title: Mental health screening tools in correctional institutions: a systematic review.
abstract: BACKGROUND
  Past studies have identified poor rates of detection of mental illness among inmates. Consequently, mental health screening is a common feature to various correctional mental health strategies and best practice guidelines. However, there is little guidance to support the selection of an appropriate tool. This systematic review compared the sensitivity and specificity of mental health screening tools among adult jail or prison populations.
  
  
  METHODS
  A systematic review of MEDLINE and PsycINFO up to 2011, with additional studies identified from a search of reference lists. Only studies involving adult jail or prison populations, with an independent measure of mental illness, were included. Studies in forensic settings to determine fitness to stand trial or criminal responsibility were excluded. Twenty-four studies met all inclusion and exclusion criteria for the review. All articles were coded by two independent authors. Study quality was coded by the lead author.
  
  
  RESULTS
  Twenty-two screening tools were identified. Only six tools have replication studies: the Brief Jail Mental Health Screen (BJMHS), the Correctional Mental Health Screen for Men (CMHS-M), the Correctional Mental Health Screen for Women (CMHS-W), the England Mental Health Screen (EMHS), the Jail Screening Assessment Tool (JSAT), and the Referral Decision Scale (RDS). A descriptive summary is provided in lieu of use of meta-analytic techniques due to the lack of replication studies and methodological variations across studies.
  
  
  CONCLUSIONS
  The BJMHS, CMHS-M, CMHS-W, EMHS and JSAT appear to be the most promising tools. Future research should consider important contextual factors in the implementation of a screening tool that have received little attention. Randomized or quasi-randomized trials are recommended to evaluate the effectiveness of screening to improve the detection of mental illness compared to standard practices.
authors.affiliation: Department of Epidemiology and Community Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5, Canada. mmart007@uottawa.ca.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Martin
authors.forename: Ian
authors.initials: I
authors.lastname: Colman
authors.forename: Alexander I F
authors.initials: AI
authors.lastname: Simpson
authors.forename: Kwame
authors.initials: K
authors.lastname: McKenzie
mesh_terms: D000293:Adolescent; D000328:Adult; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D001523:Mental Disorders / Q000175:diagnosis*; D008603:Mental Health; D011330:Prisons; D012017:Referral and Consultation; D012680:Sensitivity and Specificity; D055815:Young Adult