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Cited by 27Criminal Justice and Corrections AnalysisPsychiatric care and mental health servicesCriminal Justice and Penology

Systemic limitations in the delivery of mental health care in prisons in England

Open access
Patel, Ria, Harvey, Joel, Forrester, Andrew·2018·International Journal of Law and Psychiatry
DOI 10.1016/j.ijlp.2018.06.003
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Abstract

There is a high prevalence of mental health need in prisons, much of which is currently unmet. Although considerable research has identified and described this mental health need, there has been limited research focussed on reviewing the delivery of mental health care in prisons. This study uses content analysis to review 36 unannounced prison inspection reports in England to establish whether mental health care was provided to an appropriate standard, and whether it is equivalent to services that are provided in the wider community. The analysis identified four main categories, each of which had further sub-categories: managing the process; staffing; range of services; and quality of service. Numerous concerns were identified, including: delays to service access; lack of appropriate interventions; low staffing levels; limited specialist support; and limited access to supervision, training and reflective practice. Despite these difficulties, many teams had adopted open referral systems to improve service access, had good working relationships and were thought to be providing care of good quality. The delivery of mental health care within prisons is still not equivalent to that which is provided in the community, and this study has identified a number of areas for further improvement.

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Crossref · 10.1016/j.ijlp.2018.06.003

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  • Exclusion from participation opportunities, when paired with the lack of additional mental health treatments, could risk heightening negative behaviours due to frustration, impacting prisoner wellbeing.

    “Exclusion from participation opportunities, when paired with the lack of additional mental health treatments (Patel et al ., 2018), could risk heightening negative behaviours due to frustration (Breuer and Elson, 2017), impacting prisoner wellbeing (Ayub et al ., 2016).”

    From Group-based mindfulness interventions in prisons: a selective critical review (2024) · cites this paper as Patel et al., 2018

    Patel et al. is cited specifically for a lack of additional mental health treatments, not for the sentence’s claims about frustration or wellbeing. The available indexed passages are publication metadata and a title; searches for mental health treatments, treatment availability, and access to therapies did not yield a usable body-text passage establishing that point. (LLM, conf=0.68)

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Authors
Patel, R., Harvey, J., & Forrester, A.
Affiliations
  • King's College London (GB)
  • University of Manchester (GB)
Corresponding author
Forrester, Andrew
ORCID
Venue
International Journal of Law and Psychiatry
Publisher
Elsevier BV
Published
2018-09
Volume
60
Pages
17-25
ISSN
0160-2527 (ISSN-L)
DOI
10.1016/j.ijlp.2018.06.003
OpenAlex
W2882998764
Cited by
27
References
54
Citations by year
2026: 3 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 2
FWCI
3.41
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Law and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion, cc-by-nc-nd)
  • ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Law › Criminal Justice and Penology
Keywords
prison mental health services, unmet mental health needs, mental health staffing, expert support, quality of care, England
MeSH terms
England, Health Services Needs and Demand, Humans, Mental Health Services, Prisons, Quality of Health Care, Qualitative Research

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