Mari Anne Harty

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BACKGROUND Mental illness is common among prisoners, but little evidence exists regarding changes in symptoms in custody over time. AIMS To investigate the prevalence and predictors of psychiatric symptoms among prisoners during early custody. METHOD In a prospective cohort study, 3079 prisoners were screened for mental illness within 3 days of(More)
Prison mental health inreach teams have been established nationwide in England and Wales over the past 3 years to identify and treat mental disorders among prisoners. This paper summarises the policy content and what has been achieved thus far, and poses challenges that these teams face if they are to become a clear and effective component in the overall(More)
BACKGROUND Black (Black Caribbean and Black African) patients are over-represented in admissions to general adult and medium-security psychiatric services in England. AIMS To describe the sociodemographic, clinical and offence characteristics of patients in high-security psychiatric hospitals (HSPHs) in England, and to compare admission rates and unmet(More)
A mapping exercise as part of a pathway study of women in secure psychiatric services in the England and Wales was conducted. It aimed to (i) establish the extent and range of secure service provision for women nationally and (ii) establish the present and future care needs and pathways of care of women mentally disordered offenders (MDO) currently in low,(More)
BACKGROUND The prevalence of mental disorders among prisoners is considerably higher than in the general population. This is an important public health issue as the vast majority of prisoners stay in custody for less than 9 months and, when not in prison, offenders' lifestyles are frequently chaotic, characterized by social exclusion, instability and(More)
AIMS Prisoners with mental illness on release from prison often face complex challenges with little support, leading to poor clinical and social outcomes. This feasibility study aimed to see whether a Critical Time Intervention (CTI) in the first weeks post-release effectively connects mentally ill prisoners with social, clinical, housing, and welfare(More)
BACKGROUND Previous studies have suggested that a substantial proportion of the patients with intellectual disabilities (ID) in the high security psychiatric hospitals (HSPHs) should be transferred to more appropriate services to cater for their specific needs in the longer term. METHOD The individual and placement needs of high secure psychiatric(More)
BACKGROUND Care pathways for women needing expensive, secure hospital care are poorly understood. AIMS To characterise women in low and medium security hospitals in England and Wales and to compare populations by security and service provider type. METHOD Census data from all specialist commissioning areas. Sociodemographic, clinical, medico-legal,(More)
England and Wales has been influenced by both UK government policy 1 and competition among health providers. 2 No national picture of placements or pathways has been available. The high cost of these services, 3 changes in commissioning structures (Health and Social Care Act 2012), the development of a national women's secure services strategy 4 and the(More)
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