Epidemiologie und Versorgung psychischer Störungen im europäischen Strafvollzug

 

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Zusammenfassung

Anliegen Standardisierte Beschreibung der Versorgungskonzepte für Straf- und Untersuchungsgefangene mit psychischen Störungen in 24 europäischen Ländern. Methode Erfassung administrativer Daten, Fragebogenerhebung bei nationalen Experten. Ergebnisse Die Regel ist eine gemischte Versorgung durch medizinische Gefängnisdienste und allgemeinpsychiatrische Einrichtungen, deren Versorgungsanteil nirgendwo beziffert ist. Die psychiatrischen Diagnose- und Behandlungsstrukturen im Strafvollzug sind defizitär, epidemiologische Maßzahlen werden nicht gesammelt. Schlussfolgerungen Die offizielle Datenlage ist dem Problem nicht angemessen. Die europaweite Standardisierung und fundamentale Verbesserung der Datenlage ist unabdingbar.

Abstract

Objective To provide a standardised description of psychiatric care and epidemiology of mentally disordered inmates of jails and prisons in 24 European countries. Methods Analysis of administrative national data, provided by national experts via detailed questionnaire. Results Most frequent model of care for mentally disordered prison inmates is a mixed provision of treatment by medical prison services and general psychiatric services from the national health services. However, the contribution of the latter is quantified nowhere. Psychiatric screening and assessment routines in prisons and jails are deficient. Specific treatment programs are lacking. Prevalence or incidence data is rarely collected on a national level. Conclusion The awareness of responsible authorities across Europe does not match the seriousness and urgency of the problem. An European standardisation and regular update of basic indicators of mental ill health in prison systems is essential.

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Prof. Dr. Hans Joachim Salize

Arbeitsgruppe Versorgungsforschung, Zentralinstitut für Seelische Gesundheit

J 5

68159 Mannheim

Email: hans-joachim.salize@zi-mannheim.de