Journal of Telemedicine and Telecare > Volume 10, Supplement 1 > Pp. 69-71

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The successes and challenges of developing a prison telepsychiatry service

Sarah Leonard

School of Nursing and Midwifery, University of Southampton, and Ravenswood House, Medium Secure Service, Fareham, UK
Prisoners are not typical of the general population with regard to their health needs, as they have a disproportionately high incidence of mental health problems and drug misuse. Health-care delivery in prison faces a significant number of challenges not experienced by other health-care organizations. Telepsychiatry is one strategy to improve the accessibility and quality of mental health-care in the prison setting. Despite some initial challenges, a telepsychiatry service was successfully established between a medium-secure unit in Fareham, Hampshire, and a category B training prison on the Isle of Wight. A low-cost, PC-based videoconferencing system was used, connected by ISDN lines at 128 kbit/s. A valuable lesson that was learnt was the importance of having the support of key individuals in a prison setting.

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