Maden T, Swinton M, Gunn J
Department of Forensic Psychiatry, Institute of Psychiatry, London.
Br J Psychiatry. 1994 Jan;164(1):44-54. doi: 10.1192/bjp.164.1.44.
The paper describes a case-note and interview study of a cross-sectional sample comprising 25% of all women serving a prison sentence in England and Wales. A 5% sample of the male sentenced prison population was used for comparison. Diagnoses were assigned on clinical grounds and an assessment was made of the treatment needs of all 'cases'. The prevalence of psychosis, around 2%, was similar in the two groups but women had higher rates of mental handicap (6% v. 2%), personality disorder (18% v. 10%), neurosis (18% v. 10%) and substance abuse (26% v. 12%). There is a need for closer links between the NHS and prison health services. Women's prisons lack a therapeutic community of the Grendon type, which may be of benefit to a substantial minority of inmates.
该论文描述了一项病例记录和访谈研究，其横断面样本包括在英格兰和威尔士服刑的所有女性的25%。男性被判刑囚犯群体的5%样本用于比较。诊断基于临床依据进行，对所有“病例”的治疗需求进行了评估。两组中精神病的患病率约为2%，相似，但女性在智力障碍（6%对2%）、人格障碍（18%对10%）、神经症（18%对10%）和药物滥用（26%对12%）方面的比例更高。国民保健服务体系（NHS）与监狱卫生服务之间需要建立更紧密的联系。女子监狱缺乏像格兰登类型的治疗社区，而这可能会使相当一部分囚犯受益。
