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This paper aims to capture some of the issues raised by those working on the development of mental health services in the prison environment. Each establishment in England and Wales will be different in terms of prison category and prisoner status, but its principle aim will be the same: to follow the strategic plans for the development of mental health services outlined in the National Service Framework. The purpose of the paper is to begin to facilitate and promote further open discussion of the development of services in prisons in order to improve clinical care.

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