Health problems among detainees in Switzerland: a study using the ICPC-2 classification

Wolff, Hans; Sebo, Paul; Haller, Dagmar M.; Eytan, Ariel; Niveau, Gérard; Bertrand, Dominique; Gétaz, Laurent; Cerutti, Bernard
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p245
Academic Journal
Background: Little is known about the health status of prisoners in Switzerland. The aim of this study was to provide a detailed description of the health problems presented by detainees in Switzerland's largest remand prison. Methods: In this retrospective cross-sectional study we reviewed the health records of all detainees leaving Switzerland's largest remand prison in 2007. The health problems were coded using the International Classification for Primary Care (ICPC-2). Analyses were descriptive, stratified by gender. Results: A total of 2195 health records were reviewed. Mean age was 29.5 years (SD 9.5); 95% were male; 87.8% were migrants. Mean length of stay was 80 days (SD 160). Illicit drug use (40.2%) and mental health problems (32.6%) were frequent, but most of these detainees (57.6%) had more generic primary care problems, such as skin (27.0%), infectious diseases (23.5%), musculoskeletal (19.2%), injury related (18.3%), digestive (15.0%) or respiratory problems (14.0%). Furthermore, 7.9% reported exposure to violence during arrest by the police. Conclusion: Morbidity is high in this young, predominantly male population of detainees, in particular in relation to substance abuse. Other health problems more commonly seen in general practice are also frequent. These findings support the further development of coordinated primary care and mental health services within detention centers.


Related Articles

  • A Primary Care Approach to Substance Misuse. SHAPIRO, BRAD; COFFA, DIANA; McCANCE-KATZ, ELINORE F. // American Family Physician;7/15/2013, Vol. 88 Issue 2, p113 

    Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...

  • Worth Reading. Muftic, Azra // Correctional Health Care Report;Mar/Apr2012, Vol. 13 Issue 3, p37 

    The article reviews several articles appeared in different periodicals including "People With Severe Mental Illness in Criminal Justice System: Causes, Consequences and Correctiveness," by Arthur J. Lurigio, "HIV in the Epicenter of the Epicenter: HIV and Drug Use Among Criminal Justice...

  • Engaging primary health care workers in drug and alcohol and mental health interventions: challenges for service delivery in rural and remote Australia. Allan, Julaine // Australian Journal of Primary Health;Nov2010, Vol. 16 Issue 4, p311 

    Access to drug and alcohol treatment services is a particularly salient issue for Australia. The nation is paying considerable attention to risky drug and alcohol use. Indigenous Australians are particularly concerned about drug and alcohol related harms in their communities. Access to treatment...

  • Mental disorders in primary care services: An update. Gonzales, Junius J.; Magruder, Kathryn M. // Public Health Reports;Mar/Apr94, Vol. 109 Issue 2, p251 

    Reviews key features of and current research on mental disorders seen in primary care. Discussion of the recognition, diagnosis and management of mental disorders; Obstacles to diagnosis and treatment; Managing mental disorders in primary care; Depression and panic disorder.

  • Common mental health problems in primary care. Craig, T.K.J.,; Boardman, A.P., // BMJ: British Medical Journal (International Edition);05/31/97, Vol. 314 Issue 7094, p1609 

    Focuses on common mental health problems encountered in primary care. Anxiety and depression; Association of poor outcomes with delayed or insufficient treatment, more severe illness, older age at onset, comorbid physical illness and continuing problems with family, marriage or employment;...

  • Primary care of patients with mental disorder in the community. Shepherd, Michael // BMJ: British Medical Journal (International Edition);9/9/89, Vol. 299 Issue 6700, p666 

    Discusses the primary care of patients with mental disorder in the community in Great Britain. Role of institutional care in the community; Concerns of community psychiatrists on the extramural fate and management of patients with mental disabilities; Provision of community care for the...

  • The effect of physical ill health on the course of psychiatric disorder in general practice. Kiselyand, S. R.; Goldberg, D. P. // British Journal of Psychiatry;Jun97, Vol. 170, p536 

    Background The aim of this study was to determine the effect of physical morbidity on the outcome of patients with psychiatric disorder, and to compare the effects of non-medically and medically explained symptoms. Method One hundred and fifty psychiatric cases were recruited using a two-stage...

  • Drug and alcohol problems amongst individuals with severe mental health problems in an inner city area of the UK. Graham, H. L.; Maslin, J.; Copello, A.; Birchwood, M.; Mueser, K.; McGovern, D.; Georgiou, G. // Social Psychiatry & Psychiatric Epidemiology;2001, Vol. 36 Issue 9, p448 

    Background: The extent and impact of drug and alcohol use among those with severe mental health problems has been well documented in the US. However, little is known of the nature of this problem in the UK, particularly in community treatment settings. This paper outlines findings...

  • Abuse of Club Drugs--Cathinones. Macher, Abe M. // American Jails;Jan/Feb2011, Vol. 24 Issue 6, p57 

    The article presents several case studies related to the abuse of cathinone, an amphetamine analogue that is biosynthesized in the leaves. The studies reveal that the intravenous injection methcathinone can result several mental-related disorders such as parkinson-life encephalopathy, paranoia,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics