Predictors of mental health service utilization in the 12 months before imprisonment: analysis of results from a national prisons survey

M Farrell, A Boys, N Singleton, H Meltzer, T Brugha, P Bebbington, R Jenkins, J Coid, G Lewis, J Marsden

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

To describe the self-reported history of health service utilization and help-seeking to those who are drug-dependent in the period of time prior to imprisonment. A cross-section survey of 3142 sentenced or remand prisoners in English prisons completed private, face-to-face interviews with trained Office for National Statistics staff covering a full structured psychiatric assessment interview. Specific questions about service utilization prior to imprisonment were included, as were questions on patterns of drug use and dependence prior to imprisonment. Receipt of any form of help was demographically most strongly associated with being older, white and female. Women were about twice as likely as men to report having received help for mental or emotional problems. Older age was also consistently associated with greater levels of reporting having received help, for both genders but only for use of general practitioners. Being black was strongly associated with reduced likelihood of receiving help and this was maintained after adjusting for other sociodemographic variables. Opioid dependence alone or opioid dependence with stimulant dependence, psychiatric disorder alone and probable psychosis were all most predictive of service use in the 12 months prior to imprisonment. In the year prior to imprisonment, the majority of mental health needs of these individual prisoners were not able to access help prior to imprisonment. Future strategies should aim for better health access before, during and after imprisonment
Original languageEnglish
Pages (from-to)548 - 553
Number of pages6
JournalAustralian and New Zealand Journal of Psychiatry
Volume40
Issue number6-7
DOIs
Publication statusPublished - Jun 2006

Fingerprint

Dive into the research topics of 'Predictors of mental health service utilization in the 12 months before imprisonment: analysis of results from a national prisons survey'. Together they form a unique fingerprint.

Cite this