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Research ArticleRegular Article

Challenges for Canada in Meeting the Needs of Persons with Serious Mental Illness in Prison

Alexander I. F. Simpson, Jeffry J. McMaster and Steven N. Cohen
Journal of the American Academy of Psychiatry and the Law Online December 2013, 41 (4) 501-509;
Alexander I. F. Simpson
Dr. Simpson is Associate Professor and Chief of Forensic Psychiatry, Dr. McMaster is Assistant Professor, and Dr. Cohen is Clinical Lecturer, Centre for Addiction and Mental Health and University of Toronto, Toronto, Ontario, Canada.
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Jeffry J. McMaster
Dr. Simpson is Associate Professor and Chief of Forensic Psychiatry, Dr. McMaster is Assistant Professor, and Dr. Cohen is Clinical Lecturer, Centre for Addiction and Mental Health and University of Toronto, Toronto, Ontario, Canada.
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Steven N. Cohen
Dr. Simpson is Associate Professor and Chief of Forensic Psychiatry, Dr. McMaster is Assistant Professor, and Dr. Cohen is Clinical Lecturer, Centre for Addiction and Mental Health and University of Toronto, Toronto, Ontario, Canada.
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    Table 1

    Prevalence Studies of Serious Mental Illness in Canadian Prisons

    StudySample and Measure Used; ToolPrevalence of SMI (Lifetime)
    Bland et al.35180 Provincial inmates, random sample; DISSchizophrenia (2.2%)
    Mania 3.3% (4.4%)
    Depression 13.9 (16.7%)
    Motiuk and Porporino362812 Stratified federally sentenced males, random sample; DISPsychosis 3% (10.4%)
    Depression 5% (21.5%) dysthymia included
    Gingell (unpublished data)317 Consecutive city jail admissions; 107 random federal inmates; BPRS, DISSchizophrenia 8%
    Hodgins and Cote37495 Federal inmates, random sample; DISPsychosis 5%
    BAD 2.8%,
    MDD 7.5%
    Roesch38790 Remand inmates, consecutive sample; DISSchizophrenia 5%
    Arboleda-Florez et al.391151 Remand inmates, random sample; SCIDSchizophrenia 1%
    Mania 0.4%,
    MDD 3%
    Blanchette and Motiuk4076 Female federal (57% of total female population) inmates, non-random sample; DISDepression 33%
    Wormith and McKeague412500 Offenders, survey of parole files; File reviewPsychotic disorder (8.9%)
    Mood disorder (15.5%)
    Corrado et al.42192 Male remanded inmates, random sample; DISSchizophrenia 4.9%
    Mania 4.1%
    Major depression 6.1%
    Brink et al.43202 Male federal newly sentenced inmates, random sample; SCIDPsychosis (5.5%)
    MDD 4.5% (18.3%)
    Bipolar 0.5% (2%)
    • BAD, bipolar affective disorder; BPRS, Brief Psychiatric Rating Scale; DIS, Diagnostic Interview Schedule; MDD, major depressive disorder; SCID, Structured Clinical Interview for DSM Disorders.

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Journal of the American Academy of Psychiatry and the Law Online: 41 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 41, Issue 4
1 Dec 2013
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Challenges for Canada in Meeting the Needs of Persons with Serious Mental Illness in Prison
Alexander I. F. Simpson, Jeffry J. McMaster, Steven N. Cohen
Journal of the American Academy of Psychiatry and the Law Online Dec 2013, 41 (4) 501-509;

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Challenges for Canada in Meeting the Needs of Persons with Serious Mental Illness in Prison
Alexander I. F. Simpson, Jeffry J. McMaster, Steven N. Cohen
Journal of the American Academy of Psychiatry and the Law Online Dec 2013, 41 (4) 501-509;
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