TY - JOUR
T1 - Psychiatric needs of male prison inmates in Italy
AU - Piselli, Massimiliano
AU - Attademo, Luigi
AU - Garinella, Raffaele
AU - Rella, Angelo
AU - Antinarelli, Simonetta
AU - Tamantini, Antonia
AU - Quartesan, Roberto
AU - Stracci, Fabrizio
AU - Abram, Karen M.
N1 - Funding Information:
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.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - 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.
AB - 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.
KW - Comorbidity
KW - Prisoners
KW - Psychiatric disorders
KW - Substance use disorders
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U2 - 10.1016/j.ijlp.2015.03.011
DO - 10.1016/j.ijlp.2015.03.011
M3 - Article
C2 - 25888500
AN - SCOPUS:84937975705
VL - 41
SP - 82
EP - 88
JO - International Journal of Law and Psychiatry
JF - International Journal of Law and Psychiatry
SN - 0160-2527
ER -