*Bangalore, Jan 15* : Prisons in the country have become centres for drugs
abuse, as majority of the inmates suffer from mental distress, poor sleep
and appetite, according to a recent study conducted by National Institute of
Mental Health and Neuro Sciences (NIMHANS), Karantaka State Legal Services
Authority and the Department of Prisons, Karnataka Government.

Delivering his key-note address at a regional seminar on 'Mental Health and
Substance use problems in Prisons and local lessons for National Action',
jointly conducted by NIMHANS, National Legal Services Authority and others
here today, NIMHANS Director Dr Satish Chandra expressed concern at the high
prevalence of major and minor cases of psychiatric morbidity and substance
use in Central Prison, Bangalore.

NIMHANS in collaboration with the State Government conducted a study on
mental disorders and substance use in the Central Prison, Bangalore during
2008-09. Over 5200 prisoners were interviewed and assessed on the subject
matter.

Dr Satish Chandra said the study had thrown several facts to light and
revealed that over 79.6 per cent individuals could be diagnosed as having
either mental illness or substance use. Recent studies suggest similar rates
of mental morbidity in diverse countries such as Australia (80 per cent) and
Iran (88 per cent), he added.

The study, for the first time ever conducted on the prevalence of mental
morbidity, also revealed that after excluding substance abuse, 1389 (27 per
cent) prisoners still had a diagnosable mental disorder.

However, only two per cent of the prison population had self-reported for
the mental illness.

The study also revealed that 67.3 per cent of the prison population reported
using tobacco in some form in their lives which is more than double the
tobaco use prevalence in Karnataka.

Among women, 17.9 per cent reported use of tobacco in some form and among
new male entrants into the prison, 74.3 per cent reported using tobacco and
71.9 per cent reported using it during the month prior to prison entry.

It also reveals that more than one in two prisoners (51.5 per cent) had
reported consuming alcohol in their lives which is nearly double the
national average of alcohol use of 21 per cent.

A random urine drug screening conducted on 721 resident prisoners in an
anonymous manner and 61.2 per cent tested positive for one or the other
drug, including Benzodiazepines, Canabis, Cocaine, Barbiturates,
Amphetamines and Opioids. Test conducted among the 325 new entrants had
revealed that 44.9 per cent tested positive for one or the other drugs.

The study also reported that among substance users, 85 per cent of smokers,
73 per cent of tobacco chewers, 99 per cent of alcohol users and 71 per cent
of drug users had expressed the need for help in being able to give up using
these substances.

The report also highlighted that 13 of every 100 prisoners could be
diagnosed as having a conduct disorder in childhood and undertrial prisoners
were significantly more likely to have received this diagnosis compared to
convicts.

Nearly 15 of every 100 undertrial prisoners had received a diagnosis of
antisocial personality disorder which is seven to eight times more than the
general population.

The report states that one in two prisoners felt they were not treated with
respect by the staff, more than a third found it difficult to access health
care, one in five prisoners (22 per cent) were not aware of the legal charge
against them.

Among the staff, 28 per cent had considered resigning from the because of
job stress, though none of them reported having symptoms of mental illness,
11 per cent could be diagnosed as having a lifetime major depressive episode
and 5 per cent a current major depressive episode. Justice Altamas Kabir,
Judge, Supreme Court and Executive Chairman, National Legal Services
Authority, speaking after releasing the report also recommended proper
evaluation and assessment of every prisoner upon entry into prison and a
good system of documentation with a focus on general health, mental health
and substance use.

It was strongly recommended to give attention to the general conditions in
prison, including overcrowding, cleanliness, potable water, quality and
serving of food, adequate recreation particularly for women prisoners and
extend all help to deal with the stress of prison and addressing substance
use problems in prison.

http://www.newkerala.com/news/world/fullnews-125052.html

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