Neurotic disorders

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I I Use of medication and services ............ ............................................................................................. In all sample groups, young offenders who had problems in prison was the length of time the been receiving help for mental or emotional respondent had been in prison. As would be problems in the year before coming to prison were expected, those who had been in prison for 3 more likely to report receiving such help while in months or more had significantly increased odds of prison. For example, while 29% of male remand reporting treatment compared with those who had and 43% of female young offenders who said they been in prison less than 1 month. (Thble I 1.7) had been receiving treatment before coming to prison reported treatment in prison, this was true for only 80/0and 16O/o,respectively, of those who 1t.4 Refusal of helpor support had not had treatment. However, it should be i noted that in all groups over half of those who had In relation to help or support for mental, nervous been receiving treatment for mental problems or emotional problems in the year before coming before coming to prison had not received such to prison and in the past year (or since coming to treatment during their current spell in prison, prison this time), respondents were asked two sets (Table 11.4) of questions about help or support refused. One set asked about help that had been offered to them but The types of help recorded in prison are slightly which they had turned down. The categories of _ different from those for the period before prison help offered were the same as used in the questions reflecting the different availability of services. The on help received. The second set asked about help prison doctor replaces GP/family doctor, pastor or or treatment that they had asked for but which had chaplain replaces psychiatric social worker and been refused. voluntary worker replaces drugs-related worker. However the same major groupings of services Around one in ten male respondents and one in six were applied and a very similar pattern of service female young offenders had been offered help use is seen. The most frequently reported source of which they had turned down in the year before help for mental problems in prison was the prison coming to prison and a similar proportion had doctor, mentioned by about half of those who had turned down some form of help since coming to received help, followed by help from a psychiatrist, prison (or in the past year). The most common (Table 11.3) sources of help that was turned down before cOming to prison was that of a probation officer or Disorders and other factors independently drugs worker while in prison it was help from a associated with receipt of treatment for mental or pastor or chaplain. (Table 11.5) emotional problems in prison were identified using multiple logistic regression analysis. As was the case In every sample group, the proportion who for treatment in the year before coming to prison, reported asking for help which was refused since _ the receipt of treatment since coming to prison (or coming to prison (or in the past year) was about •: in the past year if the person had been in prison for double that of those who had had requests refused over a year) was independently as_iated with before coming to prison. For example, while 5% of significant levels of neurotic symptoms and with male remand respondents reported having a probable psychosis. The odds of a person with a request for help turned down in the year before CIS-R score of 18 or above reporting treatment in coming to prison 10% of them reported having a prison were about three times that for people with a request turned down since coming to prison. For score of less than 12. Evidence of probable psychosis female young offenders the corresponding figures increased the odds of treatment by a factor of 8. were 7% before prison and 14% since coming to prison. The requests most frequently refused in The only other factor significantly associated with prison were for medication, counselling, and to see the likelihood of reporting treatment for mental a psychiatrist. (Table 11.6) ) 70 PsychiatricMorbidityamong YoungOffendersin EnglandandWales -7764-
ofm diotio...d s,ioes i t :: = i by prisone__peandsex:iii: } iI _i Jili:ii'i i: 'i _ i_" _i'. Maleremand Malesentenced Female youngoffenders youngoffenders youngoffenders Percentagetakingeachtypeof me#cab'on HypnoUcsandanxiolytics 2 2 14 An_psy_ 2 2 8 AnlJ-depressants 3 3 12 CNS*s_m_an_ NauseaJverligo 3 Analgesics 5 4 19 An_e_L-=p_cs 1 1 Parkinson'setc 1 1 2 Substancedependence AnymedicationactingonCNS* 10 10 40 Base 314 169 107 * CentralNervousSystem. Table11,2 OddsRatiosassociatedwithtreatmentby drugswhichaffecttheCentralNervous System(CNS) _yCNSdrugs Adjusted (95% o_ : c.L) Ratio Un,kely 1.00 Probable 10.54"* (4.85-22.93) Drugdependence None 1.00 Cannabisonly 129 (0.60-2.75) Stimulantsonly 122 (0.58-2.56) Opiates+ 2.39** (128-4.45) Sex Male 1.00 Female 6.17"* (3.45-11.03) Othervariablesenteredin PersonalityDisorder Typeofoffence themodelwhichwere Neurosis Typeofpdsoner notsignificant Hazardousddnking Elhnicgroup _me inprison / Maritalstatus Smoking PsychiatricMorbidityamongYoungOffenders in EnglandandWales 7 I -7765-'
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Summary ...........................
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Summary Summary- continued • Hero
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Summary Summary- continued Daily li
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2 ! ! Introduction __ dependence an
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Characteristics of the sampled youn
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,_ Characteristics Of the sampled y
Page 30 and 31: Personality disorder 3.1 Assessment
Page 32 and 33: Personality disorder ..............
Page 34 and 35: Psychotic and severe affective diso
Page 36 and 37: Neurotic disorders 5.1 Assessment
Page 38 and 39: _-- _,_ Neurotic disorders ........
Page 40 and 41: -" ,3 Neurotic disorders ..........
Page 42 and 43: - Neurotic disorders Table 5.3 Prev
Page 44 and 45: Self-harm (suicidal ideation, suici
Page 46 and 47: Serf-harm (suicidal ideation, suici
Page 48 and 49: Alcohol misuse and drug dependence
Page 50 and 51: ./ Alcohol misuse and drug dependen
Page 52 and 53: Alcohol misuse and drug dependence
Page 54 and 55: Intellectual functioning 8.1 Assess
Page 56 and 57: intellectual functioning Table 8.1
Page 58 and 59: Characteristics of young offenders
Page 60 and 61: c_ Characteristics of young offende
Page 64 and 65: _'_ Characteristics of young offend
Page 70 and 71: t_ / Characteristics of young offen
Page 72 and 73: | 0 Co-occurrence of mental and phy
Page 74 and 75: '0 Co-occurrence of mental and phys
Page 76 and 77: I 0 Co-occurrence of mental and phy
Page 78 and 79: Use of medication and services 11.1
Page 82 and 83: I I Use of medication and services
Page 84 and 85: ! I Use of medication and services
Page 86 and 87: ! I Use of medication and services
Page 88 and 89: .! 2 Daily living and social functi
Page 90 and 91: ,_ 2_ Daily living and social funct
Page 92 and 93: Risk factors for mental disorder 13
Page 94 and 95: ',3 Risk factors for mental disorde
Page 96 and 97: _ | ..2 Risk factors for mental dis
Page 98 and 99: 3 Risk factors for mental disorder
Page 104: References Ramsay M and Partridge (
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