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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.
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