This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward. Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients' socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more. Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.

This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward. Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients' socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more. Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.

Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.