School of Health Sciences, University of Nottingham, Institute of Mental Health, Triumph Road, Nottingham NG7 2TU, United Kingdom.
Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham NG7 2TU, United Kingdom.
Health Place. 2014 Sep;29:179-85. doi: 10.1016/j.healthplace.2014.07.004. Epub 2014 Aug 12.
This article takes mental health and prisons as its two foci. It explores the links between social and structural aspects of the penal setting, the provision of mental healthcare in prisons, and mental health work in this environment. This analysis utilises qualitative interview data from prison-based fieldwork undertaken in Her Majesty׳s Prison Service, England. Two themes are discussed: (1) the desire and practicalities of doing mental health work and (2) prison staff as mental health work allies. Concepts covered include equivalence, training, ownership, informal communication, mental health knowledge, service gatekeepers, case identification, and unmet need. Implications for practice are (1) the mental health knowledge and understanding of prison wing staff could be appraised and developed to improve mental healthcare and address unmet need. Their role as observers and gatekeepers could be considered. (2) The realities of frontline mental health work for clinicians in the penal environment should be embraced and used to produce and implement improved policy and practice guidance, which is in better accord with the actuality of the context - both socially and structurally.
本文以心理健康和监狱为两个焦点，探讨了刑罚环境的社会和结构方面、监狱中的精神保健服务以及在这种环境中的精神健康工作之间的联系。这项分析利用了在英格兰 HM 监狱管理局进行的基于监狱实地工作的定性访谈数据。讨论了两个主题：（1）进行精神健康工作的愿望和实际情况，以及（2）监狱工作人员作为精神健康工作盟友。涵盖的概念包括等同性、培训、所有权、非正式沟通、精神健康知识、服务把关人、案例识别和未满足的需求。对实践的影响包括：（1）可以评估和发展监狱翼工作人员的精神健康知识和理解，以改善精神保健并解决未满足的需求。可以考虑他们作为观察员和把关人的角色。（2）应该接受刑罚环境中临床医生一线精神健康工作的现实情况，并利用其来制定和实施改进的政策和实践指导，使其更符合社会和结构方面的实际情况。
