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 Level » Research
Keywords » Ethics - Forensic Psyciatry - Mental Disorders - Prison Psychiatry - Psychiatric Health Care
Related subjects » Applied Ethics & Social Responsibility - Criminal Law and Criminology - Medicine - Political Science - Psychiatry
TABLE OF CONTENTS
1. Introduction 1.1. Prison psychiatry (Norbert Konrad) 1.2. Ethics within the prison system (Helmut Pollähne) 1.3. The Evolution of Punishment and Incarceration (George B. Palermo) 1.4. Is integration of prison health services into general health services a solution to some of the ethical problems encountered in prison psychiatry? (E Kjelsberg, P Hartvig, A. B. Rustad) 1.5. Ethics of research in prison psychiatry (Julio Arboleda-Flóres & David Weisstub 2. Special problems in different countries 2.1. Ethical issues in Australian prison psychiatry (Danny Sullivan) 2.2. Ethical problems in prison psychiatry: Belgium (Paul Cosyns) 2.3. Forensic mental health care in Brazil (José G. V. Taborda, Lisieux E. B. Telles, Maurício Cardoso) 2.4. Psychiatric treatment in the detention systems of Quebec, trying to merge carceral and therapeutic cultures (Jocelyne Aubut, Jean-Luc Dubreucq, Marie-Hélène Régnier) 2.5. Special problems in France (Bruno Graviers) 2.6. Germany (Norbert Konrad) 2.7. Mentally ill prisoners: Indian perspective (Siva Nambi, Janannathan Srinivasaraghavan) 2.8. Ethical Issues in Prison Psychiatry in Israel (Jacob Margolin, Moshe Birger, Eliezer Witztum) 2.9. Current status of prison psychiatry and its relations with general psychiatry in Japan (Yoji Nakatani, Osamu Kuroda) 2.10. Latvia (Maris Taube, Anita Apisite, Rasma Klotina) 2.11. Ethical Issues in African Prison Psychiatry: Kenya (David M. Ndetei, Ambrose Rachier) 2.12. The Netherlands (C.H. de Kogel, Stefan Bogaerts) 2.13. Ethical problems in the mental healthcare for inmates in Poland (S Telesnicki, T Hadrys, A Kiejna) 2.14. Ethical isues in prison psychiatry in Romania (Nicoleta Tataru) 2.15. Ethical issues of psychiatric care in Slovenia (Vita Poštuvan, Tanja Madjar, Marco Sarchiapone) 2.16. Spain (Luis Fernando Barrios Flores & Francisco Torres-Gonzáles) 2.17. Ethical isues in prison psychiatry in Sweden (Orsolya Hoffmann & Lennart Mossberg) 2.18. Special Problems in Switzerland (Bruno Graviers) 2.19. Current ethical challenges in prison psychiatry in England & Wales (Adarsh Kaul, Birgit Völlm) 2.20. Ethical issues in prison psychiatry in the USA (Annasseril Daniel) 3. Conclusions (Norbert Konrad, Birgit Völlm & David Weisstub)