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The prevalence of major mental illness, substance misuse and homelessness in Irish prisoners; systematic review and meta-analyses.

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dc.contributor.author Gulati, Gautam
dc.contributor.author Keating, N.
dc.contributor.author O'Neill, Aoife
dc.contributor.author Delaunois, I.
dc.contributor.author Meagher, David
dc.contributor.author Dunne, Colum P.
dc.date.accessioned 2019-03-25T15:07:00Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/7721
dc.description peer-reviewed en_US
dc.description The full text of this article will not be available in ULIR until the embargo expires on the 09/05/2019
dc.description.abstract Aims. To systematically review studies from Irish prisons that estimate the prevalence of major mental illness, alcohol and substance misuse, and homelessness at the time of committal. Methods. Healthcare databases were searched for studies quantifying the point prevalence for each outcome of interest. Searches were augmented by scanning of bibliographies and searches of governmental and non-governmental websites. Proportional meta-analyses were completed for each outcome. Results. We found eight, six and five studies quantifying the point prevalence of major mental illness, substance misuse, and homelessness respectively. Considerable heterogeneity was found for each subgroup (except psychosis where substantial heterogeneity was observed) and random effects models were used to calculate pooled percentages. The pooled percentage for psychotic disorder was 3.6% [95% confidence interval (CI) 3.0–4.2%], for affective disorder 4.3% (95% CI 2.1–7.1%), for alcohol use disorder 28.3% (95% CI 19.9–37.4%), for substance use disorder 50.9% (95% CI 37.6–64.2%) and for those who were homeless on committal 17.4% (95% CI 8.7–28.4%). Conclusions. Estimates for the prevalence of psychotic illness and substance abuse amongst Irish prisoners are in keeping with international estimates of morbidity in prisons, whilst those for affective disorders are lower. The prevalence of homelessness in committal to Irish prisons is higher than some international estimates. Rates for psychoses, alcohol and substance misuse as well as homelessness in Irish prisons are significantly higher than the general population prevalence of these vulnerabilities. A need for service development is discussed. en_US
dc.language.iso eng en_US
dc.publisher Cambridge University Press en_US
dc.relation.ispartofseries Irish Journal of Psychological Medicine;
dc.relation.uri https://doi.org/10.1017/ipm.2018.15
dc.rights Material on these pages is copyright Cambridge University Press or reproduced with permission from other copyright owners. It may be downloaded and printed for personal reference, but not otherwise copied, altered in any way or transmitted to others (unless explicitly stated otherwise) without the written permission of Cambridge University Press. Hypertext links to other Web locations are for the convenience of users and do not constitute any endorsement or authorisation by Cambridge University Press. en_US
dc.subject addiction en_US
dc.subject homelessness en_US
dc.subject mental disorder en_US
dc.subject prison en_US
dc.subject substance misuse en_US
dc.title The prevalence of major mental illness, substance misuse and homelessness in Irish prisoners; systematic review and meta-analyses. en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2019-03-25T15:00:18Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1017/ipm.2018.15
dc.date.embargoEndDate 2019-05-09
dc.embargo.terms 2019-05-09 en_US
dc.rights.accessrights info:eu-repo/semantics/embargoedAccess en_US
dc.internal.rssid 2741160
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Irish Journal Of Psychological Medicine
dc.description.status peer-reviewed


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