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  1. The Belmarsh Scheme : a prospective study of the transfer of mentally disordered remand prisoners from prison to psychiatric units.

    Article - En anglais

    Background

    Contracting in psychiatric services from the NHS into prisons has been advocated to improve the care of the mentally disordered in custody.

    The Belmarsh Scheme is such a service.

    Method

    A prospective study investigating the characteristics of a six-month cohort of remand prisoners requiring transfer to hospital and evaluating the service's effectiveness.

    Results

    Fifty-three (4.3% ; 95% CL 3.2% to 5.6%) of the 1229 new remands required transfer to hospital ; all were accepted.

    The transfer group contained a higher proportion of black men (51%) than all other remands (30%) (difference 21% ; 95% CL 8% to 35%, P=0.002).

    Transfer times were lower than those reported for a neighbouring prison.

    Conclusions

    The Belmarsh Scheme secured in-patient psychiatric care rapidly for all those identified as needing it.

    Mots-clés Pascal : Service santé, Psychiatrie, Milieu carcéral, Trouble psychiatrique, Etude longitudinale, Etude cohorte, Système santé, Royaume Uni, Europe, Homme, Filière soin

    Mots-clés Pascal anglais : Health service, Psychiatry, Carceral environment, Mental disorder, Follow up study, Cohort study, Health system, United Kingdom, Europe, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0385596

    Code Inist : 002B18H05B. Création : 01/03/1996.