Prisoners at ultra-high-risk for XXXX : a cross-sectional study.

@entity1 @entity1032 @entity308 @entity146 @entity148 @entity716 @entity306
UNASSIGNED: Background. The definition of ultra-high risk (UHR) for @entity716 was derived from community-based help-seeking populations. Prisoners have high rates of @entity716 and other severe @entity1032 ( @entity1032 ) problems. They also have high rates of risk factors for @entity146 morbidity and yet they are among the populations who are less likely to seek help in the community. Despite a policy of equivalence of care for individuals in prison there are no early intervention services for @entity716 in prisons in the UK. This was a study exploring feasibility of introducing such a service into a local London prison. This paper discusses the differences in @entity1032 profile of prisoners who met criteria for at-risk mental state compared with those who did not. Method. A two-stage procedure was used. @entity1 in a local London prison were routinely screened in the first week of arrival in prison with the Prodrome Questionnaire - Brief Version (PQ-B; Loewy et al. 2011). Those that screened positive as well as a small sample of those who screened negative underwent a further semi-structured assessment to see whether they met criteria for UHR state. Data on self-harm and suicide attempt, family @entity146 history, and @entity148 and @entity308 was also collected. Results. A total of 891 prisoners were screened, 44% of whom screened positive. A total of 354 underwent second stage assessment, 60 of whom had screened negative. Four groups were identified: those that had no @entity1032 problems, a group experiencing First Episode Psychosis, those at UHR of @entity716 and a group with other @entity1032 problems. The UHR state and Psychotic groups had very similar @entity1032 profiles of symptoms and distress. Prisoners with no @entity1032 problems were at the other end of the spectrum with few symptoms and @entity306 . The Other group fell in between this group and the @entity716 spectrum group in terms of symptomology and distress. Conclusions. This study is the first to examine risk for @entity716 in an adult male prison population. We identified a broad spectrum of @entity146 for which there is little current service provision in prisons. Screening early in the custodial process has the potential to identify unmet @entity1032 need and has implications for keeping individuals safe in custody. A long-term strategic approach is required to address @entity1032 need in prisons.
