- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry
- 9.1 General issues
- 9.2 Clinical syndromes
- 9.3 Situations affecting child mental health
- 9.4 The child as witness
- 9.5 Treatment methods for children and adolescents
- Section 10 Intellectual Disability (Mental Retardation)
- Section 11 Forensic Psychiatry
- 11.1 General principles of law relating to people with mental disorder
- 11.2 Psychosocial causes of offending
- 11.3 Associations between psychiatric disorder and offending
- 11.4 Mental disorders among offenders in correctional settings
- 11.5 Homicide offenders including mass murder and infanticide
- 11.6 Fraud, deception, and thieves
- 11.7 Juvenile delinquency and serious antisocial behaviour
- 11.8 Child molesters and other sex offenders
- 11.9 Arson (fire-raising)
- 11.10 Stalking
- 11.11 Querulous behaviour: vexatious litigation, abnormally persistent complaining and petitioning
- 11.12 Domestic violence
- 11.13 The impact of criminal victimization
- 11.14 Assessing and managing the risks of violence towards others
- 11.15 The expert witness in the Criminal Court: assessment, reports, and testimony
- 11.16 Managing offenders with psychiatric disorders in general psychiatric services
- 11.17 Management of offenders with mental disorder in specialist forensic mental health services
(p. 1933) Mental disorders among offenders in correctional settings
- Chapter:
- (p. 1933) Mental disorders among offenders in correctional settings
- Author(s):
James R. P. Ogloff
- DOI:
- 10.1093/med/9780199696758.003.0257
Incontrovertible evidence now exists to show that the prevalence of mental disorders among prisoners far exceeds that found in the general community. A surprising concordance is emerging from several large international studies to show that, in western developed societies at least, the rates of major mental disorders in prisons are quite consistent. This chapter will provide an overview of relevant research examining rates of mental illness in prisons with those found in the community. Some observations regarding trends and implications for prisons also will be provided. At the outset it is useful to reflect on the scope of illnesses which have been subsumed under the ‘mental disorder’ umbrella as it has been applied to the prison research. Most of the research that exists has focussed serious mental illnesses within the Axis I disorders—namely psychotic illnesses, mood disorders, and anxiety disorders. Considerable attention has been paid regarding the prevalence of personality disorders within prisons. Over the past 20 years much of that work has investigated antisocial or dissocial personality disorder and psychopathy. By comparison, relatively little attention has been paid to other personality disorders. A growing area of importance concerns substance abuse and dependence disorders and, of course, co-occurring substance use and mental illness disorders. Considerable research also exists exploring the prevalence of mental retardation or intellectual disabilities in prison. Thereafter, fragments of research exist exploring any number of mental syndromes and conditions. The focus of this chapter will be on the major mental disorders which fall into Axis I. Some mention will be made of substance use disorders and personality disorders. In addition, with the growing number of women in prisons, information will be provided regarding this important group.
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- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry
- 9.1 General issues
- 9.2 Clinical syndromes
- 9.3 Situations affecting child mental health
- 9.4 The child as witness
- 9.5 Treatment methods for children and adolescents
- Section 10 Intellectual Disability (Mental Retardation)
- Section 11 Forensic Psychiatry
- 11.1 General principles of law relating to people with mental disorder
- 11.2 Psychosocial causes of offending
- 11.3 Associations between psychiatric disorder and offending
- 11.4 Mental disorders among offenders in correctional settings
- 11.5 Homicide offenders including mass murder and infanticide
- 11.6 Fraud, deception, and thieves
- 11.7 Juvenile delinquency and serious antisocial behaviour
- 11.8 Child molesters and other sex offenders
- 11.9 Arson (fire-raising)
- 11.10 Stalking
- 11.11 Querulous behaviour: vexatious litigation, abnormally persistent complaining and petitioning
- 11.12 Domestic violence
- 11.13 The impact of criminal victimization
- 11.14 Assessing and managing the risks of violence towards others
- 11.15 The expert witness in the Criminal Court: assessment, reports, and testimony
- 11.16 Managing offenders with psychiatric disorders in general psychiatric services
- 11.17 Management of offenders with mental disorder in specialist forensic mental health services