Abstract

Both reports and studies on French prisons confirm that prisoners’ health is more impaired than people of the same age and same condition in the general population. Mental health is no exception to this observation as one of seven prisoners suffers from mental illness. Then, providing health care in prisons has become a necessity that was applied in France since several decrees led to organize care in prisons in the field of general medicine, psychiatry and addiction. However, it is not without some ambiguity that psychiatric care in prison are currently developing. Indeed, the practice of health care in prisons has often been the subject of debate between the proponents of the development of a specific care system in prisons to those considering that psychiatric teams must stay out of prison. Added to this the ambiguities of the society sensitive to mediatised events may hesitate between treatment and punishment for persons with mental disorders who have committed medico-legal acts. What are the future response to the needs of particularly vulnerable to legal challenges population? What preventive measures, what care and what continuity of care can be considered?

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