This study reports on a representative sample of prisoners in Michigan correctional facilities to determine the prevalence of psychiatric illness and the delivery of mental health (MH) services. Mental health assessments were conducted with 618 incarcerated subjects using the interRAI Correctional Facilities (interRAI CF). Subjects were randomly sampled based on four strata: males in the general population, males in administrative segregation, males in special units, and females. The interRAI CF assessments were merged with secondary data provided by the Michigan Department of Corrections (MDOC) containing information on MH diagnoses or services that the subjects were receiving within the facilities, demographics, and sentencing. Study results show that 20.1% of men and 24.8% of women in Michigan prisons have a substantial level of MH symptoms and that 16.5% and 28.9%, respectively, are receiving MH services. However, when compared with Michigan Department of Corrections MH care records, 65.0% of prisoners who are experiencing symptoms of mental illness are not currently receiving any psychiatric services. The mis-match between symptoms and service delivery suggests the need for improved procedures for identifying and measuring psychiatric symptoms within Michigan correctional facilities to ensure that appropriate individuals receive needed care. It is recommended that a standardized assessment process be implemented and conducted at regular intervals for targeting and improving psychiatric care in the prison system.

译文

这项研究报告了密歇根州惩教所中囚犯的代表性样本,以确定精神疾病的患病率和提供精神卫生 (MH) 服务。使用interRAI教养所 (interRAI CF) 对618名被监禁的受试者进行了精神卫生评估。根据四个层次对受试者进行随机抽样: 普通人群中的男性,行政隔离中的男性,特殊单位中的男性和女性。interRAI CF评估与密歇根州惩教署 (MDOC) 提供的次要数据合并,其中包含有关受试者在设施,人口统计学和量刑范围内接受的MH诊断或服务的信息。研究结果表明,密歇根州监狱中20.1% 的男性和24.8% 的女性都有相当程度的MH症状,16.5% 和28.9% 分别接受MH服务。然而,与密歇根州惩教署MH护理记录相比,65.0% 患有精神疾病症状的囚犯目前没有接受任何精神病服务。症状与服务提供之间的不匹配表明,需要改进在密歇根州惩教所内识别和测量精神症状的程序,以确保适当的人得到所需的护理。建议定期实施和进行标准化评估程序,以针对和改善监狱系统中的精神病护理。

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