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Background and objective <p>In 2023 a&#xa0;total of 57,776 people were imprisoned in German correctional facilities (JVA). According to international studies 50–75% of prison inmates suffer from mental disorders; however, so far there are no well-founded data on the psychiatric psychotherapeutic care situation in German prisons. The survey of the German Society of Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) is intended to provide an initial insight into the specific service provision.</p> Material and methods <p>The online survey was designed as a&#xa0;unique cross-sectional survey. A&#xa0;task force (TF) of the DGPPN developed a&#xa0;questionnaire with 12&#xa0;topics and 85&#xa0;items. To reflect the situation in the institutions, the questionnaire was sent to the Criminological Service in advance. Targeted suggestions for improvement were implemented. The survey was conducted with the support of the Prison Committee, a&#xa0;committee of the federal states that, among other things, monitors conditions in prisons, in the period from 1&#xa0;March–30&#xa0;April 2024. The questionnaire was sent online and as a&#xa0;printout to the prisons in the federal states via the Prison Committee. The feedback was sent to the DGPPN. Participation in the survey was voluntary and anonymous. The data were evaluated descriptively.</p> Results <p>According to the information provided by the 137 (77.8%) institutions participating in the study, 41,173 persons were imprisoned as of 1 March 2024, including prisoners in pretrial detention, sentenced prisoners and preventive detention. Of the participating institutions 86.7% reported problems caring for prisoners with mental disorders. The capacities of full and partial inpatient psychiatric treatment were assessed by most of the institutions as not covering the actual needs. A&#xa0;third of the specialist positions were not filled. In the last 12&#xa0;months 128 institutions recorded 5812 placements in specially secured detention rooms (15.9% of prisoners).</p> Discussion <p>The study confirmed the assumption of experts working in the field of psychiatric-psychotherapeutic care: the resources for the care of prisoners with mental disorders in German prisons are perceived as insufficient. Above all, there is a&#xa0;lack of specialist staff and psychiatric treatment capacities. Sufficient funding to improve the service provision is indispensable. Treatment standards that conform to guidelines should be developed and introduced.</p>

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Die psychiatrische Versorgungssituation psychisch kranker Straftäter in Haft – Ergebnisse einer Umfrage der DGPPN

  • 期刊论文

  • 发表日期：

    2026年2月16日

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  • Nancy Thilo,
  • Norbert Dahmen,
  • Johannes Fuß,
  • Gregor Groß,
  • Alkomiet Hasan,
  • Christian Huchzermeier,
  • Norbert Konrad,
  • Robert Zeidler,
  • Judith Zieker,
  • Thomas Pollmächer,
  • Jürgen L. Müller

摘要

Background and objective

In 2023 a total of 57,776 people were imprisoned in German correctional facilities (JVA). According to international studies 50–75% of prison inmates suffer from mental disorders; however, so far there are no well-founded data on the psychiatric psychotherapeutic care situation in German prisons. The survey of the German Society of Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) is intended to provide an initial insight into the specific service provision.

Material and methods

The online survey was designed as a unique cross-sectional survey. A task force (TF) of the DGPPN developed a questionnaire with 12 topics and 85 items. To reflect the situation in the institutions, the questionnaire was sent to the Criminological Service in advance. Targeted suggestions for improvement were implemented. The survey was conducted with the support of the Prison Committee, a committee of the federal states that, among other things, monitors conditions in prisons, in the period from 1 March–30 April 2024. The questionnaire was sent online and as a printout to the prisons in the federal states via the Prison Committee. The feedback was sent to the DGPPN. Participation in the survey was voluntary and anonymous. The data were evaluated descriptively.

Results

According to the information provided by the 137 (77.8%) institutions participating in the study, 41,173 persons were imprisoned as of 1 March 2024, including prisoners in pretrial detention, sentenced prisoners and preventive detention. Of the participating institutions 86.7% reported problems caring for prisoners with mental disorders. The capacities of full and partial inpatient psychiatric treatment were assessed by most of the institutions as not covering the actual needs. A third of the specialist positions were not filled. In the last 12 months 128 institutions recorded 5812 placements in specially secured detention rooms (15.9% of prisoners).

Discussion

The study confirmed the assumption of experts working in the field of psychiatric-psychotherapeutic care: the resources for the care of prisoners with mental disorders in German prisons are perceived as insufficient. Above all, there is a lack of specialist staff and psychiatric treatment capacities. Sufficient funding to improve the service provision is indispensable. Treatment standards that conform to guidelines should be developed and introduced.