METHODOLOGY This section provides details of study design . It describes study design , preparation for study , study method , statistical analysis , confidentiality and ethical considerations . STUDY DESIGN : . It was an exploratory study based on service evaluation . It involved retrospective review of clinical records of a cohort of subjects admitted to an approved premise over a period one year . The main factors predicting outcome of admission (1)were also analysed . PREPARATION FOR STUDY The contemporary literature about dissertation topic was searched and reviewed . The databases searched included , MEDLINE , PsycINFO , EMBASE and CINHAL . It included the review of literature about prevalence , diagnoses and management of mental disorders …show more content…
The feasibility of research project was completed after discussion (5)with clinical team and probation staff at approved premises . The final proposal for dissertation (6)was submitted to University of Manchester . STUDY METHOD The study was based on service evaluation . The aim (7)of the evaluation is to systematically assess the outcomes of the Mentally Disordered Offenders Service Users at St . Joseph Hostel over a period of 12 months . Study also included a hypothesis that subjects with comorbid substance misuse and a mental illness would have greater likelihood of recall to prison than those with a primary diagnosis of mental illness and no comorbid substance misuse . The 12-month period was assessed retrospectively . Study subjects were the individuals diagnosed with mental health conditions (8)who were admitted to St . Joseph Hostel as a condition of a probation (9)order from 1st April 2014 to 31st March 2015 . This hostel is located in Eccles and is run by Probation Service . 80 mentally disordered offenders were admitted consecutively to the hostel over this time period , study parameters were not available for 3 cases due to very short stay at hostel …show more content…
Once supervised data collection was completed , it was entered onto a computer a spreadsheet for statistical analysis . The database was anonymous and would identify study subjects by using an independent evaluation study number , (consecutive numbers going from 1 upwards ) instead . A statistical analysis of data was carried out . A key part of the project was to carry out a comparison of the characteristics of those clients (23)who had a planned discharge from St Joseph's Hostel versus those who were recalled to prison . It was (24)hypothesised that clients (25)who had mental disorder co-morbid substance misuse or diagnosed with any personality disorder would be more likely to be recalled to prison than those who are not known to have a substance . ETHICAL AND CONFIDENTIALITY CONSIDERATIONS The project was commenced after addressing ethical and confidentiality aspects of the study . The policy of Greater Manchester West NHS Foundation Trust regarding service evaluation was consulted . It stated 'The Head of Service /nominee (or local governance group ) will check that the evaluation project is appropriately designed and meets appropriate standards with respect to the confidentiality of patient information (26)via the completion of a Privacy Impact Assessment
It is essential that when using evidence-based practice guidelines to choose a treatment, that variety of research methods are applied so that the best relevant data can be produced. Such methods include qualitative/quantitative research, randomised controlled trials and systematic reviews. Both qualitative and quantative methods produce valuable data. Quantative research produces numeric evidence that is necessary for practice and can be measured and qualitative research produces descriptive data about the subject by using patients views etc. which can also be applied to clinical practice (Broeder et al, 2010)
population of mentally ill in the jail system. Further, improvement in this situation can be
Furthermore, there are around 10 million individuals booked through the jail systems in a year. Of these 10 million individuals, around 700,000 of these individuals have symptoms of serious mental illness. However, though already high numbers, these numbers are expected to be lower than the actual due to individuals not wanting to report or not knowing to report thei...
...are Program For Inmates With A Chronic Mental Illness.” Jour of Forensic Psychology Proctice 4.2. (2004): 87-100. Academic Search Complete. Web 5 May 2014
Mental illness may be something one is born with or may be a consequence of poor choices. According to the article “Prisoners and Mental Illness,” written by Sarah Glazer, many mentally ill people are in prison. Mental illnesses are manageable with care and treatment such as medication and therapy. However, the care and treatment in some prisons are close to non-existent. The illnesses such as psychotic disorders, dissociative disorders, impulse control and addiction disorders, are rarely properly dealt with. While most ingress of people into prison, are already ill, some prison conditions can onset mental illness. The closing of psychiatric hospitals has consequently led prisons to become major institutions for the mentally ill, which implement
Sacks, J. Y., McKendrick, K., & Hamilton, Z. (2012). A randomized clinical trial of a therapeutic community treatment for female inmates: Outcomes at 6 and 12 months after prison release. Journal Of Addictive Diseases, 31(3), 258-269. doi:10.1080/10550887.2012.694601
Rock, M. (2001). Emerging issues with mentally ill offenders: Casues and social consequences. Administration and Policy in Mental Health., 165-180.
According to a study done by the Bureau of Justice Statistics in 2005, roughly half of all jail and prison inmates in America suffer mental health problems. (James, et al. 2006) The prevalence of mental illness in the corrections system stems in part from the introduction of antipsychotic drugs in the 1960s. These medications helped treat the symptoms of mental illness and allowed many individuals suffering from mental illness to remain in the community. These medications were a great alternative for patients who would have otherwise been committed to mental institutions where they would not have been able to live normal, productive lives and would have received minimal treatment for their illnesses. Subsequent to this decrease of patients,
Wolff, N. & Pogorzelski, W., 2005, ‘Measuring the effectiveness of mental health courts – Challenges and recommendations’, Psychology, Public Policy, and Law, vol. 11, no. 4, pp. 539-569.
The criminal justice system plays a major part within our community. Every aspect of the criminal justice system affects the community and the population. Within our jails and prison 20% of the U.S population is currently being held in a prison or jail. Within that 20% percent a lot of these people are diagnosed with a mental illness. The increase of people in the system and the increase of reported mentally ill person is very alarming and important to discuss and find solutions for. With increase of mentally ill individuals increasing the level of training for officers is not at the same right. Most prisons or jail don’t have a specific way to handle nor treat individuals with a mental illness. This paper will discuss recent research regarding mental illness is, the impacts of mental illness, the impact of the criminal justice system, and how the system handles these individuals.
O'Brien, D. (2009). Randomized controlled trials (RCTs). In R. Mullner (Ed.), Encyclopedia of health services research. (pp. 1017-1021). Thousand Oaks, CA: SAGE Publications, Inc. doi: http://dx.doi.org.proxy1.ncu.edu/10.4135/9781412971942
Myriad contemporary trends have emerged in a bid to revitalize the mental or psychiatrist correctional approaches. Some of these include deinstitutionalization concept as far as mental care is concerned. It is indisputable to stipulate that the use of long-term institutions have had a substantial impact on the process of handling mental cases in the society. From definition perspective, deinstitutionalization refers to the process that incorporates the transfer of patients who have mental disorders, as well as, development disabilities from the long-term institutions. These institutions are perceived to facilitate an environment of isolation as far as the patients are concerned.
In final analysis, this research project looks to provide a new way of understanding the current prison situation and its various manifestations. A comprehensive report of how things might be for those closely involved in the punishment and rehabilitation process might enable policy-makers and the public alike to change their ideas and help them perceive what it might mean to be in the position of officers or prisoners. The higher objective of this project will be to bring, through new knowledge, the necessary reforms that could leave both the taxpayer and those in the prison system more satisfied.
Mental Illness in the Prison System There are around 2.3 million inmates in the U.S. Prisons, whether the crimes committed were petty or serious. Approximately 20 percent of inmates in jail and 15 percent of inmates in state prisons have some form of serious illness. When talking about how mental illness is a problem when it comes to the prison system, it is important to start from the beginning. Before the 1960’s mental institutions where called insane asylums where many problems for those who were patients there. Problems such as abuse by those who were supposed to be taking care of them, or the cleanliness of the establishment.
This profile adheres to the School of Health and Social Care’s guidelines set by Teesside University’s code of conduct in relation to confidentiality and consent. The profile also adheres to the NMC guidelines referring to consent and confidentiality as a real person has not been used; therefore consent did not need to be gained.