculated. There were no group differences in IRI scores. However, RMSSD was lower in the offender group. Positive correlations between RMSSD and IRI subscales were found for controls only. We conclude that psychometric measures of empathy do not discriminate incarcerated violent offenders, and that the incorporation of psychophysiological measures, such as HRV, could be an avenue for forensic research on empathy to establish translatable evidence-based information.


Assuntos
Criminosos , Prisioneiros , Agressão , Empatia , Humanos , Masculino , Psicometria
6.
JAMA Netw Open ; 4(12): e2133083, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34940867

RESUMO

Importance: The association between incarceration and long-term mortality risk is unknown and may contribute to racial disparities in overall life expectancy. Objective: To determine whether incarceration in the US is associated with an increase in mortality risk and whether this association is different for Black compared with non-Black populations. Design, Setting, and Participants: This generational retrospective cohort study used data from the National Longitudinal Survey of Youth 1979, a nationally representative cohort of noninstitutionalized youths aged 15 to 22 years, from January 1 to December 31, 1979, with follow-up through December 31, 2018. A total of 7974 non-Hispanic Black and non-Hispanic non-Black participants were included. Statistical analysis was performed from October 26, 2019, to August 31, 2021. Exposures: Time-varying exposure of having experienced incarceration during follow-up. Main Outcomes and Measures: The main outcome was time to death. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95% CIs, adjusted for baseline sociodemographic, economic, and behavioral risk factors. Models were evaluated for the full cohort and stratified by race. Results: Of the 7974 individuals included in our sample, 4023 (50.5%) were male, and 2992 (37.5%) identified as Black (median age, 18 [IQR, 17-20] years). During a median follow-up of 35 years (IQR, 33-37 years), 478 participants were incarcerated and 818 died. Unadjusted exposure to at least 1 incarceration between 22 and 50 years of age was 11.5% (95% CI, 10.4%-12.7%) for Black participants compared with 2.5% (95% CI, 2.1%-2.9%) for non-Black participants. In the multivariable Cox proportional hazards model with the full cohort, time-varying exposure to incarceration was associated with an increased mortality rate (adjusted HR [aHR], 1.35; 95% CI, 0.97-1.88), a result that was not statistically significant. In the models stratified by race, incarceration was significantly associated with increased mortality among Black participants (aHR, 1.65; 95% CI, 1.18-2.31) but not among non-Black participants (aHR, 1.17; 95% CI, 0.68-2.03). Conclusions and Relevance: In this cohort study with 4 decades of follow-up, incarceration was associated with a higher mortality rate among Black participants but not among non-Black participants. These findings suggest that incarceration, which was prevalent and unevenly distributed, may have contributed to the lower life expectancy of the non-Hispanic Black population in the US.


Assuntos
/estatística & dados numéricos , Mortalidade/etnologia , Prisioneiros/estatística & dados numéricos , /estatística & dados numéricos , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Estados Unidos/epidemiologia , Adulto Jovem
7.
BMC Geriatr ; 21(1): 718, 2021 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-34922493

RESUMO

BACKGROUND: The population of incarcerated older adults is the fastest growing demographic in prisons. Older persons in custody have poorer health as compared with those in the community. The unmet and complex health care needs of incarcerated older adults with mental illness raise justice, safety, dignity and fairness in care as ethical concerns. As there exists research gap to better understand these concerns, the current study aimed at exploring the perspectives of mental health professionals on challenges in delivering ethically competent care to mentally ill incarcerated older adults in Canada. METHODS: Thirty-four semi-structured interviews were conducted between August 2017 and November 2018 with prison mental health professionals in Canada who were selected using purposive and convenience sampling techniques. The audio recorded interviews were transcribed verbatim and analysed inductively to generate themes. RESULTS: The results were distilled into three main categories and seven subcategories that related to ethical issues in the provision of health care for mentally ill incarcerated older adults. The main categories included imprisoned older persons with special care needs, lack of resources, and the peer-support program. CONCLUSIONS: Results of this study showed that existing practices of care of mentally ill incarcerated older adults are characterised by challenges that increase their vulnerability to worse health conditions. It is imperative for local authorities, policy makers and representatives to prepare for and respond to the challenges that compromise ethically competent health care for, and healthy ageing of, mentally ill incarcerated older adults.


Assuntos
Transtornos Mentais , Prisioneiros , Idoso , Idoso de 80 Anos ou mais , Canadá/epidemiologia , Atenção à Saúde , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Saúde Mental , Pesquisa Qualitativa
8.
JAMA Netw Open ; 4(12): e2140352, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34940865

RESUMO

Importance: More than 50 000 youths are incarcerated in the United States on any given day, and youth incarceration has been linked to lasting adverse outcomes, including early mortality. Improving our understanding of the factors associated with early mortality among incarcerated youths can inform appropriate prevention strategies. Objective: To examine mortality rates and causes of death among youths previously incarcerated in the juvenile legal system. Design, Setting, and Participants: This retrospective longitudinal population-based cohort study compared mortality rates between youths aged 11 to 21 years incarcerated from 2010 to 2017 with same-aged nonincarcerated Medicaid-enrolled youths in the state of Ohio. Data from January 2017 to December 2019 were collected from juvenile incarceration, Medicaid, and death certificate information in Ohio. Exposure: Incarceration in the state of Ohio's juvenile legal system. Main Outcomes and Measures: Number, characteristics, and causes of deaths. Poisson regression incidence rate ratios (IRRs) compared mortality rates between previously incarcerated and Medicaid-enrolled youths. Results: Among 3645 incarcerated youths, 3398 (93.2%) were male, 2155 (59.1%) Black, 1307 (35.9%) White, and 183 (5.0%) other race and ethnicity. Overall, 113 youths (3.1%) died during the study period. Homicide was the leading cause of death in formerly incarcerated youths (homicide: 63 [55.8%]; legal intervention [ie, death due to injuries inflicted by law enforcement]: 3 [2.7%]). All-cause mortality rates were significantly higher among previously incarcerated youths than Medicaid-enrolled youths (adjusted IRR [aIRR], 5.91; 95% CI, 4.90-7.13) in every demographic subgroup. Compared with Medicaid-enrolled youths, mortality rates for previously incarcerated youths were highest for homicide (aIRR, 11.02; 95% CI, 8.54-14.22), overdose (aIRR, 4.32; 95% CI, 2.59-7.20), and suicide (aIRR, 4.30; 95% CI, 2.22-8.33). Formerly incarcerated Black youths had a significantly higher risk of homicide (aIRR, 14.24; 95% CI, 4.45-45.63) but a lower risk of suicide (aIRR, 0.18; 95% CI, 0.04-0.89) and overdose (aIRR, 0.31; 95% CI, 0.10-0.99) than White youths who were incarcerated. Previously incarcerated youths aged 15 to 21 years were significantly more likely to die than youths aged 22 to 29 years, irrespective of cause of death (aIRR for youths aged 22-29 years, 0.09; 95% CI, 0.06-0.14). Conclusions and Relevance: In this study, youths with a history of incarceration were significantly more likely to experience early mortality compared with nonincarcerated Medicaid-enrolled youths. Delinquency and violence prevention strategies that incorporate a culturally informed approach and consider sex and developmental level are critical.


Assuntos
Causas de Morte , Delinquência Juvenil , Mortalidade/tendências , Adolescente , Feminino , Homicídio/estatística & dados numéricos , Humanos , Estudos Longitudinais , Masculino , Medicaid , Ohio/epidemiologia , Prisioneiros , Estudos Retrospectivos , Estados Unidos , Adulto Jovem
10.
Soins Psychiatr ; 42(337): 27-30, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34895691

RESUMO

Prisoners with all types of psychiatric disorders are numerous in prisons. As a result, access to care is a priority in order to detect, orient and treat these patients. The psychiatric care system in prisons is based on a triptych composed of local care teams, regional medical- psychological services and inter-regional structures, such as specially equipped hospital units. Although policies have now worked to develop access to psychiatric care in prisons, there are still constraints, linked to security, demographics and institutional requirements.


Assuntos
Transtornos Mentais , Prisioneiros , Humanos , Prisões , Psicoterapia
12.
Afr J AIDS Res ; 20(4): 324-328, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34905458

RESUMO

Aims: The prevalence of HIV in the general population of Madagascar is 0.3%. Some population groups, especially detainees are vulnerable to this infection. Our study was the first combined HIV survey of the detainees of Ankazondrano jail in Fianarantsoa. The study aims to determine the serological status of the detainees related to HIV infection and their risky behaviours for this infection.Methods: A descriptive cross-sectional survey of the detainees 18 years old and over was carried out in Ankazondrano jail in Fianarantsoa during September 2020.Results: The prevalence of HIV in the sample was zero; 89.43% of the detainees reported to have heard about HIV; only 15.45% had a general knowledge about it; 76.42% of them knew that a condom is a way of protection against HIV infection; however, they had wrong responses about protection against this infection. In fact, 47.97% of the surveyed detainees thought that HIV is transmitted by mosquito bites and 65.04% thought that it is transmitted by shaking hands. Almost one quarter of the detainees reported that there is no risk of HIV contraction in jail.Conclusion: In this study, nevertheless, the prevalence of HIV is zero; detainees of Ankazondrano jail are a vulnerable group to HIV due to their lack of knowledge of this infection and the fact that they undertook risky behaviours.


Assuntos
Infecções por HIV , Prisioneiros , Adolescente , Adulto , Estudos Transversais , Infecções por HIV/epidemiologia , Humanos , Prisões Locais , Madagáscar/epidemiologia
14.
Artigo em Inglês | MEDLINE | ID: mdl-34769773

RESUMO

(1) Background: The Italian Constitutional Court's decision n. 99/2019 abolished the distinction between physical and psychological health care in the Italian prison system. However, this and other changes to the penitentiary system present challenges to prison staff, which may vary based on their roles and backgrounds; (2) Purpose: To create a process of dialogue and collaboration that include different points of view, needs, and proposals regarding mental health in prisons, this study collects and integrates the perspectives of 91 prison staff who work in various capacities in eight prisons in northeast Italy. (3) Methods: Each participant was involved in either a focus group or a semi-structured interview, and thematic analysis was used to process the resulting transcripts; (3) Results: Through this process, 10 themes were derived that highlight the difficulties of working with prisoners with psychiatric disorders or psychological distress, including lack of human and economic resources, lack of positive communication between prisoners and society and a sense of professional incompetency; (4) Conclusions: Based on these themes, the need for increased points of view, dialogue, and collaboration between prison professionals and between prison and society is discussed, and the current feasibility of treating psychiatric disorders in prison is considered.


Assuntos
Transtornos Mentais , Serviços de Saúde Mental , Prisioneiros , Humanos , Transtornos Mentais/epidemiologia , Saúde Mental , Prisões
15.
Psychiatr Prax ; 48(8): 412-420, 2021 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-34741285

RESUMO

In Germany, offenders with addiction problems may be sentenced to treatment in forensic psychiatric hospitals. A considerable share of patients, in some hospitals more than 40 percent, is returned to prison. The paper presents findings of a long-term evaluation study. METHOD: 16 hospitals participated and provided data on patients' background and course of treatment. The Federal Office of Justice reported on patients' conduct after discharge in terms of new entries in the federal criminal register (FCR). A matched sample of controls - prisoners with addiction problems - was recruited referring to a schema of criminological characteristics. FINDINGS: The former patients' social adjustment was significantly better than the former prisoners': the total risk reduction (less new FCR-entries) amounted over 20 percent (effect-size bcohen > 0.45). This comparison included all patients returned to prison. DISCUSSION: The treatments reveal - in total - a significant and substantial effect in favor of patients' later adjustment, though a too large subgroup of patients is returned to prison.


Assuntos
Criminosos , Prisioneiros , Reincidência , Alemanha , Humanos , Prisões
16.
Artigo em Inglês | MEDLINE | ID: mdl-34769653

RESUMO

BACKGROUND: Globally, there is evidence supporting the co-occurrence of intimate partner violence (IPV), substance use disorders (SUD) and mental health disorders among women in prisons, however, there is limited research investigating these domains in the Andean region where rates of female incarceration have increased. The study objective was to explore the prevalence of IPV, SUD and depression among incarcerated women in a Peruvian prison and explore associations among these variables and related correlates. METHODS: 249 incarcerated women responded to a questionnaire about IPV, substance use, depression, and sexual behavior, and were screened for HIV/sexually transmitted diseases (STDs). Univariate analysis and logistic regression were used to estimate relative risk and the influence of substance use and depression on IPV rates. RESULTS: Twelve months prior to incarceration, of the women with sexual partners pre-incarceration (n = 212), 69.3% experienced threats of violence, 61.4% experienced ≥1 acts of physical violence, and 28.3% reported ≥1 act of sexual aggression. Pre-incarceration, 68.1% of drug-using women had a SUD, and 61.7% of those who consumed alcohol reported hazardous/harmful drinking. There were 20 (8.0%) HIV/STD cases; and 67.5% of the women reported depressive symptoms. Compared to women with no experiences of physical violence, a greater proportion of women who experienced least l violent act had depressive symptoms and engaged in sex work pre-incarceration. Depression was associated with physical violence (adjusted relative risk = 1.35, 95% confidence interval: 1.14-1.58). RECOMMENDATIONS: The findings provide evidence of a syndemic of IPV, substance abuse and depression among incarcerated women in a Peruvian prison. To help guide policy makers, further research is needed to determine if this is indicative of trends for other at-risk women in the region, and viable options to treat these women during incarceration to prevent recidivism and other long-term negative sequalae.


Assuntos
Violência por Parceiro Íntimo , Prisioneiros , Transtornos Relacionados ao Uso de Substâncias , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Peru/epidemiologia , Prevalência , Fatores de Risco , Parceiros Sexuais , Transtornos Relacionados ao Uso de Substâncias/epidemiologia
17.
Artigo em Inglês | MEDLINE | ID: mdl-34770106

RESUMO

On any given day, approximately 2.1 million children in Europe have an incarcerated parent. Although research indicates that material hardship is associated with parental incarceration, and particularly paternal incarceration, little is known about family processes that may mitigate the harmful effects of such hardship on children with an incarcerated parent. Guided by a resilience framework, this study examined how family processes mediate the effects of material hardship on youth academic adjustment within the context of paternal incarceration. Using Danish data that assessed key family constructs, structural equation modeling was used to perform a mediational within-group analysis of primary caregivers (n = 727) to children with an incarcerated father. Results indicate that although social support and parenting skills did not yield mediating effects, caregiver mental health strongly mediated the effects of material hardship on youth academic adjustment during paternal incarceration. Findings suggest that economic conditions, as well as caregiver mental health symptoms, are important areas of intervention that may promote family-level resilience for youth of an imprisoned father. We conclude with research and practice recommendations to advance our understanding of resilience among families with an incarcerated parent.


Assuntos
Prisioneiros , Resiliência Psicológica , Adolescente , Cuidadores , Criança , Saúde da Família , Pai , Humanos , Masculino
18.
Br J Nurs ; 30(20): 1158-1164, 2021 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-34761976

RESUMO

BACKGROUND: The World Health Organization's aim to eliminate hepatitis C virus (HCV) infection as a public health threat by 2030 is dependent on testing people. HCV prevalence is higher in prisons, so to increase test uptake an 'opt-out' approach to blood-borne virus testing in English and Welsh prisons was introduced. AIMS: This literature review examines the evidence behind the introduction of this public health policy. METHODS: Four healthcare databases were searched for publications between January 2000 and February 2020 on the opt-out approach to blood-borne virus testing in prisons. FINDINGS: Sixteen studies published between 2009 and 2019 were included. Analysis of their findings showed that an increase in HCV test uptake in prisons occurs when an opt-out approach is used in combination with additional interventions. Contextual differences between UK and US prisons may affect HCV test uptake. CONCLUSION: An opt-out approach to HCV testing in prisons can increase test uptake as part of a complex of interventions.


Assuntos
Hepatite C , Prisioneiros , Hepacivirus , Hepatite C/diagnóstico , Hepatite C/epidemiologia , Humanos , Políticas , Prisões
19.
Cien Saude Colet ; 26(10): 4749-4759, 2021 Oct.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34730660

RESUMO

This article aims to assess the association between being a prisoner or homeless and treatment failure in cases of tuberculosis diagnosed in Brazil in 2015. We examined cases of tuberculosis in prisoners and the homeless in Brazil in 2015 reported to the national notifiable diseases information system using descriptive analysis and logistic regression. There were 82,056 cases of tuberculosis in 2015. Of these, 7,462 (10.3%) were prisoners and 2,782 (3.9%) were homeless. The rate of treatment success in prisoners was 78.6%, while the rate of failure in the homeless was 63.2%. Being a prisoner was a protective factor against treatment failure (adjusted odds ratio 0.68, 95%CI 0.63-0.73), while being homeless was a risk factor for treatment failure (adjusted odds ratio 2.38, 95%CI 2.17-2.61). Treatment success and failure rates differed between prisoners and the homeless. Our findings reinforce the need for public health policies tailored to the specific needs of these groups implemented in conjunction with social services and public security agencies in order to have a significant impact on TB incidence.


Assuntos
Pessoas em Situação de Rua , Prisioneiros , Tuberculose , Brasil/epidemiologia , Humanos , Resultado do Tratamento , Tuberculose/tratamento farmacológico , Tuberculose/epidemiologia , Populações Vulneráveis
20.
Pan Afr Med J ; 39: 221, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34630833

RESUMO

Introduction: psychiatric disorders affect the highest number of incarcerated individuals. Indeed, detention conditions in Senegal have been criticized for several years by referring, in particular, to overcrowding. These conditions probably play a determining role in the occurrence of mental disorders in this population. This work describes the socio-demographic and clinical characteristics of these inmates followed on an outpatient basis in the Department of Psychiatry of the National University Hospital Center in Fann. Method: we conducted a retrospective and descriptive study. Data were collected from all the inmates presenting to the External Consultation Unit of the Department of Psychiatry of the National University Hospital Center of Fann between 1st January 2005 and 31st December 2010. Results: our study population consisted of 62 inmates, 92% men and 8% women. The average age of patients was 32 years, nearly three-quarters (72.6%) of individuals were single. In the majority of cases they were in a precarious employment situation and 69.3% of them had not completed secondary education. Insomnia was the leading reason for consultation (29%) followed by auditory verbal hallucinations (22.6%). Physical aggression and/or threats to fellow inmates were observed in 17.7% of cases. The main diagnostic categories found were schizophrenic disorders (32.3%) and depressive disorders (27.4%). Between 2005 and 2010, the number of consultations increased threefold/year, from 7 to 19. Conclusion: this study showed that the incarcerated population, followed on an outpatient basis in the Department of Psychiatry, were young, mostly male and single, with low level of education and disadvantaged professional status. Similar cases have been reported in the international literature. Considering Senegal's socio-economic situation and health systems development, we note that, although the number of consultations has increased over the years, only inmates with severe mental disorders are followed in specialized health services. Given the number of incarcerated subjects, the biography background of these subjects, the conditions of detention and the absence of some diseases, a survey should be conducted in prisons in order to assess mental healthcare needs of incarcerated subjects and the specific issues that could affect them.


Assuntos
Transtornos Mentais/terapia , Prisioneiros/estatística & dados numéricos , Prisões , Adolescente , Adulto , Idoso , Assistência Ambulatorial/métodos , Feminino , Humanos , Masculino , Transtornos Mentais/fisiopatologia , Pessoa de Meia-Idade , Estudos Retrospectivos , Senegal , Adulto Jovem
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