PB CPD Online e-learning site
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
QUICK SEARCH:   [advanced]


     

Psychiatric Bulletin (2003) 27: 173-176. doi: 10.1192/pb.27.5.173
© 2003 The Royal College of Psychiatrists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit an eLetter
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Pyszora, N. M.
Right arrow Articles by Telfer, J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Pyszora, N. M.
Right arrow Articles by Telfer, J.
Psychiatric Bulletin (2003) 27: 173-176
© 2003 The Royal College of Psychiatrists

Implementation of the Care Programme Approach in prison

Natalie M. Pyszora, Specialist Registrar in Forensic Psychiatry

South London and Maudsley NHS Trust, Community Forensic Services, 108 Landor Road, London SW9 9NT (Formerly Clinical Research Fellow, HMP Belmarsh)

Julia Telfer, Forensic Mental Health Liaison Nurse

HMP Belmarsh, Western Way, Thamesmead, London SE28 0EB

AIMS AND METHOD

Recent government legislation has highlighted the importance of implementation of the Care Programme Approach (CPA) within prisons, as part of the expectation that prisoners receive equivalent standards of healthcare to those provided by the National Health Service. To effectively plan the service provision at HMP Belmarsh, we retrospectively established the number of prisoners in a one-year period who would have fulfilled the criteria for enhanced CPA.

RESULTS

Of the 91 prisoners found to fulfil the criteria for enhanced CPA, the majority (77%) had a diagnosis of schizophrenia, schizoaffective or delusional disorder, and 58% required transfer to a psychiatric hospital. Of those who required hospital treatment, 75% needed conditions of high- or medium-security.

CLINICAL IMPLICATIONS

Successful implementation of the CPA for all prisoners who meet enhanced CPA criteria is likely to have significant resource implications, both for mental health teams working within prisons and local psychiatric services.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2003 The Royal College of Psychiatrists.