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Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.




Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.


Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.
Content:
Front Matter....Pages i-xiii
Front Matter....Pages 1-1
Prison Psychiatry....Pages 3-20
Ethics Within the Prison System....Pages 21-48
Ethical Issues in Correctional Psychiatry in the United States....Pages 49-75
The Evolution of Punishment and Incarceration....Pages 77-101
Forensic Research with the Mentally Disordered Offender....Pages 103-122
Front Matter....Pages 123-123
Ethical Issues in Australian Prison Psychiatry....Pages 125-143
Penitentiary Mental Health Care in Belgium....Pages 145-151
Ethical Issues in Prison Psychiatry: Forensic Mental Health Care in Brazil....Pages 153-161
Psychiatric Treatment in the Detention Systems of Quebec: Trying to Merge Prison and Therapeutic Cultures....Pages 163-180
Ethical Issues in German Prison Psychiatry....Pages 181-192
Mentally Ill Prisoners: Indian Perspective....Pages 193-207
Ethical Issues in Prison Psychiatry in Israel....Pages 209-225
Current Status of Prison Psychiatry and Its Relationship with General Psychiatry in Japan....Pages 227-247
Overcrowded Prisons and Low Psychiatric Provision: The Situation of Mentally Ill Prisoners in Kenya....Pages 249-256
Ethical Problems of Forensic and Prison Psychiatry in Latvia....Pages 257-268
Ethical Issues in Prison Psychiatry in the Netherlands....Pages 269-286
Ethical Issues in Prison Psychiatry in România....Pages 287-296
Ethical Issues of Mental Health Care in the Slovene Prison System....Pages 297-314
Quality and Ethical Problems of Mental Health Services in Prisons in Spain....Pages 315-331
Ethical Issues in Prison Psychiatry in Sweden....Pages 333-356
Front Matter....Pages 123-123
Prison Psychiatry in Switzerland....Pages 357-365
Current Ethical Challenges in Prison Psychiatry in England and Wales....Pages 367-388
Application of the AMA Code of Medical Ethics to Psychiatric Practice in Correctional Facilities and Access to Psychiatric Care in the U.S.A.....Pages 389-412
Front Matter....Pages 413-413
Conclusion....Pages 415-427
Back Matter....Pages 429-434
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