Ageing patients in forensic psychiatric settings: a review of the literature

Objectives. The prevalence of ageing patients in forensic psychiatric settings is increasing. However, limited research has reported around this population. The aim of this scoping review is to synthesise the current evidence around ageing forensic psychiatric patients. Methods. The literature was searched through four databases and Google searches. The identified outputs were screened for suitability and assessed for quality. Quantitative data were extracted and analysed on SPSS; qualitative data were extracted onto NVivo and analysed through inductive thematic analysis. Results. Seven studies were included in the review. Quantitative results reported around demographics, service contact, offending patterns, mental and physical health of ageing patients. Qualitative findings focused on age-friendliness of services, staff-patient rapport, activities, security issues and discharge planning. Conclusions. Ageing forensic psychiatric patients present with complex and unique needs in relation to treatment, activities, mental, physical and support. Further research looking at individual patients’ needs is paramount to inform policy development and good practice in this area

Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community

Objectives: Despite emerging evidence that older prisoners experience poor mental health, literature in this area is still limited. In the present systematic review and meta-analysis, we report on the prevalence of psychiatric disorders among older prisoners and compare our findings against community studies on older people. Methods: We searched on Assia, PsycInfo, MedLine, Embase, Web of Science, Google and Gov.uk. We carried out bias assessments, rated studies for quality and ran a heterogeneity test. We meta-analysed prevalence rates of psychiatric disorders through an aggregate weighted mean and calculated Relative Risk and statistical significance against community studies. Sensitivity analyses were further performed. Results: We reviewed nine studies and obtained the following prevalence: “Any psychiatric disorder” 38.4%, depression 28.3%, schizophrenia/psychoses 5.5%, bipolar disorder 4.5%, dementia 3.3%, cognitive impairment 11.8%, personality disorder 22.9%, alcohol abuse 15.9%, anxiety disorders 14.2%, PTSD 6.2%. Older prisoners were found to have higher RR for every single psychiatric disorder against older people in the community, with the sole exception of alcohol abuse (RR=1) and dementia (RR=.75). The prevalence rates were statistically significantly higher (p<.05) among the prisoners for “Any psychiatric disorder”, depression and personality disorder. Overall, the sensitivity analyses confirmed our original results. Conclusion: Our findings point at a high prevalence of every single psychiatric disorder among older prisoners, who also experience rates of dementia and alcohol abuse comparable to those reported in the community. Our results have relevant implications for policy and practice in this area. Further research is crucial to confirm findings from this study

Report on an unannounced follow-up inspection of HM Prison Stafford 21-23 May, 2003

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Report on an unannounced follow-up inspection of HM Prison Holme House 31 March - 3 April 2003

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Report on a full announced inspection of HM Prison Morton Hall 3-7 February 2003

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Report on an unannounced follow-up inspection of HMP Acklington 28-30 April 2003

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Report of an unannounced inspection of HM Prison and YOI Doncaster 7-9 April 2003

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Report on a full announced inspection of HM Prison Lancaster Castle 9-13 December 2002

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Report on an unannounced follow-up inspection of HM Prison Elmley 12-14 May 2003

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Report on a full announced inspection of HM Prison Lindholme 17-21 March 2003

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