jail is a better option. Jail provides security. going and this is like home. women in prison have multiple and complex needs, including mental health, drug and alcohol issues and experience of sexual abuse and family violence. Many of the women we spoke to told us about the deep and persistent trauma that the cycle of poverty, violence, homelessness, ill health and family breakdown creates across generations. Many women described how these health impacts were exacerbated by incarceration and persisted on leaving prison. [I] have suffered from panic attacks and have ended up reoffending, as [I] can't cope with the outside world. women in prison have experienced high rates of mental disorder and poor rates of social and emotional wellbeing. found that prisoners in general are more likely to report both mental and physical health problems. Cognitive study, Koori prisoners require culturally appropriate mental health assessment upon reception into prison as well as adequate aftercare once released from prison. services increases after time spent in prison. about the need for holistic health services. James Ogloff et al, `Koori Prisoner Mental Health', above n 134, 17-18. Devon Indig et al, 2009 NSW Inmate Health Survey: Key Findings Report (New South Wales Justice Health, 2010) 51, 135. James Ogloff et al, `Koori Prisoner Mental Health', above n 134, 17-18. Hobbs et al (2006) cited in National Indigenous Drug and Alcohol Committee, above n 487, 41. Note: Admissions to general hospitals also increase after imprisonment. women around their health and sexual health. It can't just be a one-off program. culturally appropriate. Years ago, there was a Koori nurse provided through the gathering place. [leaving] prison. Many women have drug and alcohol issues and need to be able to access programs. Some women also have mental health issues and so need case management or counselling to assist to treat these issues. Counselling is also important as many women have suffered varying degrees of trauma. Based on past experiences, many women are unable to trust others. It is also important to start to build up their self esteem, their sense of self worth and purpose. or questioned the quality of available health services, within and outside prison. to support people with disabilities or the elderly. within the women's correctional framework. It has long been recognised that women's health issues are greater, more complex and occur at a higher rate than those of men. prisoners are "alarmingly high, particularly within the first few weeks of release" and that the mental health and substance misuse risks contribute to this. Focus group participant, 14 December 2013. Key Informant interview, Aboriginal Outcomes Unit, Department of Human Services, 30 November 2012. Kinner et al (2010) cited in National Indigenous Drug and Alcohol Committee, above n 487, 41. |