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Abstract

Objective:

The rapidly growing number of people in prison in Australia, combined with the high prevalence of mental disorder in this population, results in high demand for mental health services in prison settings. Despite their critical role as part of a national mental health response, prison mental health services (PMHS) in Australia have been poorly characterised. In this paper, we describe findings of the first national survey of PMHS in Australia.

Methods:

We distributed a survey to key representatives of PMHS in all Australian states and territories in 2016.

Results:

Our method constitutes a replicable process for quantifying and comparing PMHS in Australia. We describe the structure, governance and staffing models in seven jurisdictions. When compared against international recommendations, only one Australian jurisdiction (the ACT) is funded to provide services at a level equivalent to mental health services provided in the community.

Conclusion:

Prison mental health services in Australia are delivered by a complex mix of government, private sector and non-government services. Services appear to be severely under-resourced when compared with the available benchmarks.

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References

1. Foulds JA, Monasterio E. A public health catastrophe looms: The Australian and New Zealand prison crisis. Aust N Z J Psychiatry 2018; 52: 1019–1020.
2. Indig D. Comorbid substance use disorders and mental health disorders among New Zealand prisoners. Wellington: New Zealand Department of Corrections, 2016.
3. Fazel S, Seewald K. Severe mental illness in 33 588 prisoners worldwide: systematic review and meta-regression analysis. Br J Psychiatry 2012; 200: 364–373.
4. Butler T, Andrews G, Allnutt S, et al. Mental disorders in Australian prisoners: a comparison with a community sample. Aust N Z J Psychiatry 2006; 40: 272–276.
5. Australian Institute of Health and Welfare. The health of Australia’s prisoners 2018. Canberra: AIHW, 2019.
6. Clugston B, Perrin M, Davidson F, et al. Prison Mental Health Services: A comparison of Australian jurisdictions. Queensland Centre for Mental Health Research, University of Queensland, 2017. http://qcmhr.uq.edu.au/wp-content/uploads/2017/06/PMHS-NATIONAL-SURVEY-FINAL.pdf
7. Boardman J, Parsonage M. Delivering the Government’s Mental Health Policies. London: Sainsbury Centre for Mental Health, 2007.
8. Australian Bureau of Statistics (2016 a). 3101.0 - Australian Demographic Statistics, Jun 2016. https://www.abs.gov.au/AUSSTATS/[email protected]/Previousproducts/3101.0Feature%20Article1Jun%202016
10. Australian Bureau of Statistics (2018). 4512.0 - Corrective Services, Australia, September Quarter 2017. https://www.abs.gov.au/AUSSTATS/[email protected]/allprimarymainfeatures/4C983B7542339637CA2581E7000D0F48?opendocument
11. World Health Organization. Declaration on prison health as part of public health (Adopted in Moscow of 24 October 2003). World Health Organization, Denmark, 2003.
12. World Health Organization. Trencin statement on prison mental health. Denmark: World Health Organization, 2008.
13. United Nations. Optional protocol to the convention against torture and other cruel, inhuman or degrading treatment or punishment. New York, United Nations, 2006.
14. United Nations. United Nations standard minimum rules for the treatment of prisoners (the Nelson Mandela Rules). New York, United Nations, 2015.
15. Plueckhahn TM, Kinner SA, Sutherland G, et al. Are some more equal than others? Challenging the basis for prisoners’ exclusion from Medicare. Med J Aust 2015; 203: 359–361.
16. Kinner SA, Young JT. Understanding and improving the health of people who experience incarceration: an overview and synthesis. Epidemiol Rev 2017; 40: 4–11.

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Published In

Article first published online: December 23, 2019
Issue published: August 2020

Keywords

  1. prison
  2. mental health
  3. custody
  4. benchmarking
  5. workforce
  6. justice health

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© The Royal Australian and New Zealand College of Psychiatrists 2019.
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PubMed: 31868515

Authors

Affiliations

Fiona Davidson
Forensic Mental Health Group, Queensland Centre for Mental Health Research, Australia
Queensland Forensic Mental Health Service, Metro North Mental Health Services, Australia
NHMRC Centre for Research Excellence in Offender Health, UNSW, Australia
Bobbie Clugston
Forensic Mental Health Group, Queensland Centre for Mental Health Research, Australia
Mental Health Alcohol and Other Drugs Branch, Clinical Excellence Division, Queensland Health, Australia
Michelle Perrin
Queensland Forensic Mental Health Service, Metro North Mental Health Services, Australia
Megan Williams
Graduate School of Health, University of Technology Sydney, Australia
Edward Heffernan
Forensic Mental Health Group, Queensland Centre for Mental Health Research, Australia
Queensland Forensic Mental Health Service, Metro North Mental Health Services, Australia
Stuart A Kinner
Centre for Adolescent Health, Murdoch Children’s Research Institute, Australia
Justice Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Australia
Griffith Criminology Institute, Griffith University, Australia
Mater Research Institute-UQ, University of Queensland, Australia

Notes

Fiona Davidson, Queensland Forensic Mental Health Service, Metro North Mental Health Services, GPO Box 8161, Brisbane, QLD 4000, Australia. Email: [email protected]

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