Improving mental healthcare in prisons
By Michael Utterson, 18 September 2026
Fellow's Profile
Fellow's Profile
Optimising care pathways for imprisoned individuals with acute mental illness
Improving the treatment of acutely mentally ill prisoners
2025
London
I am a consultant psychiatrist working in a prison setting. My Fellowship will focus on the treatment of acutely mentally ill prisoners. At present, prisoners who are experiencing symptoms of severe mental illness such as schizophrenia and bipolar affective disorder can wait many months before a bed in a secure hospital is available. While they are in prison, we are unable to treat them if they are not accepting tablets. Often, patients deteriorate massively during this period, and there can be many increased risks such as violence and self-harm.
It can be painful to witness the despair and deterioration in patients while they await transfer to a hospital setting, so I am motivated to find options to improve care pathways for this vulnerable cohort. I hope to be able to identify best practice for managing acutely unwell men in prison by visiting services in the USA which are set up to provide quicker and more effective treatments. I hope that we can improve how we allocate resources and attention to acutely unwell men in UK prisons.
By Michael Utterson, 18 September 2026
All Reports are copyright © the author. The moral right of the author has been asserted. The views and opinions expressed by any Fellow are those of the Fellow and not of the Churchill Fellowship or its partners, which have no responsibility or liability for any part of them.
By Michael Utterson, 18 September 2026
All Reports are copyright © the author. The moral right of the author has been asserted. The views and opinions expressed by any Fellow are those of the Fellow and not of the Churchill Fellowship or its partners, which have no responsibility or liability for any part of them.