- Research Article
- 10.1007/s00115-026-01949-4
The psychiatric care situation of mentally ill offenders in prison-Results of asurvey of the DGPPN
- Feb 16, 2026
- Der Nervenarzt
- Nancy Thilo + 10 more +10
In 2023 atotal of 57,776 people were imprisoned in German correctional facilities (JVA). According to international studies 50-75% of prison inmates suffer from mental disorders; however, so far there are no well-founded data on the psychiatric psychotherapeutic care situation in German prisons. The survey of the German Society of Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) is intended to provide an initial insight into the specific service provision. The online survey was designed as aunique cross-sectional survey. Atask force (TF) of the DGPPN developed aquestionnaire with 12topics and 85items. To reflect the situation in the institutions, the questionnaire was sent to the Criminological Service in advance. Targeted suggestions for improvement were implemented. The survey was conducted with the support of the Prison Committee, acommittee of the federal states that, among other things, monitors conditions in prisons, in the period from 1March-30April 2024. The questionnaire was sent online and as aprintout to the prisons in the federal states via the Prison Committee. The feedback was sent to the DGPPN. Participation in the survey was voluntary and anonymous. The data were evaluated descriptively. According to the information provided by the 137 (77.8%) institutions participating in the study, 41,173 persons were imprisoned as of 1 March 2024, including prisoners in pretrial detention, sentenced prisoners and preventive detention. Of the participating institutions 86.7% reported problems caring for prisoners with mental disorders. The capacities of full and partial inpatient psychiatric treatment were assessed by most of the institutions as not covering the actual needs. Athird of the specialist positions were not filled. In the last 12months 128 institutions recorded 5812 placements in specially secured detention rooms (15.9% of prisoners). The study confirmed the assumption of experts working in the field of psychiatric-psychotherapeutic care: the resources for the care of prisoners with mental disorders in German prisons are perceived as insufficient. Above all, there is alack of specialist staff and psychiatric treatment capacities. Sufficient funding to improve the service provision is indispensable. Treatment standards that conform to guidelines should be developed and introduced.
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