1. PRISON PSYCHIATRY Dr Melanie Baker Consultant in Forensic Psychiatry
Visiting Psychiatrist to HMP Barlinnie

2. Syllabus for MRCPsych II Psychiatry in Prisons
Knowledge of the presence of psychiatric disorder in prison populations
Suicide in prisons
Psychiatric treatment in prison settings

3. PRISONS
There are 15 prisons in Scotland. These operate at different levels of security and cater for individuals on remand and serving sentences

4. Photo-shoot

5. Photo-shoot

6. HMP Barlinnie

7. STATISTICS – According to Literature
REMAND PRISONERS
- 70% psychiatric morbidity
amongst remands
– 5% psychotic or
affective disorder
- Three times more
likely to have psychosis
or major depression than
the general population
- Co-morbidity with mental
illness, substance misuse
and personality disorder
is the norm
- Officer’s national,
statistics 10% of male
remands suffer a functional
psychosis
- Substance misuse rate 38%, higher
amongst remand than serving
prisoners
- six times elevated suicide rate
amongst prison population
(Birmingham)
SENTENCED PRISONERS
- 7% of male sentenced
prisoners have a psychotic
illness

8. REASONS FOR ELEVATED PSYCHIATRIC MORBIDITY
Remand
Acute withdrawal
Addiction in custody
New asylum population
Demographics

9. CASE e.g. Anonymised 36y male Serious offender
Assault to severe injury
Attempted murder

10. WHAT DOES THE VISITING PSYCHIATRIST DO?
Triage
Case management
Transfer to local hospitals
Management of difficult prisoners
Consultation

11. TAKE HOME MESSAGES Syllabus The SPS is not the NHS
Itinerant population
Forensic experience