S, highlighted the want for improved psychiatric input to prisons. The Report of your National Steering Committee on Prison Deaths, 1999 [11] reviewed all deaths in prison given that 1991 and revisited the suggestions created inside the 1991 Report in the Advisory Group on Prison Deaths. There had been thirty-two deaths by suicide in custody from 1991 to 1999, eighteen (56 ) of which were in the prison studied, highlighting the need to have for enhanced management of risk of self harm and suicide inside the prison. More than the previous 20 years the CPT has undertaken five preventative inspections of prison well being solutions in Ireland [7] and expressed concerns relating towards the welfare of mental well being solutions to prisoners on each and every occasion. Upon completion of its 2002 stop by, the delegation requested that the authorities within the jurisdiction take quick methods to bring to an finish the practice of holding mentally ill patients in padded cells in prison and to ensure their transfer, devoid of delay, to an establishment capable of supplying them the remedy required by their situation, including the Central Mental Hospital or local catchment area psychiatric hospital [12]. The CPT’s delegation identified that in the prison studied here, prisoners in require of psychiatric care were regularly placed in unfurnished padded cells which had poor lighting and had been dirty. They identified that the practice observed within this prison was probably to contribute towards the deterioration on the mental state with the prisoners concerned and was described as anti-therapeutic and characterised as Lys-Ile-Pro-Tyr-Ile-Leu inhuman and degrading. It was following this report that Special Observation Cells (SOC) had been introduced. A Particular Observation Cell is defined as a cell “so constructed and made, and incorporating such exceptional security capabilities, furnishings and approaches of observation, as to afford enhanced security for the prisoner accommodated therein, which includes safeguarding against self-harm” [12]. However, on a subsequent visit in 2010 [13], the CPT remained concerned in regards to the use of SOCs within the prison. Issues have been expressed regarding the more than use of SOC cells, including the usage of SOC cells for management and punishment. In addition, the use of an SOC is most likely to beGiblin et al. International Journal of Mental Overall health Systems 2012, 6:2 http:www.ijmhs.comcontent61Page three ofin breach of Principle 9 from the United Nations principles with regards to the protection of persons with mental illness [14]. Principle 9 states that “Every patient shall have the suitable to become treated inside the least restrictive atmosphere PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21257508 and with all the least restrictive or intrusive remedy acceptable to the patient’s overall health requirements and also the require to safeguard the physical security of other folks.” A national policy for mental health services Vision for Alter [15] set out a extensive policy framework for mental well being policy. This endorsed the principle that prison mental health services need to be integrated and coordinated with social work, psychology and addiction services to make sure provision of integrated and successful care. The policy did not refer especially for the requires of violent or vulnerable prisoners. The prison studied here has attracted media focus on account of a variety of adverse incidents involving suicides and homicides within the prison. Due to the fact 2005 there happen to be two homicides in custody.The have to have to stratify threat in prisonthe basic trend is among severe social and educational disadvantage [2]. It is actually the primary committal prison for sentenced prisoners in Dubli.