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Posts tagged Mental Health
Mental Health and Prison Release Report

By Switchback

The report focuses on prison-leavers’ mental health. We know that the experience of prison-release can cause high levels of anxiety. At the same time mental health care in prison and especially after release is minimal and worsening.

Meanwhile at Switchback, over the last two years we have seen a 15% rise in the number of our Trainees with identified mental health needs (from 29% to 44%).

This report highlights the urgent need for us to reshape the way we release people from prison. We are calling for better mental health support for people leaving prison and for a prison release system that responds to the emotional challenges that people leaving prison are facing. A system that supports people to live life differently.

The experiences included within the report demonstrate inequities in access to care for people from ethnic minority backgrounds, with 90% of Switchback Trainees being from an ethnic minority background. Importantly mental health was a repeated topic of discussion in our Experts by Experience meetings, and together we decided we wanted to do something about it.

London: Switchback, 2024. 24p.

TORTURE AND DIGNITY: An essay on moral injury

MAY CONTAIN MARKUP

J. M. Bernstein

In "TORTURE AND DIGNITY: An Essay on Moral Injury," the author delves into the complex and often harrowing intersection of torture and human dignity. Through a thought-provoking exploration, the essay navigates the profound effects of torture on individuals and societies, shedding light on the enduring moral injuries inflicted in the process. By examining the fundamental questions of ethics, humanity, and resilience in the face of extreme adversity, this essay offers a poignant reflection on the fragile yet resilient nature of human dignity in the most challenging of circumstances.

Chicago. University of Chicago Press. 2015. 382p.

Motherhood confined: Maternal health in English prisons, 1853–1955

Rachel E. Bennett

Should pregnant women be sent to prison? Is prison a place for the birth and care of babies? Can it ever be? This book is the first extensive historical examination of how the modern prison system sought to answer these perennial questions. The book takes the reader through the prison gates to demonstrate that, although a common feature of everyday life in women’s prisons, pregnancy, birth and motherhood were rarely fully considered at policy level. Instead, the experiences of mothers and children were shaped by a myriad of factors including debates about reconciling the management of institutional discipline with the maintenance of health and issues of gender and class. Lamented as an inalienable heritage of woe but also as an opportunity for the closer supervision of mothers, prison births evoked intense debate and required the negotiation of obdurate regimes. The book reveals how oscillating debates about the purpose of prisons shaped the punitive, reformatory and medical treatment of confined mothers. It also challenges scholarly debates about institutional discipline by delving further into the role of prisoners and prison staff in shaping the terms of their incarceration.

Manchester, UK: Manchester University Press, 2024. 217p.

Best practice in working with people with mental health problems on probation

By Charlie Brooker and Coral Sirdifield

There are many benefits to making sure that we understand the mental health needs of people on probation and address them. Criminal justice and health agencies need to work together to make sure that people get the support that they need with their mental health. However, currently, the services that are provided are not always suitable to meet this population’s needs, and people on probation can face numerous barriers to accessing care. In this evidence review, Professor Charlie Brooker, honorary professor at Royal Holloway, University of London and Dr Coral Sirdifield, Senior Research Associate at the University of Lincoln, look at: The benefits of focusing on the mental health of people on probation, what we know about the mental health of people on probation, the organisation of mental health care, current initiatives, and challenges to providing high-quality care. Also what good quality care for people on probation looks like and Improving the evidence base and provision of care.

Suffolk, UK: Clinks, 2024. 13p.

Adults With Mental Illness Are Overrepresented in Probation Population But many probation agencies lack specialized training or tools to supervise them effectively

By Connie Utada, Rebecca Smith,  April Rodriguez

Adults on probation—supervision imposed by the court generally in lieu of incarceration—are more than twice as likely to have a serious or moderate mental illness as those in the general public, according to analysis of federal data from 2015 to 2019 by The Pew Charitable Trusts. This translates into over 830,000 adults with a mental illness who are on probation at any given time each year, or almost a quarter of all those on probation. Most of these individuals also have a co-occurring substance use disorder, with the rate of adults on probation with both a mental illness and substance abuse disorder over five times that of adults in the public. A recent survey of probation agencies nationwide conducted by researchers at the University of North Carolina at Chapel Hill (UNC) in partnership with Pew and the American Probation and Parole Association indicated that although agencies were aware that 20% to 25% of people under their supervision had mental health issues, most agencies did not have specialized mental health approaches and provided their officers with limited training related to mental health. Some officers who were interviewed said that they lacked the tools needed to successfully supervise people with a mental illness on probation, and that many people with a mental illness are placed on probation because other alternatives that don’t involve the justice system—such as diversion to treatment—aren’t being used or aren’t available.1 This lack of resources may be contributing to poorer criminal justice outcomes for people with a mental illness who are on probation, such as an increased likelihood of being arrested or going to prison. Some of the research’s key findings: People with a mental illness are more likely to be on probation than those without, and this disparity was even more pronounced for women and those with a co-occurring substance use disorder. Analysis of data from 2015 to 2019 showed that: Almost 3.5% of adults with a mental illness were on probation annually, compared with 1.7% of all adults. Among adults with co-occurring disorders, 8.5% were on probation annually. Women with a mental illness on probation were overrepresented relative to men. While 21% of all people on probation had a mental illness, the share of women on probation with a mental illness (31%) was almost twice that of men (16%). Many people on probation with a mental illness have more criminal justice contacts than those on probation without a mental illness. Adults with a mental illness who reported being on probation at some point during the year were more likely to be arrested during that year than those without a mental illness. ° Individuals with a mental illness who were on probation were more likely to go to prison for a new offense or for violating probation terms than those without a mental illness. Among people who were sent to prison from probation, those with a mental illness reported being arrested more often, going to prison more often, and being on probation more times than those without a mental illness. Many probation agencies lack the tools to support officers in supervising people with a mental illness, such as specialized approaches, staff training, and flexibility in setting supervision conditions. Among all responding agencies, 41% indicated they had a specialized mental health approach; among rural agencies, this dropped to 26%. 

North Carolina: Pew Charitable Trusts, 2024, 28p.

Risk factors for suicide in prisons: a systematic review and meta-analysis

By Shaoling Zhong

Rates of suicide among people in prison are elevated compared with people of similar age and sex who are living in the community. Improving assessments and interventions to reduce suicide risk requires updated evidence on risk factors. We aimed to examine risk factors associated with suicide in prisoners.

United Kingdom, Lancet Public Health. 2020, 11pg

Prison mental health services in England: Prison & Young Offender Institution Mental Health Needs Analysis.

By Graham Durcan

Nine out of ten prisoners have at least one mental health or substance misuse problem. Commissioned by NHS England, this report compares current levels of need with prison mental health provision. Centre for Mental Health conducted a survey of current English prison mental health caseloads, staffing, skills, gaps in need and processes. With the support of regional commissioners and local leads, this involved the distribution of three surveys to all English prisons, young adult Young Offender Institutions (for over 18-year-olds) and Young Offender Institutions (for under 18s) in the summer of 2021. 

Just over three-quarters of England’s prisons and Young Offender Institutions (YOIs) returned at least one of the survey forms. This exercise followed on from a consultation and evidence gathering review on the future of adult prison mental health care, also commissioned by NHS England. 

United Kingdom, Centre for Mental Health. 2023, 55pg