Fraser A
Scottish Prison Service (SPS), Calton House, 5 Redheughs Rigg, Edinburgh, Scotland.
Int J Prison Health. 2009;5(3):132-40. doi: 10.1080/17449200903115789.
Mental illness affects the majority of prisoners. Mental health issues are beginning to take a central position in the development of prison health services, reflecting this burden of disease. This change in focus is not before time. But prison mental health services cannot exist in isolation. Public health systems should lead provision of care for patients with acute and severe illness. A whole prison approach to health and, specifically, mental health will offer the greatest likelihood that offenders will thrive, benefit from imprisonment, and lead law-abiding lives after release. Public awareness of the scale and commitment of prisons to mental health and illness, and understanding of prisons' role in society, are necessary developments that would protect and enhance public mental health, as well as creating a healthier and safer society. This article draws on recent reviews, information and statements to set out a public health agenda for mental health in prisons.
精神疾病影响着大多数囚犯。心理健康问题在监狱卫生服务的发展中开始占据核心地位，这反映了这种疾病负担。这种重点的转变来得并不晚。但监狱心理健康服务不能孤立存在。公共卫生系统应主导为急性和重症患者提供护理。对整个监狱的健康，特别是心理健康采取综合方法，将最有可能使罪犯茁壮成长，从监禁中受益，并在获释后过上守法生活。提高公众对监狱在心理健康和疾病方面的规模与投入的认识，以及对监狱在社会中作用的理解，是保护和促进公众心理健康以及创建更健康、更安全社会的必要发展。本文借鉴近期的综述、信息和声明，提出监狱心理健康的公共卫生议程。
