Abstract The high prevalence of mental health problems in prisons is well established and there are ongoing challenges to mental health care and service provision. The aim of this research was to identify practice that was working well and where there was scope for improvement. Forty-two independent inspectorate reports on conditions for and treatment of people across all seven categories of prison in England and Wales were analyzed thematically. Themes of What is Working and Shortfalls identified that multidisciplinary working, good communication, balancing care with security, and positive staff-prisoner relationships supported mental health, but there were numerous shortfalls in service provision across the prison estate. Conclusions support an agenda of prison reform with mental health as a key priority.

中文翻译：

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英格兰和威尔士监狱的精神保健标准：女王Ma下监狱检查员对报告的定性研究

摘要监狱中的精神卫生问题普遍存在，并且对精神卫生保健和提供服务的挑战不断。这项研究的目的是确定行之有效的实践，以及有待改进的地方。专题分析了关于英格兰和威尔士所有七类监狱的人的条件和待遇的四十二份独立检查报告。“什么是工作和短缺”的主题确定了多学科工作，良好的沟通，护理与安全之间的平衡以及积极的工作人员与囚犯之间的关系支持了心理健康，但是整个监狱区的服务提供存在许多不足。结论支持以精神卫生为重点的监狱改革议程。