A comparison of men and women referred to provincial correctional mental health services in Ontario, Canada. (9th October 2022)
- Record Type:
- Journal Article
- Title:
- A comparison of men and women referred to provincial correctional mental health services in Ontario, Canada. (9th October 2022)
- Main Title:
- A comparison of men and women referred to provincial correctional mental health services in Ontario, Canada
- Authors:
- Ray, Ipsita
Fulham, Lindsay
Simpson, Alexander I.
Vogel, Tobias
Gerritsen, Cory
Patel, Kiran
Jones, Roland M. - Abstract:
- Abstract: Background: Women comprise around 15% of admissions to provincial correctional institutions in Canada. Women in custody are known to have a high prevalence of mental health concerns, but little is known about how those referred to mental health services compare with referred men at a similar stage of imprisonment. Aims: Our aim was to describe and compare clinical, social and demographic characteristics of a complete cohort of custodially remanded men and women who were referred to mental health services while under custodial remand in two correctional institutions. Methods: We carried out retrospective analysis of data obtained from 4040 men and 1734 provincially detained women referred to mental health services in two correctional centres holding mainly pre‐trial prisoners and serving a large mixed urban‐rural catchment area in Toronto, Canada over a nearly five‐year period. Men and women were first screened using the Brief Jail Mental Health Screen. Those who screened positive were assessed using the Jail Screening Assessment Tool the Brief Psychopathology Rating Scale—Expanded (BPRS‐E) and the Clinical Global Impression—Corrections (CGI‐C). Results: There were many similarities between men and women, but also some important differences. Women were more socioeconomically disadvantaged than men. More women than men reported having children, yet fewer reported having any form of employment or social supports, although men were more likely to report unstableAbstract: Background: Women comprise around 15% of admissions to provincial correctional institutions in Canada. Women in custody are known to have a high prevalence of mental health concerns, but little is known about how those referred to mental health services compare with referred men at a similar stage of imprisonment. Aims: Our aim was to describe and compare clinical, social and demographic characteristics of a complete cohort of custodially remanded men and women who were referred to mental health services while under custodial remand in two correctional institutions. Methods: We carried out retrospective analysis of data obtained from 4040 men and 1734 provincially detained women referred to mental health services in two correctional centres holding mainly pre‐trial prisoners and serving a large mixed urban‐rural catchment area in Toronto, Canada over a nearly five‐year period. Men and women were first screened using the Brief Jail Mental Health Screen. Those who screened positive were assessed using the Jail Screening Assessment Tool the Brief Psychopathology Rating Scale—Expanded (BPRS‐E) and the Clinical Global Impression—Corrections (CGI‐C). Results: There were many similarities between men and women, but also some important differences. Women were more socioeconomically disadvantaged than men. More women than men reported having children, yet fewer reported having any form of employment or social supports, although men were more likely to report unstable housing. In addition, women were significantly more likely to have mood and anxiety problems and to be self‐harming, but did not differ from men in current psychotic symptoms. We also found differences in patterns of substance use, with a higher proportion of women using heroin and methamphetamines but fewer women having accessed addiction services. Conclusions: Our findings have implications for clinicians and service planners. They underscore the value of systematic screening for identifying need. More specifically, they suggest need for increased availability of addiction services for women as well as ensuring support for those women who have dependent‐age children. Improvement in supports for entry into employment is particularly needed for women, while men are particularly likely to need access to stable housing. … (more)
- Is Part Of:
- Criminal behaviour and mental health. Volume 32:Number 5(2022)
- Journal:
- Criminal behaviour and mental health
- Issue:
- Volume 32:Number 5(2022)
- Issue Display:
- Volume 32, Issue 5 (2022)
- Year:
- 2022
- Volume:
- 32
- Issue:
- 5
- Issue Sort Value:
- 2022-0032-0005-0000
- Page Start:
- 358
- Page End:
- 370
- Publication Date:
- 2022-10-09
- Subjects:
- correctional centre -- drug addiction -- jail -- mental health -- prison -- women
Forensic psychiatry -- Periodicals
Criminal behavior -- Periodicals
Criminal psychology -- Periodicals
Criminal Psychology -- Periodicals
Dangerous Behavior -- Periodicals
Mental Disorders -- Periodicals
Comportement criminel
Criminel
Psychologie
Santé mentale
Psychiatrie médico-légale
Psychologie criminelle
Périodique électronique (Descripteur de forme)
Ressource Internet (Descripteur de forme)
364.305 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1471-2857 ↗
http://www.ingenta.com/journals/browse/whurr/cbm ↗
http://www3.interscience.wiley.com/journal/112094296/home ↗
http://www.whurr.co.uk/CBMH/IntroCentre%5FFr.html ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1002/cbm.2263 ↗
- Languages:
- English
- ISSNs:
- 0957-9664
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 3487.346200
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- 24301.xml