Abstract
This paper presents data on the mental health needs of men in an Italian prison and examines if mental health needs of inmates differ across key correctional subpopulations. Interviewers conducted semi-structured clinical interviews with 526 convicted males incarcerated in the Spoleto Prison from October 2010 through September 2011. Nearly two thirds (65.0%) of inmates had an Axis I or Axis II disorder. About half (52.7%) had an Axis I disorder. Personality disorders were the most common disorders (51.9%), followed by anxiety (25.3%) and substance use disorders (24.9%). Over one third of inmates (36.6%) had comorbid types of disorder. The most common comorbid types of disorders were substance use disorders plus personality disorders (20.1%) and anxiety disorders plus personality disorders (18.0%). Findings underscore a significant need for specialized mental health services for men in Italian prisons. Moreover, as inmates return to the community, their care becomes the responsibility of the community health system. Service systems must be equipped to provide integrated services for those with both psychiatric and substance use disorders and be prepared for challenges posed by patients with personality disorders.
Original language | English (US) |
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Pages (from-to) | 82-88 |
Number of pages | 7 |
Journal | International Journal of Law and Psychiatry |
Volume | 41 |
DOIs | |
State | Published - Jul 1 2015 |
Funding
We are grateful to the Azienda USL Umbria n.2 ( 216;01.06.2011 ) and to the Fondazione Cassa di Risparmio di Perugia ( 2013.0350.013 ) for their financial support of the research project. We also thank the Casa di Reclusione di Spoleto for their cooperation and support.
Keywords
- Comorbidity
- Prisoners
- Psychiatric disorders
- Substance use disorders
ASJC Scopus subject areas
- Psychiatry and Mental health
- Law
- Pathology and Forensic Medicine