PDF(Pubmed)
Abstract：
The link between imprisonment and adverse mental health is well established and linked to both recidivism and prison misconduct, with negative consequences for prisoners, the prison system and society. To help minimise these impacts, appropriate mental health interventions are required. However, owing to finite resources to deliver healthcare in prisons, interventions must be both clinically and cost-effective. A systematic literature search was conducted using various medical and economic databases. The search aimed to identify full economic evaluations (comparing costs and consequences of two or more interventions) of mental health interventions for adult prisoners during incarceration. Results were intended to identify evidence gaps and highlight areas for future research. Only one publication met all eligibility requirements, with several limitations identified. This finding highlighted a clear lack of cost-effectiveness evidence for use by decision makers within the prison setting. This emphasises the need for future research to incorporate economic evaluation during the early stages of research design. Research should aim to incorporate both intervention costs and wider healthcare resource use, which may be affected, and generic outcomes, such as quality-adjusted life years (QALYs), which enable comparison across various disease areas and against pre-determined thresholds.
摘要：
监禁和不良心理健康之间的联系已经确立，并与累犯和监狱不当行为相关联，给囚犯带来负面影响，监狱系统和社会。为了减少这些影响，需要适当的心理健康干预措施。然而,由于监狱提供医疗保健的资源有限，干预措施必须是临床和成本效益.使用各种医学和经济数据库进行了系统的文献检索。搜索旨在确定成年囚犯在监禁期间的心理健康干预措施的全面经济评估（比较两种或多种干预措施的成本和后果）。结果旨在确定证据差距并突出未来研究的领域。只有一份出版物符合所有资格要求，确定了几个限制。这一发现突出表明，监狱环境中决策者明显缺乏成本效益证据。这强调了未来研究需要在研究设计的早期阶段纳入经济评估。研究应旨在纳入干预成本和更广泛的医疗资源使用，可能会受到影响，和通用结果，例如质量调整寿命年(QALYs)，这使得能够在各种疾病领域进行比较，并与预先确定的阈值进行比较。
