An optimal trauma-informed pathway for PTSD, complex PTSD and other mental health and psychosocial impacts of trauma in prisons: an expert consensus statement
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.
Authors
- Jason Davies (ORCID: https://orcid.org/0000-0002-1694-5370)
- Rob Poole (ORCID: https://orcid.org/0000-0002-7914-3981)
- Gwen O'Connor
- Clare Crole-Rees (ORCID: https://orcid.org/0000-0002-7068-9064)
- Lewis Jones
- Michael S. Martin (ORCID: https://orcid.org/0000-0002-5056-618X)
- Iain McKinnon (ORCID: https://orcid.org/0000-0002-5760-9824)
- Imogen Kretzschmar (ORCID: https://orcid.org/0000-0002-4615-7754)
- Madeline Petrillo (ORCID: https://orcid.org/0000-0003-2819-1366)
- Andrew Forrester (ORCID: https://orcid.org/0000-0003-2510-1249)
- Eddie Chaplin (ORCID: https://orcid.org/0000-0002-2865-1070)
- M. Phillips
- Jack Tomlin (ORCID: https://orcid.org/0000-0002-7610-7918)
- Radha Kothari (ORCID: https://orcid.org/0000-0003-0569-2432)
- Alexander I. F. Simpson (ORCID: https://orcid.org/0000-0003-0478-2583)
- Sarah Argent (ORCID: https://orcid.org/0000-0002-5108-8925)
- Sarah Wigham (ORCID: https://orcid.org/0000-0002-7722-9108)
- Pamela J. Taylor (ORCID: https://orcid.org/0000-0002-3998-6095)
- Natasha Kalebic (ORCID: https://orcid.org/0000-0001-5228-0823)
- Isidora Popovic
- Claudia Berrington
- David MacManus (ORCID: https://orcid.org/0000-0002-0902-977X)
- Manuela Jarrett
- Matthew Hoskins
- O.St John
- Lucie James
Institutions
- Swansea Bay University Health Board (GB)
- Cardiff and Vale University Health Board (GB)
- Centre for Addiction and Mental Health (CA)
- King's College London (GB)
- University of Toronto (CA)
- Central and North West London NHS Foundation Trust (GB)
- Cardiff Royal Infirmary (GB)
- Aneurin Bevan University Health Board (GB)
- Oxford Health NHS Foundation Trust (GB)
- London South Bank University (GB)
- Centre for Mental Health (GB)
- Swansea University (GB)
- Ministry of Community Safety and Correctional Services (CA)
- National Health Service Wales (GB)
- University of Greenwich (GB)
- Royal College of Psychiatrists (GB)
- Cardiff University (GB)
- University of Birmingham (GB)
- Newcastle University (GB)
Publication Details
- Journal
- Psychology Crime and Law
- Published
- 2024-09-03
- DOI
- https://doi.org/10.1080/1068316x.2024.2394807
- Citations
- 8
- Primary Topic
- Child Abuse and Trauma
- Type
- article
- Field-Weighted Citation Impact
- 5.11
Funders
- Cardiff University