3 research outputs found
Prevalence of mental disorders in French prisons for men
BACKGROUND: Psychiatric surveys conducted in prison populations find high prevalence rates, but diagnoses may be difficult in this particular context. None of these surveys have been conducted in France. METHODS: 800 incarcerated male were sampled at random. Each prisoner was interviewed by a group of 2 clinicians, at least one of them being a senior psychiatrist. One of the clinicians used a structured clinical interview which generated DSM IV diagnosis (MINI plus); the second completed the procedure with an open clinical interview. RESULTS: Prevalence rates for a diagnosis given independently by both clinicians and for a consensual diagnosis were respectively: 3.8% (6.2%) for schizophrenia, 17.9% (24%) for major depressive disorder, 12.0% (17.7%) for generalized anxiety and 10.8% (14.6%) for drug dependence. CONCLUSION: Psychiatric diagnosis can be difficult to interpret in prison, especially using traditional standardized interviews. The approach proposed here, with good reliability and closer to a day-to-day clinical practice, yields high prevalence rates
À propos de la prévention de la dangerosité psychiatrique chez les sortants de prison : intérêt d’une consultation extra-pénitentiaire
Une consultation psychiatrique externe attachée à un service de psychiatrie en milieu pénitentiaire trouve son utilité auprès des ex-détenus, et plus généralement des personnes placées sous main de justice, lorsqu’il devient difficile d’assurer leur accès aux soins et la continuité de leur prise en charge dans le cadre du dispositif proposé par la sectorisation psychiatrique. Le partenariat actif avec les instances judiciaires du milieu ouvert, les structures médicosociales et socio-éducatives offrent un cadre efficace pour l’insertion d’une population hautement vulnérabilisée et précarisée, exposée de ce fait à la récidive dangereuse