Ethical Issues in Prison Psychiatry


Book Description

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.




Ethical Considerations for Research Involving Prisoners


Book Description

In the past 30 years, the population of prisoners in the United States has expanded almost 5-fold, correctional facilities are increasingly overcrowded, and more of the country's disadvantaged populations—racial minorities, women, people with mental illness, and people with communicable diseases such as HIV/AIDS, hepatitis C, and tuberculosis—are under correctional supervision. Because prisoners face restrictions on liberty and autonomy, have limited privacy, and often receive inadequate health care, they require specific protections when involved in research, particularly in today's correctional settings. Given these issues, the Department of Health and Human Services' Office for Human Research Protections commissioned the Institute of Medicine to review the ethical considerations regarding research involving prisoners. The resulting analysis contained in this book, Ethical Considerations for Research Involving Prisoners, emphasizes five broad actions to provide prisoners involved in research with critically important protections: • expand the definition of "prisoner"; • ensure universally and consistently applied standards of protection; • shift from a category-based to a risk-benefit approach to research review; • update the ethical framework to include collaborative responsibility; and • enhance systematic oversight of research involving prisoners.







Oxford Textbook of Correctional Psychiatry


Book Description

This textbook brings together leading experts to provide a comprehensive and practical review of common clinical, organisational, and ethical issues in correctional psychiatry.




Psychiatric Services in Correctional Facilities


Book Description

The 15 years since publication of the second edition of the American Psychiatric Association’s task force report on psychiatric services in correctional facilities have seen increasing rates of incarceration of mentally ill individuals, continuing criminalization of substance use disorders, and a lack of accessible and appropriate care in the community. The purpose of the new edition, Psychiatric Services in Correctional Facilities, and the aim of the work group that authored it over many years of research, dialogue, and development, is to provide leadership in addressing the needs of the often disenfranchised population of the incarcerated and to provide guidance to mental health clinicians working in correctional settings. Urging an expanded role in leadership and advocacy, the work group members present the foundational principles that apply to providing care in correctional facilities, outline the basic types of services that should be provided, and apply the principles and guidelines previously established to specific disorders, patient populations, treatment modalities, and special needs. Working with these patients and in these settings presents particular challenges that clinicians are unlikely to have encountered elsewhere in practice, such as the use of seclusion and restraint and administrative issues. Psychiatric Services in Correctional Facilities provides critical guidance and support for mental health professionals operating in this often frustrating environment, enabling them to provide both effective treatment and informed advocacy for their patients.




Health and Incarceration


Book Description

Over the past four decades, the rate of incarceration in the United States has skyrocketed to unprecedented heights, both historically and in comparison to that of other developed nations. At far higher rates than the general population, those in or entering U.S. jails and prisons are prone to many health problems. This is a problem not just for them, but also for the communities from which they come and to which, in nearly all cases, they will return. Health and Incarceration is the summary of a workshop jointly sponsored by the National Academy of Sciences(NAS) Committee on Law and Justice and the Institute of Medicine(IOM) Board on Health and Select Populations in December 2012. Academics, practitioners, state officials, and nongovernmental organization representatives from the fields of healthcare, prisoner advocacy, and corrections reviewed what is known about these health issues and what appear to be the best opportunities to improve healthcare for those who are now or will be incarcerated. The workshop was designed as a roundtable with brief presentations from 16 experts and time for group discussion. Health and Incarceration reviews what is known about the health of incarcerated individuals, the healthcare they receive, and effects of incarceration on public health. This report identifies opportunities to improve healthcare for these populations and provides a platform for visions of how the world of incarceration health can be a better place.




Correctional Psychiatry


Book Description

This collaborative text addresses the full range of issues faced by correctional psychologists and other mental health service providers who offer programs and services within correctional institutions--from critical program development and management issues to specific treatment options for special populations.




The Routledge International Handbook of Forensic Psychology in Secure Settings


Book Description

The Routledge International Handbook of Forensic Psychology in Secure Settings is the first volume to identify, discuss and analyse the most important psychological issues within prisons and secure hospitals. Including contributions from leading researchers and practitioners from the UK, US, Australia and Canada, the book covers not only the key groups that forensic psychologists work with, but also the treatment options available to them, workplace issues unique to secure settings, and some of the wider topics that impact upon offender populations. The book is divided into four sections: population and issues; treatment; staff and workplace issues; contemporary issues for forensic application. With chapters offering both theoretical rigour and practical application, this is a unique resource that will be essential reading for any student, researcher or practitioner of forensic psychology or criminology. It will also be relevant for those interested in social policy and social care.




Psychiatric Ethics


Book Description

Consideration of ethics has established a firm place in the affairs of psychiatrists. An increased professional commitment to accountability, together with a growing "consumer" movement has paved the way for a creative engagement with the ethical movement. Psychiatric Ethics has carved out a niche for itself as a major comprehensive text and core reference covering the many complex ethical dilemmas which face clinicians and researchers in their everyday practice. This new edition takes a fresh look at recent trends and developments at the interface between ethics and psychiatric practice.For this edition, Sydney Bloch and Paul Chodoff are joined by Stephen Green, a clinical professor in ethics and psychiatry at Georgetown University, in leading 29 of the finest scholars in the field from around the world. Eleven new contributors join the team of authors. They include Drs. Beauchamp, Gutheils, Sabin, McGuffin, Szmulter, Gabbard and Holmes. Since the second edition, the editors have observed several emerging aspects of psychiatric practice requiring coverage. As a result, six new chapters have been added covering the ethical aspects of community psychiatry, managed care, psychiatric genetics, resource allocation, codes of ethics and boundary violations. All others chapters have been fully revised and updated.The book will continue to be essential reading for psychiatrists and other mental health professionals, as well as of interest to ethicists, policy makers, managers and lawyers.




Ethical Issues in Clinical Forensic Psychiatry


Book Description

This work explores and discusses the ethical dilemmas clinicians face in everyday forensic psychiatry practice. We discuss and reflect on ethical issues involving treatment decisions such as antipsychotic polypharmacy, high doses antipsychotics and prescribing anti-libidinal medications. Ethical issues surrounding the use of technology for the management of mentally disordered offenders are explored in depth. The use of the polygraph test, a controversial method of truth facilitation for sex offenders, is discussed. Similarly, we discuss the use of "tagging" for serious offenders that despite being used in the United States of America for a while it has been heavily criticized and opposed. Tagging is gradually being introduced in the UK and other European countries, making consideration of the ethical issues and dilemmas surrounding its use both timely and necessary. This work is a valuable guide for clinicians working in forensic psychiatry settings, particularly when faced with ethical dilemmas concerning decisions around interventions.