Mental health of people detained within the justice system in Africa: systematic review and meta-analysis.
Journal
International journal of mental health systems
ISSN: 1752-4458
Titre abrégé: Int J Ment Health Syst
Pays: England
ID NLM: 101294224
Informations de publication
Date de publication:
2019
2019
Historique:
received:
27
11
2018
accepted:
15
03
2019
entrez:
14
5
2019
pubmed:
14
5
2019
medline:
14
5
2019
Statut:
epublish
Résumé
Worldwide, people with mental disorders are detained within the justice system at higher rates than the general population and often suffer human rights abuses. This review sought to understand the state of knowledge on the mental health of people detained in the justice system in Africa, including epidemiology, conditions of detention, and interventions. We included all primary research studies examining mental disorders or mental health policy related to detention within the justice system in Africa. 80 met inclusion criteria. 67% were prevalence studies and meta-analysis of these studies revealed pooled prevalence as follows: substance use 38% (95% CI 26-50%), mood disorders 22% (95% CI 16-28%), and psychotic disorders 33% (95% CI 28-37%). There were only three studies of interventions. Studies examined prisons (46%), forensic hospital settings (37%), youth institutions (13%), or the health system (4%). In 36% of studies, the majority of participants had not been convicted of a crime. Given the high heterogeneity in subpopulations identified in this review, future research should examine context and population-specific interventions for people with mental disorders.
Identifiants
pubmed: 31080500
doi: 10.1186/s13033-019-0273-z
pii: 273
pmc: PMC6501291
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
31Subventions
Organisme : Medical Research Council
ID : MR/S001255/1
Pays : United Kingdom
Organisme : NIMH NIH HHS
ID : R01 MH100470
Pays : United States
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
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