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The complexities of mental health in a Young Offender Institution: reflections from a medical student project

In an incisive editorial ‘Catch 22’, Professor Wass states ‘we urgently need to explore alternative avenues for delivering education.’ [1] In November 2018, MPs highlighted prison healthcare as a public health issue, with mental health, especially in those of Black, Asian and Minority Ethnic background (BAME), of particular concern [2–4]. I would like to share what I learned from shadowing a psychiatrist and conducting a medical student project on the mental health screening at a Young Offender Institution. New arrivals to all UK Young Offender Institutions are assessed for mental health problems within 10 days, using the Comprehensive Health Assessment Tool (CHAT). This determines whether they are referred to the Mental Health team.