{"title":"Mental and behavioral disorders in the prison context.","authors":"Helen Gómez-Figueroa, Armando Camino-Proaño","doi":"10.18176/resp.00052","DOIUrl":"https://doi.org/10.18176/resp.00052","url":null,"abstract":"<p><strong>Introduction: </strong>During the execution of sentences in prison units, there are deficiencies within the adaptation mechanisms of persons deprived of liberty, this varies depending on the place where they serve the sanction and the length of stay in it.</p><p><strong>Objectives: </strong>To collect information on the prevalence of mental and behavioural disorders in the prison setting, as well as the importance of early psychiatric intervention.</p><p><strong>Material and method: </strong>Theoretical review. Primary sources of information: scientific articles from indexed journals, in specialized medical information search engines. Original publications on mental and behavioural disorders in the prison and prison context were included, from 2016 to April 2021, with an analytical, observational, prospective, retrospective, cross-sectional and randomized design, systematic reviews and meta-analyzes, complete articles, carried out in any country, with subjects over 15 years of age, of any sex or gender, in English and Spanish.</p><p><strong>Results: </strong>16 articles were included in this theoretical review. The prevalence of mental disorders within the prison population is high; depression, anxiety, substance use and psychotic disorders predominate. The importance of having mental health programmes in prisons, with initial diagnosis and personalized interventions, was observed. The authors recommend psychopharmacological interventions and cognitive behavioural management.</p><p><strong>Discussion: </strong>The need to restructure the mental health approach in prisons was evidenced, and early diagnosis and personalized follow-up should be guaranteed. Pharmacological intervention and, to a greater degree, cognitive behavioural therapy seem to be effective for these types of patients.</p>","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"24 2","pages":"66-74"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/85/2013-6463-sanipe-24-02-66.PMC9578298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40339355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Jiménez-Vinaja, M. Imbernón, A. Parés-Bayerri, G. Oña, Ò. Parés, JC Bouso
{"title":"Jailhouse rock: Health status, patterns of use, and subjective benefits of cannabis use in a sample of inmates in Spanish prisons","authors":"R. Jiménez-Vinaja, M. Imbernón, A. Parés-Bayerri, G. Oña, Ò. Parés, JC Bouso","doi":"10.18176/resp.00044","DOIUrl":"https://doi.org/10.18176/resp.00044","url":null,"abstract":"Abstract Objectives To assess the perceived health and quality of life, perceived social support, prison life, and cannabis use among a sample of inmates in Spanish prisons. Material and methods We hosted a discussion with inmates in order to learn their reasons for using cannabis (phase 1). Then, a questionnaire was prepared specifically for this study (phase 2), containing indicators from the Catalan Health Survey and other items regarding patterns of cannabis use and life in prison. The questionnaire was administered by the authors to a sample of Catalan inmates. Results and discussion A sample of 63 inmates completed the questionnaire. Cannabis was used mainly for therapeutic purposes, which can be interpreted as a coping strategy related to the stress associated with prison life. Nearly half of the subjects used cannabis as a substitute for prescription medications and illicit drugs. It was found that the only variable that predicted self-perceived health status was the number of visits inmates received. This suggests that social support is a key factor for improving the health and well-being of inmates. Cannabis use in prison seems to be related to coping with a challenging context. The benefits and risks of this practice need to be further researched.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"24 1","pages":"9 - 14"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67718849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Substantial concordance between transient elastography and APRI and FIB-4 combination amongst hepatitis C inmates with non advanced liver fibrosis","authors":"E. Yela, N. Sole, S. Quintero","doi":"10.18176/resp.00047","DOIUrl":"https://doi.org/10.18176/resp.00047","url":null,"abstract":"Abstract Objectives To establish concordance between transient elastography (TE) and non invasive markers (NIM) APRI and FIB-4 combination in cronic hepatitis C (HC) patients with non-advanced liver fibrosis (NALF). Material and method Multi-centre retrospective study carried out at two different Barcelona Prisons HC inmates who had the TE done at 2019. We compared the ET vs. NIM results. The NALF consideration was ≤2 (≤12.5 Kilopascal (kPa) in TE). In the NALF cases was calculated de NIM APRI and FIB-4 and the kappa index agreement was established between TE and NIM. Results 107 cases were included, but only 82 were assessable. The average age was 42 (DS: ±3.2) years. The 96.5% were men, 51.2% spanish, 70.7% drug users and 39% HIV co infected. The 45.1% of those HC infected had genotipe 1. The 90.2% of the evaluated patients by TE the ALD was not detected. The kappa index was 0.78. 65 (79.3%) studied inmates got HC treatment. The 20.7% could not be treated because the evaluation was not completed. Conclusion Most of the HC infected inmates have no ALD, and in such cases concordance between NIM/TE is substantial. The NIM can be used to shorten the evaluation time and prescribe the treatment faster, especially if the length of stay in prison is short and risk of transmission is high.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"24 1","pages":"33 - 37"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67719002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthy prisons: analysis of health promotion in Catalonian prisons","authors":"S. Chaer-Yemlahi Serroukh, FX Freixenet Ramírez","doi":"10.18176/resp.00046","DOIUrl":"https://doi.org/10.18176/resp.00046","url":null,"abstract":"Abstract Introduction There is currently sufficient evidence that health can be created through certain strategies combined and maintained long enough to produce measurable results: this is what is called health promotion. The World Health Organization has promoted programs based on healthy environments; among them we highlight healthy prisons. Living conditions in a penitentiary are extraordinarily specific, and involve limitations that can have significant health consequences. However, prisons can be environments for health, since there is the effective possibility of promoting it. Objectives To analyze the implementation of health promotion in prisons in Catalonia. Material and method Retrospective and observational cross-sectional multi-centre study, carried out on a sample of 29 nurses who worked in the closed-regime prisons in Catalonia between 2019 and 2020. The information collection instrument is made up of an ad-hoc questionnaire (Annex 1). A descriptive analysis of the socio-demographic variables and the variables of the study was carried out. A comparative analysis is performed using correlation and linear regression models. Results 82.8% of those surveyed state that a health promotion project is being carried out in the prison where they work, with mental health being the most carried out programs, followed by tobacco and drug cessation. Discussion The results show that health promotion policies are currently being developed in the Catalan prison environment.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"24 1","pages":"23 - 32"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48220163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical and epidemiological characteristics of prisoners infected and deceased by COVID-19, National Penitentiary Institute of Peru, 2020","authors":"A. Sindeev, BM Martínez-Álvarez","doi":"10.18176/resp.00045","DOIUrl":"https://doi.org/10.18176/resp.00045","url":null,"abstract":"Abstract Objectives To describe the clinical and epidemiological characteristics of inmates who were infected and died from COVID-19 in Peruvian prisons from April to October 2020. Material and method Descriptive, cross-sectional, retrospective study with a secondary data source. All the inmates who were infected and died from COVID-19 in Peruvian prisons during the study period were considered. The information was collected through the validated data collection sheet and was analyzed with descriptive statistics applying the SPSS v26 software. Results 37,103 (42.3%) inmates were analyzed out of a prison population of 87,754. All of them reactive to the rapid test, with a mean age of 39.9 ± 12.6 years; 95.5% were male. 60.1% were IgG reactive; 36.1% were IgM/IgG reactive and 3.8% were IgM reactive. 20.1% of reactive inmates had COVID-19 symptoms at the time of testing. The most frequent symptoms were headache (55.6%), general malaise (49.7%), fever (49.0%) and cough (48.0%). Among the risk factors for COVID-19 were: age over 60 years (8.4%), high blood pressure (2.8%) and diabetes mellitus (2.4%). 445 deaths were registered. Total fatality reached 1.2% of the number of infected. The highest number of deaths was recorded in April and May (89 and 162, respectively). Discussion The study findings imply different approaches to managing epidemics in the prison context compared to the general population. The short and long term scenarios are uncertain, but the need to reorganize the prison health system, and to prioritise and modernise it are evident. The long-delayed reform of the prison system and the measures that set out to contain the spread of the COVID-19 disease in prisons are related processes in this regard.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"79 1","pages":"15 - 22"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67718918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scientific contribution of the 13th National Conference and the 21st Symposia of the Spanish Society of Prison Health, held in Alcalá de Henares, Madrid.","authors":"A Marco, R Moreno","doi":"10.18176/resp.00043","DOIUrl":"10.18176/resp.00043","url":null,"abstract":"","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"24 1","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48046451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is mass screening enough to control tuberculosis in Ecuador’s prisons?","authors":"I. Valcárcel-Pérez, J. Molina, Z. Fuentes","doi":"10.18176/resp.00038","DOIUrl":"https://doi.org/10.18176/resp.00038","url":null,"abstract":"Abstract Objective To evaluate mass screening campaigns for tuberculosis in prisoners in Ecuador. Material and method Cross-sectional study of Chronic Cough (CC) detected amongst inmates who entered two prisons in Ecuador between January and December 2016 (n = 12,365). The time distribution of the CCs was analyzed with the uniformity test and its relationship with the diagnosed cases of PTB, the prevalence of PTB was calculated. A logistic regression model was performed to determine the factors modifiers of PTB positivity. Results 1.332 chronic cougher were recorded, the positivity rate was 17.3% (95% CI, 15.1-19.4), and the prevalence was 1.9% (95% CI, 1.6 - 2.1). There was an absence of uniformity in the detection and diagnosis by epidemiological weeks; there was a positive correlation between CC and PTB cases. The positivity rate was associated with the prison with the highest density (adjusted OR 3.8; 95% CI, 2.5-5.5). Discussion Massive screening campaigns are not enough to control tuberculosis in Ecuador’s prisons. The incidence found is high. It is necessary to strengthen the diagnostic process to treat all the cases found and thus break the chain of transmission.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"23 1","pages":"108 - 114"},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49447379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of penitentiary, social and legal operators’ perceptions of prison inmates with intellectual disabilities","authors":"J. García-Martínez, C. Álvarez","doi":"10.18176/resp.00040","DOIUrl":"https://doi.org/10.18176/resp.00040","url":null,"abstract":"Abstract Objective To analyze the different perceptions of professionals about the problem of intellectual disability in the prison setting. Material and method Exploratory-descriptive type. In-depth interviews with legal, social and prison operators of Centro Penitenciario de Zuera (Zaragoza). Results The narratives of the interviewed subjects point to the aggravating circumstances that a closed social environment can entail for inmates with intellectual disabilities. Communications in the prison administration are written in a technical language that is not understandable for inmates with intellectual deficits. Discusion There is a need to give more visibility to the case of inmates with intellectual disabilities. Procedures also need to be applied that favour greater cognitive accessibility for this profile of inmates, along with the promotion of awareness raising and training for professionals to enable them to deal with this issue.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"79 1","pages":"115 - 118"},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67718804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnosis and treatment of hepatitis B. What contributions can prisons make?","authors":"M. Vergara","doi":"10.18176/resp.00041","DOIUrl":"https://doi.org/10.18176/resp.00041","url":null,"abstract":"Abstract Hepatitis B is a parenterally and sexually transmitted infection. Vaccination for the disease is highly effective, and its inclusion in Spain as part of a systematic and universal schedule for newborns has led to a significant decrease of incidence in the national population. However, the number of inmates born in other countries some from endemic areas of HBV infection -, the mechanisms of transmission and lack of vaccination in third world countries mean that its prevalence in the prison population is higher than in the general population. These institutions therefore play an essential role in detecting and managing hepatitis B. In this paper, the situation of hepatitis B in prisons is reviewed and recommendations are proposed to optimize its control.","PeriodicalId":30044,"journal":{"name":"Revista Espanola de Sanidad Penitenciaria","volume":"16 1","pages":"119 - 127"},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67718817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}