2020
DOI: 10.3389/fpsyg.2020.01208
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‘Maybe It Is Only in Prison That I Could Change Like This’ The Course of Severe Mental Illnesses During Imprisonment – A Qualitative 3-Year Follow-Up Study From Chile

Abstract: Background: Severe mental illness (SMI) among imprisoned individuals is a global health concern. Quantitative research indicates on average mental health symptom improvements during imprisonment, however, it cannot reflect multifaceted factors influencing the course of SMI. This study aimed to explore the subjective course of SMI during imprisonment and to identify influencing factors. Methods: The study has a 3-year-follow-up design of imprisoned individuals in Chile. We conducted semi-structured interviews w… Show more

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Cited by 5 publications
(6 citation statements)
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“…In this scenario, accessing mental health care in the context of the custodial environment further traumatized this participant and was not therapeutic. Additional examples of stressful incarceration experiences reported by participants included needing to wear a figurative mask while in custody to hide their feelings (Keogh et al, 2017) and feeling powerless and frightened by the problems and fights within the prison environment and the crowded living conditions and consequent lack of privacy (Gabrysch et al, 2020; Jacobs & Giordano, 2018). These participant experiences highlight the nontherapeutic nature of custodial facilities, particularly for people with mental illness.…”
Section: Resultsmentioning
confidence: 99%
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“…In this scenario, accessing mental health care in the context of the custodial environment further traumatized this participant and was not therapeutic. Additional examples of stressful incarceration experiences reported by participants included needing to wear a figurative mask while in custody to hide their feelings (Keogh et al, 2017) and feeling powerless and frightened by the problems and fights within the prison environment and the crowded living conditions and consequent lack of privacy (Gabrysch et al, 2020; Jacobs & Giordano, 2018). These participant experiences highlight the nontherapeutic nature of custodial facilities, particularly for people with mental illness.…”
Section: Resultsmentioning
confidence: 99%
“…Participants made such statements as “[talking to a clinician was helpful], but it wasn't really helpful” when describing the limited therapeutic benefits they derived from their interactions with custodial mental healthcare staff (Jacobs & Giordano, 2018, p. 12). A participant in Gabrysch et al's study noted that “the only way to save me would be a psychologist, but here the psychologists sometimes just don't care about you” (Gabrysch et al, 2020, p. 10). Participants felt that clinicians were aligned to the goals of their custodial organization, rather than to patient need or preference (Jacobs & Giordano, 2018).…”
Section: Resultsmentioning
confidence: 99%
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“…It is possible to advise, as a criminal policy, to start the reduction of imprisonment as a form of social control, while prioritizing restorative, conciliatory, civil, and therapeutic alternatives to punishment, to reach abolition in the long term. In the medium term, the humanization of the prison, the improvement of the infrastructure and the prison service is an effective way to promote mental health (Gabrysch et al, 2020).…”
Section: Adverse Neuropsychological Effects Of Imprisonmentmentioning
confidence: 99%