Early detection and early intervention in prison: improving outcomes and reducing prison returns

Clare Evans; Andrew Forrester; Manuela Jarrett; Vyv Huddy; Catherine A. Campbell; Majella Byrne; Thomas Craig; Lucia Valmaggia

doi:10.1080/14789949.2016.1261174

Early detection and early intervention in prison: improving outcomes and reducing prison returns

Clare Evans, Andrew Forrester, Manuela Jarrett, Vyv Huddy, Catherine A. Campbell, Majella Byrne, Thomas Craig, Lucia Valmaggia^*

^*Corresponding author for this work

Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

17 Citations (Scopus)

Abstract

Our aim was to investigate whether early detection was feasible in prison and whether it could improve mental health outcomes in young prisoners. A secondary aim was to explore whether it can reduce returns to prison. Between 2011 and 2014, a total of 2115 young prisoners were screened, 94 (4.4%) met criteria for ultra-high risk for psychosis and were offered an intervention, 52 actually received it. Return to prison data were sought on the 52 participants, receiving a formal intervention. Of the 52 prisoners who received an intervention, 30.8% returned to custody compared to national average reconviction rates of between 45.4 and 66.5%. Our results suggest that early detection is a feasible option in a prison setting, improving mental health outcomes and reducing returns to prison. Mental health outcomes were recorded for a sub-sample of those receiving the intervention. The results indicated statistically significant improvements on measures of depression, anxiety and psychological distress.

Original language	English
Pages (from-to)	91-107
Number of pages	17
Journal	Journal of Forensic Psychiatry and Psychology
Volume	28
Issue number	1
DOIs	https://doi.org/10.1080/14789949.2016.1261174
Publication status	Published - 2 Jan 2017

Bibliographical note

Funding Information:
The project was financially supported by a generous grant from the Guy’s and St. Thomas’ Charitable Foundation (PI: Valmaggia) and the Maudsley Charity (PI: Valmaggia). The authors acknowledge financial support from the National Institute for Health Research (NIHR) Biomedical Research Centre for Mental Health at South London and Maudsley NHS Foundation Trust and King’s College London. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. Our special thanks go to the staff and prisoners of the two South London prisons in which we conducted the study. We would like to acknowledge Anna Roberts and Patricia Phillips for their help collecting the data.

Publisher Copyright:
© 2016 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

Early intervention
offenders
prison
psychosis
psychotic symptoms
ultra-high risk

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1080/14789949.2016.1261174

Cite this

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abstract = "Our aim was to investigate whether early detection was feasible in prison and whether it could improve mental health outcomes in young prisoners. A secondary aim was to explore whether it can reduce returns to prison. Between 2011 and 2014, a total of 2115 young prisoners were screened, 94 (4.4%) met criteria for ultra-high risk for psychosis and were offered an intervention, 52 actually received it. Return to prison data were sought on the 52 participants, receiving a formal intervention. Of the 52 prisoners who received an intervention, 30.8% returned to custody compared to national average reconviction rates of between 45.4 and 66.5%. Our results suggest that early detection is a feasible option in a prison setting, improving mental health outcomes and reducing returns to prison. Mental health outcomes were recorded for a sub-sample of those receiving the intervention. The results indicated statistically significant improvements on measures of depression, anxiety and psychological distress.",

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Early detection and early intervention in prison: improving outcomes and reducing prison returns

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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