The Mental Health and Substance Misuse Needs of Male ex-Armed Forces Personnel in Prison

Abstract: Ex-armed forces personnel constitute the largest known occupational group in
prison but there is little evidence regarding their mental health, or substance
misuse, needs. A total of 105 participants were interviewed and measures
assessing symptoms of common mental health (CMH) problems and substance
misuse were completed along with a review of their health care records. Forty
(38%) participants screened for current CMH problems (CCMH) and high levels
of dual symptomology and alcohol misuse were assessed. Thirty-nine (37%) had
a mental health diagnosis recorded, most commonly for post-traumatic stress
disorder (PTSD), depression and personality disorder. Those who screened for a
CCMH problem were more likely to have pre-service vulnerability to negative
health outcomes and those with dual symptomology were more likely to have
experienced deployment during their service. Findings suggest the mental health
needs of this group are similar to the general prison population. Potentially higher
prevalences of PTSD and alcohol misuse may direct service provision.