Mental health consultations in a prison population: a descriptive study

BACKGROUND: The psychiatric morbidity among prison inmates is substantially higher than in the general population. We do, however, have insufficient knowledge about the extent of psychiatric treatment provided in our prisons. The aim of the present study was to give a comprehensive description of all non-pharmacological interventions provided by the psychiatric health services to a stratified sample of prison inmates. METHODS: Six medium/large prisons (n = 928) representing 1/3 of the Norwegian prison population and with female and preventive detention inmates over-sampled, were investigated cross-sectionally. All non-pharmacological psychiatric interventions, excluding pure correctional programs, were recorded. Those receiving interventions were investigated further and compared to the remaining prison population. RESULTS: A total of 230 of the 928 inmates (25 %) had some form of psychiatric intervention: 184 (20 %) were in individual psychotherapy, in addition 40 (4 %) received ad hoc interventions during the registration week. Group therapy was infrequent (1 %). The psychotherapies were most often of a supportive (62 %) or behavioural-cognitive (26 %) nature. Dynamic, insight-oriented psychotherapies were infrequent (8 %). Concurrent psychopharmacological treatment was prevalent (52 %). Gender and age did not correlate with psychiatric interventions, whereas prisoner category (remanded, sentenced, or preventive detention) did (p < 0.001). Most inmates had a number of defined problem areas, with substance use, depression, anxiety, and personality disorders most prevalent. Three percent of all inmates were treated for a psychotic disorder. Remand prisoners averaged 14 sessions per week per 100 inmates, while sentenced inmates and those on preventive detention averaged 22 and 25 sessions per week per 100 inmates, respectively. Five out of six psychiatric health services estimated the inmates' psychiatric therapy needs as adequately met, both overall and in the majority of individual cases. CONCLUSION: Our results pertain only to prisons with adequate primary and mental health services and effective diversion from prison of individuals with serious mental disorders. Given these important limitations, we do propose that the service estimates found may serve as a rough guideline to the minimum number of sessions a prison's psychiatric health services should be able to fulfil in order to serve the inmates psychiatric needs. The results rely on the specialist services' own estimates only. Future studies should take other important informants, including the inmates themselves, into consideration

The competition fetish in higher education:Shamans, mind snares and consequences

Contemporary education reform worldwide appears to be locked in a competition fetish. This article explores the varieties of competition, including traditional academic forms, contests sponsored by governments and international organisations, market competition and status wars intensified by rankings. Resisting interpretations of competition as naturally occurring, it presents various macro and micro actors, referred to as ‘shamans’, that breathe life into the phenomenon and that are responsible for its generation, constitution and reproduction. These include structural drivers associated with political and regulatory regimes; and symbolic drivers constituted by normative and affective pressures. The article focuses on the extent to which the varieties of competition reinforce, displace, mediate or counteract one another and reveals how powerful policy and symbolic drivers interact to power competition, and how competition forecloses alternative means of educational reform. The unintended consequences of competition on social equity, on academic work and on global well-being are highlighted, and suggestions are offered on ways to escape the competition trap.</p

Troublesome trade-offs: balancing urban activities and values when securing a city-centre governmental quarter

Background Homeland security measures increasingly affect urban life and activities. Standoff distance, which prevents unscreened vehicles from approaching within a certain distance of a building, is a widely applied measure when protecting buildings against attacks with vehicle-borne improvised explosive devices. This measure both is rather inexpensive and has few negative externalities when implemented in rural areas. Unfortunately, sites with protection needs often are situated in city centres. Methods We apply the so-called Security Function Framework to illuminate the externalities or the ‘troublesome trade-offs’ between protecting a high-value site against vehicle-borne improvised explosive devices and protecting other urban values. Results This paper demonstrates that standoff creates challenges for other important values, such as functional office spaces for all employees, deliveries and emergency vehicle access. Simultaneously, standoff creates opportunities for reinforcing social-responsibility requirements, such as accessibility for pedestrians and environmental considerations. Conclusions Security measures can have both negative and positive externalities and planning might alleviate some of the negative ones

What Design Research Does ... : 62 Cards Highlighting the Power and Impact of UK-based Design Research in Addressing a Range of Complex Social, Economic, Cultural and Environmental Issues

Design research makes a significant contribution to the UK economy and society as a whole. Ever since the establishment of the Government Schools of Design in the nineteenth century, the UK has been widely acknowledged as an international leader in design research. Following this lead, the What Design Research Does… cards highlight the wide range of social, economic, cultural and environmental impacts that design research, funded and based in the UK, makes all over the world. The 62 cards illustrate unambiguously the positive changes that contemporary UK-based design researchers are making in many complex issues. Each What Design Research Does… card lists the challenges and issues faced by the design researchers, who they collaborated with, the research methods and approaches taken, the outcomes of the design research, what the main results and findings have been, and what impact the design research has had. In short, the What Design Research Does… cards clearly articulate the breadth of social, economic, cultural and environmental impacts that UK-based design researchers are achieving today

Characterisation of SiO2-supported nickel catalysts for carbon dioxide reforming of methane

The CO2-methane reformation reaction over Ni/SiO2 catalysts has been extensively studied using a range of temperature-programmed techniques and characterisation of the catalysts by thermogravimetry (TG), X-ray diffraction (XRD) and electron microscopy (TEM). The results indicate a strong correlation between the microstructure of the catalyst and its performance. The role of both CO2 and CH4 in the reaction has been investigated and the role of methyl radicals in the reaction mechanism highlighted. A reaction mechanism involving dissociatively adsorbed CO2 and methyl radicals has been proposed

Theft of customers’ personal property from cafes and bars

We begin this guide by describing the problem of theft of customers' personal property from cafés and bars and reviewing associated risk factors. We then identify a series of questions to help you analyze your local problem, and, finally, review responses to this type of problem. At present, evaluative research-whether carried out independently or by the police-is scarce; consequently it is not possible to draw any firm conclusions as to which responses to theft of customers' personal property from cafés and bars are the most effective. Nevertheless, we review several responses to this problem and make tentative statements as to their effectiveness. Theft of customers' personal property from cafés and bars is one aspect of the larger set of theft- and property-related problems. This guide, however, is limited to addressing the particular harms created by the unlawful removal of customers' personal property from cafés and bars. Table 1 shows some of the different types of theft that might occur in a café or bar environment and the extent to which the offender is visible to the victim at the time of the offense. Unless otherwise stated, the phrase 'theft of customers' personal property' will be used interchangeably with 'theft in cafés and bars