Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period
Background: For incarcerated people, the immediate post-release period is characterized by a range of negative outcomes. The appointment scheduling delay for a psychiatric community consultation in this period is unknown. Methods: A fictional 24-year-old patient with a diagnosis of bipolar disorder...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2021-04-01
|
Series: | Journal of Affective Disorders Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915321000159 |
id |
doaj-232f4869772548158e9d98ba81c5d4a8 |
---|---|
record_format |
Article |
spelling |
doaj-232f4869772548158e9d98ba81c5d4a82021-04-22T13:42:26ZengElsevierJournal of Affective Disorders Reports2666-91532021-04-014100088Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release periodThomas Fovet0Antoine Lamer1Romain Teston2Tatiana Scouflaire3Pierre Thomas4Mathilde Horn5Ali Amad6Univ. Lille, Inserm, CHU Lille, U1172 - Lille Neuroscience & Cognition, F-59000 Lille, France; Centre national de ressources et de résilience Lille-Paris (CN2R), F-59000 Lille, France; Correspondence to: Unité d'Hospitalisation Spécialement Aménagée (UHSA) Lille-Seclin, Chemin du bois de l'hôpital, 59113 Seclin, France.Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des Technologies de santé et des Pratiques médicales, F-59000 Lille, FranceBoulogne-sur-Mer Hospital Center, F-62200, FranceUniv. Lille, Inserm, CHU Lille, U1172 - Lille Neuroscience & Cognition, F-59000 Lille, FranceUniv. Lille, Inserm, CHU Lille, U1172 - Lille Neuroscience & Cognition, F-59000 Lille, FranceUniv. Lille, Inserm, CHU Lille, U1172 - Lille Neuroscience & Cognition, F-59000 Lille, FranceUniv. Lille, Inserm, CHU Lille, U1172 - Lille Neuroscience & Cognition, F-59000 Lille, FranceBackground: For incarcerated people, the immediate post-release period is characterized by a range of negative outcomes. The appointment scheduling delay for a psychiatric community consultation in this period is unknown. Methods: A fictional 24-year-old patient with a diagnosis of bipolar disorder with comorbid cannabis use disorder was created and implemented in two different contexts: (1) a release from a prison of the French North district within 48 h (prison-released patient), (2) a move from another district to the French North district within 48 h (outpatient-moving patient). An independent investigator called the 39 outpatient psychiatric clinics of the French North district to get an appointment as quickly as possible for the two fictional patients. Results: In 12 centers out of 39, no appointment could be scheduled for the prison-released patient. For the 27 other centers, there was no statistical difference between the 2 fictional patients’ delay. Three centers refused to make an appointment for the prison-released patient while an appointment was given for the outpatient-moving patient. For the prison-released patient, the median delay was 21 days, which is not consistent with optimal support during the high-risk period of release. Limitations: Only outpatient psychiatric clinics of the French North district were called. Caution is then needed before generalizing the results. Conclusions: French mental health system does not allow for a proper management of the transition from prison to the community for people with mood disorders during the immediate post-release period.http://www.sciencedirect.com/science/article/pii/S2666915321000159Bipolar disorderPrisonPost-release periodHealthcare |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Thomas Fovet Antoine Lamer Romain Teston Tatiana Scouflaire Pierre Thomas Mathilde Horn Ali Amad |
spellingShingle |
Thomas Fovet Antoine Lamer Romain Teston Tatiana Scouflaire Pierre Thomas Mathilde Horn Ali Amad Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period Journal of Affective Disorders Reports Bipolar disorder Prison Post-release period Healthcare |
author_facet |
Thomas Fovet Antoine Lamer Romain Teston Tatiana Scouflaire Pierre Thomas Mathilde Horn Ali Amad |
author_sort |
Thomas Fovet |
title |
Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period |
title_short |
Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period |
title_full |
Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period |
title_fullStr |
Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period |
title_full_unstemmed |
Access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period |
title_sort |
access to a scheduled psychiatric community consultation for prisoners with mood disorders during the immediate post-release period |
publisher |
Elsevier |
series |
Journal of Affective Disorders Reports |
issn |
2666-9153 |
publishDate |
2021-04-01 |
description |
Background: For incarcerated people, the immediate post-release period is characterized by a range of negative outcomes. The appointment scheduling delay for a psychiatric community consultation in this period is unknown. Methods: A fictional 24-year-old patient with a diagnosis of bipolar disorder with comorbid cannabis use disorder was created and implemented in two different contexts: (1) a release from a prison of the French North district within 48 h (prison-released patient), (2) a move from another district to the French North district within 48 h (outpatient-moving patient). An independent investigator called the 39 outpatient psychiatric clinics of the French North district to get an appointment as quickly as possible for the two fictional patients. Results: In 12 centers out of 39, no appointment could be scheduled for the prison-released patient. For the 27 other centers, there was no statistical difference between the 2 fictional patients’ delay. Three centers refused to make an appointment for the prison-released patient while an appointment was given for the outpatient-moving patient. For the prison-released patient, the median delay was 21 days, which is not consistent with optimal support during the high-risk period of release. Limitations: Only outpatient psychiatric clinics of the French North district were called. Caution is then needed before generalizing the results. Conclusions: French mental health system does not allow for a proper management of the transition from prison to the community for people with mood disorders during the immediate post-release period. |
topic |
Bipolar disorder Prison Post-release period Healthcare |
url |
http://www.sciencedirect.com/science/article/pii/S2666915321000159 |
work_keys_str_mv |
AT thomasfovet accesstoascheduledpsychiatriccommunityconsultationforprisonerswithmooddisordersduringtheimmediatepostreleaseperiod AT antoinelamer accesstoascheduledpsychiatriccommunityconsultationforprisonerswithmooddisordersduringtheimmediatepostreleaseperiod AT romainteston accesstoascheduledpsychiatriccommunityconsultationforprisonerswithmooddisordersduringtheimmediatepostreleaseperiod AT tatianascouflaire accesstoascheduledpsychiatriccommunityconsultationforprisonerswithmooddisordersduringtheimmediatepostreleaseperiod AT pierrethomas accesstoascheduledpsychiatriccommunityconsultationforprisonerswithmooddisordersduringtheimmediatepostreleaseperiod AT mathildehorn accesstoascheduledpsychiatriccommunityconsultationforprisonerswithmooddisordersduringtheimmediatepostreleaseperiod AT aliamad accesstoascheduledpsychiatriccommunityconsultationforprisonerswithmooddisordersduringtheimmediatepostreleaseperiod |
_version_ |
1721514102201778176 |