1. Prison Mental Health Care: October 29 th 2013 Dr Graham Durcan - Associate Director Criminal Justice Programme

2. Our programmes  ​Employment​  ​Early years  ​Physical & mental health  ​Mental health recovery  ​Criminal Justice  ​Gangs  ​leaving prison / employment  ​diversion (police/courts)  ​youth justice​

3. Prisoners (1998) General population Schizophrenia and delusional disorder 8% 0.5% Personality disorder 66% 5.3% Neurotic disorder (e.g. depression) 45% 13.8% Drug dependency 45% 5.2% Alcohol dependency 30% 11.5% Prevalence (1)

4. Prevalence (2)  ​​Why?  Penrose (1930s-1940s)  Sentencing  Deprivation (e.g. Houchin 2005)  Defining ​equivalence​  Primary and secondary care  Complex & multiple need  Mono–problem services  Who is responsible?  ​A wellbeing approach

5. A prisoner’s eye view  Someone to talk to  Preparation for release  Something meaningful to do  Help in a crisis  Therapy and medication  Advocacy

6. Some other important thoughts  Continuity of care  ​Special groups​  Women  Young people  Minority groups and foreign prisoners  ​The prisoner’s family  ​Screening and identification  Peer mentors  ‘​Recovery‘ & rehabilitation  ​Diversion​

7. Thank you www.centreformentalhealth.org.uk graham.durcan@centreformentalhealth.org.uk