PMID- 18086741
OWN - NLM
STAT- MEDLINE
DCOM- 20080314
LR  - 20071218
IS  - 1093-6793 (Print)
IS  - 1093-6793 (Linking)
VI  - 35
IP  - 4
DP  - 2007
TI  - Current and lifetime psychiatric illness among inmates not identified as acutely 
      mentally ill at intake in Connecticut's jails.
PG  - 490-500
AB  - This study presents estimates of current and lifetime psychiatric illness among 
      inmates not identified as acutely mentally ill at intake into all five of 
      Connecticut's adult jails (four male facilities and one female facility). 
      Diagnoses were assessed with the Structured Clinical Interview for DSM-IV (SCID), 
      Clinician-Administered PTSD Scale, and the Global Assessment of Functioning (GAF) 
      and are reported by gender and race/ethnicity. The results showed that more than 
      two of three inmates met the criteria for at least one lifetime psychiatric 
      disorder, almost half for an anxiety disorder, and more than one-third for an 
      affective disorder. Overall, estimates of psychiatric morbidity in the women were 
      higher than those in the men, with the exception of antisocial personality 
      disorder (ASPD). Of particular note, borderline personality disorder was 
      diagnosed in 23.2 percent of women and 12.9 percent of men. An allegation of a 
      violent offense was not associated with the presence of mental illness or with a 
      specific diagnosis. Lifetime history of any mental illness was associated with 
      significantly reduced scores (range, 12-15 points reduction) on the Global 
      Assessment of Functioning. The study showed that current and lifetime psychiatric 
      morbidity are elevated among newly incarcerated adults who do not exhibit obvious 
      signs of severe mental illness and are associated with functional impairment. 
      While such disorders do not necessarily require treatment, unrecognized mental 
      illness may place offenders at greater risk while incarcerated than offenders 
      without mental illness. This study reinforces the need for appropriate screening 
      and referral for treatment at intake into jail.
FAU - Trestman, Robert L
AU  - Trestman RL
AD  - Center for Correctional Mental Health Services Research, University of 
      Connecticut Health Center, Farmington, CT 06030-5386, USA. trestman@uchc.edu
FAU - Ford, Julian
AU  - Ford J
FAU - Zhang, Wanli
AU  - Zhang W
FAU - Wiesbrock, Valerie
AU  - Wiesbrock V
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - J Am Acad Psychiatry Law
JT  - The journal of the American Academy of Psychiatry and the Law
JID - 9708963
SB  - IM
MH  - Adult
MH  - Connecticut/epidemiology
MH  - Female
MH  - Humans
MH  - Interview, Psychological
MH  - Male
MH  - Mass Screening
MH  - Mental Disorders/diagnosis/*epidemiology/ethnology
MH  - Prisoners/*psychology
EDAT- 2007/12/19 09:00
MHDA- 2008/03/15 09:00
CRDT- 2007/12/19 09:00
PHST- 2007/12/19 09:00 [pubmed]
PHST- 2008/03/15 09:00 [medline]
PHST- 2007/12/19 09:00 [entrez]
AID - 35/4/490 [pii]
PST - ppublish
SO  - J Am Acad Psychiatry Law. 2007;35(4):490-500.