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Mental Disorder Among Prisoners - Toward an Epidemiologic Inventory (Paperback)
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Mental Disorder Among Prisoners - Toward an Epidemiologic Inventory (Paperback)
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What do we know about the mental health of inmates? What are the
implications of what we know? Nathaniel J. Pallone characterizes
opinion on these questions as falling into two broad camps: the
"tender-hearted," those who see an overlap between mental illness
and criminal behaviour, and are treatment-oriented; and the
"tough-minded," those who have little confidence in psychiatric
categories, do not really accept arguments about diminished
responsibility, and who feel the emphasis should be on punishment.
Which is closer to the truth? When this book was first published,
the incidence of mental disorder among prisoners was nearly four
times greater than among comparable groups in the general
population in part because prisoners are disproportionately drawn
from demographic groups with a high incidence of mental
disorder-non-white and from lower socioeconomic strata. But other
data is equally dismaying: mental retardation is 50 percent higher;
alcohol and drug abuse is between five and eight times greater; and
neurogenic disorders may be 1,700 times greater. In all categories
of mental illness, the incidence among prisoners is far higher than
among the general population. Pallone asserts that evidence
suggests that the design and implementation of mental health care
needs serious revaluation, particularly in view of Supreme Court
decisions mandating mental health care despite obstacles with
implementation. Palone saw mental health care as the primary issue
for those who manage prisons. Sadly, this remains as true as when
this book was first published.
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