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An optimal trauma-informed pathway for PTSD, complex PTSD and other mental health and psychosocial impacts of trauma in prisons: an expert consensus statement
,
Jack Tomlin,
Natasha Kalebic,
Sarah Argent,
Claudia Berrington,
Edward Chaplin,
Jason Davies ,
Matthew Hoskins,
Lucie James,
Manuela Jarrett,
Oliver John,
Lewis Jones,
Radha Kothari,
Imogen Kretzschmar,
Deirdre MacManus,
Michael Martin,
Iain McKinnon,
Gwen O'Connor,
Madeline Petrillo,
Marie Phillips,
Rob Poole,
Isidora Popovic,
Alexander Simpson,
Pamela Taylor,
Sarah Wigham,
Andrew Forrester
Psychology, Crime & Law
Swansea University Author:
Jason Davies
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© 2024 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (CC-BY-NC-ND).
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DOI (Published version): 10.1080/1068316x.2024.2394807
Abstract
People in prisons have high levels of trauma exposure throughout their lives. Presentations are often complex, with a high prevalence of PTSD and CPTSD and other mental health comorbidities. Prisons themselves can be stressful and traumatising environments. There are challenges in the delivery of ef...
| Published in: | Psychology, Crime & Law |
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| ISSN: | 1068-316X 1477-2744 |
| Published: |
Taylor & Francis
2024
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa67664 |
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| Abstract: |
People in prisons have high levels of trauma exposure throughout their lives. Presentations are often complex, with a high prevalence of PTSD and CPTSD and other mental health comorbidities. Prisons themselves can be stressful and traumatising environments. There are challenges in the delivery of effective treatments for PTSD and CPTSD. There is a need for the development of effective clinical pathways for these conditions that are embedded within trauma-informed organisational approaches. Responding to this need, this report is the result of a multidisciplinary expert consensus meeting and review of the research literature on PTSD, CPTSD, associated comorbidities and optimal approaches to trauma-informed practice. The group consisted of 24 expert representatives from psychology, psychiatry, healthcare, academia, social care and Welsh Government. The meeting commenced with presentations on various aspects of the clinical pathway for PTSD and complex PTSD in prisons, and of applications of trauma-informed practice within prisons. Small sub-groups then provided practical recommendations and solutions relevant to their assigned topic. Findings were presented to all meeting attendees for another round of discussion and debate, until consensus was reached. The resulting recommendations provide guidance to improve identification, treatment and support for people living in prison who have experienced trauma. |
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| Keywords: |
Post-traumatic stress disorder, complex post-traumatic stress disorder, trauma-informed, prisons, clinical pathways |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
We thank the Offender Health Research Network Cymru (Cardiff University), Welsh Government and Traumatic Stress Wales |