Abstract

A pragmatic solution for the provision of care for prisoners with serious mental illness, who are often subject to delays in hospital transfer, is the creation of specialist prison units. This paper analyses the development of a prison unit in England for prisoners with ‘serious mental illness’. The unit was developed within over-lapping health and justice contexts, including expectations, pressures and priorities, which impacted on the outcomes expected and achieved. The methodology included attendance at Steering group meetings, analysis of a minimum dataset, and interviews with key stakeholders. A number of key sites of contestation are analyzed including: admission criteria; aims; activities; staffing; the physical environment; and discharge.

摘要

设立专门的监狱单位是为严重精神疾病的囚犯提供护理的务实解决方案，这些囚犯常常因延误住院而被延误。本文分析了英格兰针对患有“严重精神疾病”的囚犯的监狱单位的发展情况。该股是在相互重叠的卫生和司法环境中建立的，其中包括预期，压力和优先事项，这影响了预期和取得的成果。该方法包括参加指导小组会议，分析最小数据集以及与主要利益相关者的访谈。分析了比赛的许多关键地点，包括：入学标准；目的 活动; 人员配备；物理环境；和放电。