S, highlighted the require for enhanced psychiatric input to prisons. The Report with the National Steering Committee on Prison Deaths, 1999 [11] reviewed all deaths in prison due to the fact 1991 and revisited the suggestions made within the 1991 Report from the Advisory Group on Prison Deaths. There have been thirty-two deaths by suicide in custody from 1991 to 1999, eighteen (56 ) of which had been within the prison studied, highlighting the have to have for enhanced management of danger of self harm and suicide inside the prison. More than the past 20 years the CPT has undertaken 5 preventative inspections of prison health services in Ireland [7] and expressed issues relating for the welfare of mental health solutions to prisoners on each occasion. Upon completion of its 2002 take a look at, the delegation requested that the authorities in the jurisdiction take instant methods to bring to an end the practice of holding mentally ill sufferers in padded cells in prison and to make sure their transfer, without the need of delay, to an establishment capable of providing them the treatment essential by their situation, such as the Central Mental Hospital or regional catchment area psychiatric hospital [12]. The CPT’s delegation identified that in the prison studied right here, prisoners in need of psychiatric care were often placed in BI-7273 unfurnished padded cells which had poor lighting and had been dirty. They found that the practice observed in this prison was probably to contribute for the deterioration from the mental state in the prisoners concerned and was described as anti-therapeutic and characterised as inhuman and degrading. It was following this report that Special Observation Cells (SOC) have been introduced. A Particular Observation Cell is defined as a cell “so constructed and created, and incorporating such exceptional security capabilities, furnishings and approaches of observation, as to afford enhanced security for the prisoner accommodated therein, like safeguarding against self-harm” [12]. However, on a subsequent check out in 2010 [13], the CPT remained concerned regarding the use of SOCs inside the prison. Issues have been expressed regarding the over use of SOC cells, which includes the use of SOC cells for management and punishment. Moreover, the usage of an SOC is most likely to beGiblin et al. International Journal of Mental Health Systems 2012, six:two http:www.ijmhs.comcontent61Page three ofin breach of Principle 9 of the United Nations principles with regards to the protection of persons with mental illness [14]. Principle 9 states that “Every patient shall possess the appropriate to become treated in the least restrictive environment PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21257508 and using the least restrictive or intrusive treatment suitable to the patient’s well being desires and the will need to defend the physical security of others.” A national policy for mental overall health services Vision for Change [15] set out a comprehensive policy framework for mental well being policy. This endorsed the principle that prison mental well being solutions need to be integrated and coordinated with social operate, psychology and addiction services to ensure provision of integrated and powerful care. The policy didn’t refer particularly to the wants of violent or vulnerable prisoners. The prison studied here has attracted media attention on account of a variety of adverse incidents involving suicides and homicides inside the prison. Since 2005 there have been two homicides in custody.The need to stratify risk in prisonthe general trend is among critical social and educational disadvantage [2]. It is actually the primary committal prison for sentenced prisoners in Dubli.