Обзорная статья

Mental health of people detained within the justice system in Africa: systematic review and meta-analysis

Aish Lovett1Harvard College, 28 Fernald Drive, Cambridge, MA 02138 USAHye Rim Kwon2Institute of Psychology, Psychiatry, and Neuroscience, King's College London, 16 De Crespigny Park, Camberwell, London, SE5 8AB UKKhameer Kidia4Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 USADebra Machando5Department of Psychiatry, University of Zimbabwe, 630 Churchill Avenue, Harare, ZimbabweMegan Crooks6The Ulster Hospital, Upper Newtownards Road, Dundonald, Belfast, BT16 1RH UKGregory L. Fricchione7Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 USAGraham Thornicroft8Centre for Global Mental Health, Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UKHelen E. Jack8Centre for Global Mental Health, Institute of Psychology, Psychiatry, and Neuroscience, King's College London, London, UK

International Journal of Mental Health Systemsjournal2019en

ABI

Аннотация

Worldwide, people with mental disorders are detained within the justice system at higher rates than the general population and often suffer human rights abuses. This review sought to understand the state of knowledge on the mental health of people detained in the justice system in Africa, including epidemiology, conditions of detention, and interventions. We included all primary research studies examining mental disorders or mental health policy related to detention within the justice system in Africa. 80 met inclusion criteria. 67% were prevalence studies and meta-analysis of these studies revealed pooled prevalence as follows: substance use 38% (95% CI 26-50%), mood disorders 22% (95% CI 16-28%), and psychotic disorders 33% (95% CI 28-37%). There were only three studies of interventions. Studies examined prisons (46%), forensic hospital settings (37%), youth institutions (13%), or the health system (4%). In 36% of studies, the majority of participants had not been convicted of a crime. Given the high heterogeneity in subpopulations identified in this review, future research should examine context and population-specific interventions for people with mental disorders.

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Темы

Psychopathy, Forensic Psychiatry, Sexual Offending Mental Health Treatment and Access Child Abuse and Trauma

Идентификаторы

DOI: 10.1186/s13033-019-0273-z

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