Mental health in immigration detention: A comparison of foreign national ex-prisoners and other detainees.


Journal

Criminal behaviour and mental health : CBMH
ISSN: 1471-2857
Titre abrégé: Crim Behav Ment Health
Pays: England
ID NLM: 9309668

Informations de publication

Date de publication:
Aug 2021
Historique:
revised: 05 03 2021
received: 29 07 2020
accepted: 08 07 2021
entrez: 15 8 2021
pubmed: 16 8 2021
medline: 18 8 2021
Statut: ppublish

Résumé

People held in immigration removal centres have a range of vulnerabilities relating both to disappointment at imminent removal from the country of hoped-for residence and various antecedent difficulties. An important subgroup in the UK is of foreign national ex-prisoners who have served a period of incarceration there. Prisoners generally have higher rates of mental disorders than the general population. It is, however, not clear whether foreign national ex-prisoners in UK immigration removal centres have higher rates of mental disorders than other detainees. To compare the screened prevalence of mental disorders, levels of unmet needs and time in detention between foreign national ex-prisoners and others in Immigration Removal Centres in England. We conducted a secondary analysis of cross-sectional survey data from a previously published study in one Immigration Removal Centre. The 28 foreign national ex-prisoners had been in immigration detention for longer and reported greater levels of unmet needs than the other 66 detainees. The highest levels of unmet needs among the foreign national ex-prisoners were in the areas of psychological distress and intimate relationships. After adjusting for time spent in detention, there was evidence to suggest that foreign national ex-prisoners had a higher screened prevalence of substance use disorders, autism spectrum disorders and attention-deficit hyperactivity disorder than the other detainees. This study supports the view that foreign national ex-prisoners are a vulnerable group within immigration detention who have needs for enhanced and specialist service provision, including appropriate arrangements for health screening and active consideration to alternatives to their detention.

Sections du résumé

BACKGROUND BACKGROUND
People held in immigration removal centres have a range of vulnerabilities relating both to disappointment at imminent removal from the country of hoped-for residence and various antecedent difficulties. An important subgroup in the UK is of foreign national ex-prisoners who have served a period of incarceration there. Prisoners generally have higher rates of mental disorders than the general population. It is, however, not clear whether foreign national ex-prisoners in UK immigration removal centres have higher rates of mental disorders than other detainees.
AIMS OBJECTIVE
To compare the screened prevalence of mental disorders, levels of unmet needs and time in detention between foreign national ex-prisoners and others in Immigration Removal Centres in England.
METHODS METHODS
We conducted a secondary analysis of cross-sectional survey data from a previously published study in one Immigration Removal Centre.
RESULTS RESULTS
The 28 foreign national ex-prisoners had been in immigration detention for longer and reported greater levels of unmet needs than the other 66 detainees. The highest levels of unmet needs among the foreign national ex-prisoners were in the areas of psychological distress and intimate relationships. After adjusting for time spent in detention, there was evidence to suggest that foreign national ex-prisoners had a higher screened prevalence of substance use disorders, autism spectrum disorders and attention-deficit hyperactivity disorder than the other detainees.
CONCLUSIONS/IMPLICATIONS FOR CLINICAL PRACTICE CONCLUSIONS
This study supports the view that foreign national ex-prisoners are a vulnerable group within immigration detention who have needs for enhanced and specialist service provision, including appropriate arrangements for health screening and active consideration to alternatives to their detention.

Identifiants

pubmed: 34392577
doi: 10.1002/cbm.2207
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

275-287

Subventions

Organisme : The travel and costs of the researchers were paid by King's College London

Informations de copyright

© 2021 The Authors. Criminal Behaviour and Mental Health published by John Wiley & Sons Ltd.

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Auteurs

Piyal Sen (P)

Department of Life Sciences, Brunel University, London, UK.

Grace Crowley (G)

Southmead Hospital, North Bristol NHS Trust, Bristol, UK.

Claira Moro (C)

Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.

Karen Slade (K)

Division of Psychology, Nottingham Trent University, Nottingham, UK.

Al Aditya Khan (AA)

The Bracton Centre, Oxleas NHS Foundation Trust, Dartford, UK.

Cornelius Katona (C)

Helen Bamber Foundation, London, UK.

Andrew Forrester (A)

School of Medicine, Cardiff University, Cardiff, UK.

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