Dual diagnosis and criminal justice
Prisoners are particularly vulnerable to developing mental health problems. Histories of abuse, deprivation, homelessness, unemployment and substance misuse are common. Many prisoners have numeracy and literacy problems and a lower than average IQ. In the United Kingdom, more than 70% of the prison population has two or more mental health disorders. A review of 62 prison studies covering more than 23,000 prisoners worldwide found that 3.7 % of all male and 4% of all female prisoners had a psychotic disorder, 10 % of all male and 12% of all female prisoners suffered from major depression, 47 % fulfilled the criteria for an antisocial personality disorder, although there were also high rates of borderline personality disorder. A diagnosis of personality disorder in prisoner populations is strongly associated with substance misuse.
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