The Psychiatric and Psychological Services Within the Norwegian Prison Health Service

1996 ◽  
pp. 573-576
Keyword(s):  
Health Service ◽  
Psychological Services ◽  
Prison Health

scholarly journals Training Psychiatrists in Behavioural Psychotherapy—Dispelling Myths

1986 ◽  
Vol 10 (8) ◽  
pp. 219-220
Author(s):  
Roger Farmer ◽  
David Miller ◽  
John Green ◽  
Joe Herzberg
Keyword(s):  
Health Service ◽  
Royal College ◽  
Clinical Psychology ◽  
Clinical Psychologists ◽  
Psychological Services ◽  
Psychiatric Outpatients ◽  
Health Authorities

Behavioural psychotherapy is probably now the preferred treatment in as many as 25% of neurotic patients or 12% of adult psychiatric outpatients. It is, of course, part of some psychiatrists' therapeutic repertoire already. However, more widespread use of behavioural methods by psychiatrists would seem to be desirable and this is particularly so as clinical psychologists remain thin on the ground in many places. Indeed clinical psychology remains one of the smallest health-service professions. In 1981 there were 1,105.7 qualified clinical psychologists (whole time equivalents) in England. Moreover this overall figure conceals enormous disparities between Health Authorities, some of which provide good psychological services while others provide virtually nothing. In recognition of the importance of behavioural techniques, the Royal College of Psychiatrists has recommended that experience of them should be an integral part of any psychiatrist's training.

scholarly journals New prison health service.

BMJ ◽  
1991 ◽  
Vol 302 (6767) ◽  
pp. 52-53 ◽  
Author(s):  
D Cooper ◽  
P Dening-Smitherman ◽  
D Doherly ◽  
P Hynes ◽  
W Oldman ◽  
...  
Keyword(s):  
Health Service ◽  
Prison Health

scholarly journals NHS takeover of prison health service proposed

BMJ ◽  
1996 ◽  
Vol 313 (7065) ◽  
pp. 1099-1099 ◽  
Author(s):  
J. Wise
Keyword(s):  
Health Service ◽  
Prison Health

Prison Health Law

1994 ◽  
Vol 1 (4) ◽  
pp. 327-341 ◽  
Author(s):  
Katarina Tomaševski
Keyword(s):  
Human Rights ◽  
Health Service ◽  
Access To Health Care ◽  
Prison Population ◽  
Young Male ◽  
Health Law ◽  
Health And Human Rights ◽  
Prison Health ◽  
Legislative Changes ◽  
Professional Independence

AbstractComparative prison health is marked by three paradoxes: while problems are similar, responses vary a great deal; the image of the prison population as young, male and healthy is contrasted against the excessive use of health services; prison health service is criticised if standards are worse, but also if they seem better than outside prison. This text highlights current controversies in prison health, pointing to some of the main health problems in prison and outlining the pattern of responses in individual European countries, and also at the European and global level. Because many prison health issues are controversial, and these controversies are reflected in law, examples are used instead of a comparative overview. The interplay between three sources of guidance, namely law enforcement, health and human rights, has marked the recent process of change from prison into prisoners' health law, which has been based on the acceptance of equivalence as the ultimate goal. This has made a substantial change in the very approach to regulating prison health - rather than part of the penitentiary, prison health is increasingly seen as part of the health system. The acceptance of equivalence has had profound consequences for both prisoners and health professionals working in prison. The rights of patients-prisoners are not yet fully recognized, nor is their access to health care guaranteed similarly to patients at liberty, but the process of effective recognition is progressing rapidly. The health personnel in many countries retains its dual - and often conflicting - role of prison and prisoners' health service. Legislative changes have, in some countries, separated health from penitentiary law, and subsumed prison health under the general health law. Even where this has not been accomplished, the utilization of professional and ethical standards, and of human rights procedures, have contributed to their enhanced professional independence.

Prison health service directors’ views on research priorities and organizational issues in conducting research in prison: outcomes of a national deliberative roundtable

2017 ◽  
Vol 13 (2) ◽  
pp. 113-123 ◽  
Author(s):  
Paul Leslie Simpson ◽  
Jill Guthrie ◽  
Tony Butler
Keyword(s):  
Health Service ◽  
Nominal Group Technique ◽  
Research Priorities ◽  
Nominal Group ◽  
Health Service Provision ◽  
Health Maintenance ◽  
Content Type ◽  
Organizational Issues ◽  
Prison Health ◽  
Conducting Research

Purpose Given that prisoners have significant health needs across most areas, the paucity of prisoner health research, and the difficulties involved in the conduct of research in this setting, there is a need to develop research priorities that align with key stakeholder groups. One such group are those responsible for health service provision in prisons – prison health service directors. The paper aims to discuss these issues. Design/methodology/approach Prison health service directors in each Australian state and territory were invited to participate in a national (deliberative) roundtable where the consensus building nominal group technique was utilized. This involved the identification of research priorities and organizational issues in conducting research with prisoners, and ranking research priorities. A thematic analysis was conducted on organizational issues. Findings In total, 13 participants attended the roundtable. Participants identified 28 research priorities and 12 organizational issues. Top ranked research priorities were mental health, cognitive and intellectual disability, post-release health maintenance, ageing prisoners, chronic health conditions and Aboriginal and Torres Strait Islander health. Themes identified from the organizational issues included prisoner access to research participation, health and research literacy of custodial staff, and institutional protectionism in response to research that may discover negative information about the custodial setting. Research limitations/implications These findings should inform future efforts to improve research infrastructures to undertake research to improve the health of people in Australian prisons, and help to align researchers’ efforts with those of a key organizational stakeholder. Originality/value This is the first paper to determine the research priorities and organizational issues in conducting research in prisons of prison health service directors.

scholarly journals Understanding complexity in psychological services: a modified Delphi study

2021 ◽  
Author(s):  
Jenny Strachan ◽  
Greg Halliday ◽  
Ellie Caldwell
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Delphi Study ◽  
Psychological Services ◽  
Health Service Provision ◽  
Case Complexity ◽  
Modified Delphi ◽  
Problematic Substance ◽  
Uk National Health Service ◽  
Mental Health Service Provision

Rationale, aims and objectives The concept of patient or case complexity is relevant – and widely used – at all levels and stages of mental health service provision, but there have been few methodologically robust attempts to define this term. This study aimed to establish a consensus on factors contributing to patient complexity in adult psychological services using Delphi Methodology. Method Applied psychologists in a single urban/suburban UK National Health Service setting took part in a three-round modified Delphi study. Twenty-eight respondents in round one gave qualitative data on factors they considered when assessing complexity, which was subject to thematic analysis. Twenty-five respondents in round two rated how central/peripheral each theme was to their judgement using Likert scales. In a third round, twenty respondents addressed discrepancies and possible utilities of the emerging framework. Results Thirteen factors contributing to patient/case complexity (Active Severe/Enduring Mental Health, Current Coping/Functioning, Engagement, Forensic History, Iatrogenic Factors, Interpersonal Functioning, Neuro-Cognitive Functioning, Physical Health, Problematic Substance Use, Risk, Severity/Chronicity of Presenting Problems, Systemic and Socio-Economic Factors and Trauma) were identified with a high degree of consensus. All were rated as central to complexity. Conclusions We conclude that applied psychologists do have a shared understanding of complexity and make recommendations for further research validating, developing and applying this empirically derived framework. Keywords: psychological, complexity, definition, operationalising, framework development, clinical judgement

Exploring older adults’ experiences seeking psychological services using the network episode model

2020 ◽  
pp. 1-24
Author(s):  
Brooke E. Beatie ◽  
Corey S. Mackenzie ◽  
Genevieve Thompson ◽  
Lesley Koven ◽  
Tyler Eschenwecker ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Health Service ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Services ◽  
Health Concern ◽  
Service Utilisation

Abstract Older adults’ mental health problems are a growing public health concern, especially because their rate of mental health service use is particularly low. Decades of mental health service utilisation models have been developed, yet key assumptions from these models focus primarily on factors that facilitate or inhibit access into the treatment system without taking into considering the dynamics of how individuals respond to their mental health problems and engage in service utilisation. More recently, dynamic models like the Network Episode Model (NEM-II) have been developed to challenge the underlying, rational choice assumption of traditional utilisation models. Given the multifaceted and complex nature of older adults’ mental health problems, the objective of this study was to examine whether the NEM-II is a helpful and appropriate model for understanding the dynamic process of how older adults navigate the mental health system, including factors that advanced and delayed help-seeking. Our qualitative analyses from 15 interviews with older adults revealed that their backgrounds, social supports and treatment systems influence, and are influenced by, their illness careers. Factors that delayed help-seeking included: a lack of support, ‘inappropriate’ referrals/advice from treatment professionals and poor mental health literacy. This research suggests the NEM-II is a helpful and appropriate theory for understanding older adults’ pathways to treatment, and has implications to enhance older adults’ access to psychological services.

scholarly journals Screening prisoners for psychiatric illness: who benefits?

2001 ◽  
Vol 25 (12) ◽  
pp. 462-464 ◽  
Author(s):  
Luke Birmingham
Keyword(s):  
Health Care ◽  
Health Service ◽  
Medical Service ◽  
Home Office ◽  
Radical Reform ◽  
Department Of Health ◽  
Prison Health ◽  
Prison Health Care ◽  
Direct Input ◽  
Improve Health

Until recently the provision of health care within prisons was the sole responsibility of the prison service. The Prison Health Service (formerly known as the Prison Medical Service) is the oldest civilian medical service in Britain. In addition to being much older than the NHS the Prison Health Service is much smaller, less well developed and less well resourced. Prison health care was coordinated by the Directorate of Health Care at the Home Office; the Department of Health and the NHS had no direct input. As a result, prisoners were afforded a standard of health care well below that provided by the NHS, and without radical reform there was little prospect of improvement. However, in recent years things have begun to change and last year collaboration between the prison service and the NHS resulted in the creation of a partnership between these two organisations (Joint Prison Service and NHS Executive Working Group, 1999). Although the intention is to improve health care standards for prisoners, the formal nature of this partnership also has the effect of making the NHS more directly responsible for health care in prisons.

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