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Keys to diversion: best practice for offenders with multiple needs
- Author:
- DURCAN Graham
- Publisher:
- Centre for Mental Health
- Publication year:
- 2014
- Pagination:
- 28
- Place of publication:
- London
Liaison and diversion services aim to identify and support people with mental health problems, learning difficulties and other vulnerable people in police stations and courts. This report identifies the key elements of successful liaison and diversion services in six services based in Lewisham, Manchester, Portsmouth and in Plymouth, Bodmin and Truro. The findings are based on visits to sites, interviews with staff, service users, and partners. It finds that the most successful teams offer support for a wide range of a person’s needs, they build packages of support from a range of local agencies, and they stay in touch with people after they have been referred to other services. The report then makes recommendations for NHS commissioners and liaison and diversion services. (Edited publisher abstract)
Personality disorders in offenders with intellectual disability: a comparison of clinical, forensic and outcome variables and implications for service provision
- Authors:
- ALEXANDER R. T., et al
- Journal article citation:
- Journal of Intellectual Disability Research, 54(7), July 2010, pp.650-658.
- Publisher:
- Wiley
The aim of this study was to discover any differences between patients with and without a diagnosis of personality disorders, being treated in a secure inpatient service for offenders with intellectual disability (ID) in England. A total of 138 patients (109 men, approximate age on admission 30 years, 77 with a personality disorder) treated over a six year period were included. Women were more likely to be in the personality disorder group. Both groups had an equally high prevalence of abuse. Depressive disorders and substance abuse were more common in the personality disorder group, while epilepsy and autistic spectrum disorders were more common in the comparison group. The authors note that, rather than differences, what was more striking was the rate and range of the comorbidities across both groups. Although past histories of violence and institutional aggression were no different, compulsory detention under criminal sections and restriction orders were more common in the personality disorder group. There were no differences in treatment outcomes. It is concluded that although about half of patients detained in secure units for offenders with ID have a personality disorder, there were more similarities than differences between this group and the rest. Good treatment outcomes supported the case for specialised secure treatment units for people with ID, the case for more specialised ID–personality disorder units was less convincing.
Guidance on responding to people with mental ill health or learning disabilities
- Author:
- NATIONAL POLICING IMPROVEMENT AGENCY
- Publisher:
- National Policing Improvement Agency
- Publication year:
- 2010
- Pagination:
- 208p., bibliog.
- Place of publication:
- London
This guidance provides advice to help police respond more effectively to people who are experiencing mental ill health or who have a learning disability. The guidance is a comprehensive document, providing advice on needs that arise in either a criminal justice capacity (where the person is a victim, witness, suspect or offender) or in a health care capacity (where the police may be acting in support of others who are dealing with someone experiencing a mental health crisis). The separate sections of the guidance cover: general operational guidance; mental health principles; operational police responses to victims and witnesses; use of police powers under the Mental Health Act 1983 and Mental Capacity Act 2005; operational police responses to suspects and offenders; and managing police responses. An aim of the guidance is to support more people with mental ill health being accommodated in health facilities rather than in police custody through better implementation of the Mental Health Act 1983. It also aims to provide an improved response to victims, witnesses, suspects and offenders leading to a reduction in repeat victimisation and offending, and increased reporting to the police of crimes against people with mental ill health or learning disabilities (including discrimination, victimisation and harassment).
Introduction to the Dutch De Borg institutions
- Author:
- ROOS Jacqueline
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 1(1), April 2010, pp.29-32.
- Publisher:
- Emerald
In the Netherlands there are different facilities for the treatment and care of mentally disabled people: ordinary care institutions where people live and work; mental health care institutions that provide treatment; and specialised treatment units for people with learning disabilities and severe challenging behaviour. In this article the author introduces De Borg, a collaboration of five institutions in the Netherlands for adults with mild learning disabilities (intellectual disabilities) and severe problem behaviour. These institutions have different backgrounds: one is a TBS facility (a special forensic psychiatric facility); one a mental health care; and three for mentally disabled people. All five organisations offer temporary treatment, where clients come in from other institutions and prisons, and, after treatment, leave – normally to lower care institutions for the mentally disabled. A total of 224 beds are available for inpatient treatment and 800 places for outpatients. Previously, all facilities were either low or high security, but there are currently plans to build a medium secure unit for patients with learning disabilities. The author presents some results of the research that has taken place in the treatment units about the characteristics of the clients, and concludes with recent developments in De Borg institutions, such as the creation of a common ‘vision on treatment and treatment programmes’ and the improvement of treatment programmes.
The Bradley Report and the criminal justice workforce: tackling mental health and learning disabilities in the justice system
- Authors:
- SAINSBURY CENTRE FOR MENTAL HEALTH, SKILLS FOR JUSTICE
- Publisher:
- Sainsbury Centre for Mental Health; Skills for Justice
- Publication year:
- 2010
- Pagination:
- 4p.
- Place of publication:
- London
In April 2009, the Bradley Report was published, making 82 recommendations which should lead to major changes in the way that individuals with mental health issues and those with learning disabilities in the criminal justice system are supported and treated. Thirty of the 82 recommendations have direct implications for the criminal justice workforce. This briefing paper outlines 4 key areas where significant activity is needed to develop the justice sector workforce to meet the ambitions and aims arising from the Bradley Report. The 4 key areas are: training in mental health and learning disability awareness for practitioners across the system; working together across agencies to treat individuals going through the system consistently and fairly; communicating information more effectively and efficiently so that individuals are not constantly reassessed or shuttled between services; and national workforce planning. This report highlights the changes needed in the approach to training individuals across criminal justice agencies, and makes recommendations as to how to take the work forward.
A survey of intellectual disabilities amongst men on remand in prison
- Authors:
- MURPHY Glynis H., HARNETT Hedley, HOLLAND Anthony J.
- Journal article citation:
- Mental Handicap Research, 8(2), 1995, pp.81-98.
- Publisher:
- BIMH Publications
Men detained in a South London prison on remand were screened for intellectual disabilities (mental handicap) over a three-month period. It is concluded that men with intellectual disabilities were not over-represented in prison but that there were a number of men close to the disability range who were psychologically very vulnerable.
Access to independent advocacy: an evidence review
- Authors:
- TOWNSLEY Ruth, MARRIOTT Anna, WARD Linda
- Publisher:
- Great Britain. Office for Disability Issues
- Publication year:
- 2009
- Pagination:
- 167p., bibliog.
- Place of publication:
- London
This review sets out to investigate the nature and extent of evidence relating to independent advocacy for disabled people at risk of losing choice and control in four specific situations: during transition to adulthood; when the children of disabled parents are subject to safeguarding procedures; when entry to residential care is a possibility; when disabled people are victims or alleged perpetrators of anti-social behaviour. In doing so, it describes and evaluates evidence about the need, costs and benefits associated with independent advocacy. The final section summarises the state of the evidence base currently available and the gaps therein, and suggests what additional research is needed to further our knowledge in this field.
Access to independent advocacy: an evidence review: executive summary
- Authors:
- TOWNSLEY Ruth, MARRIOTT Anna, WARD Linda
- Publisher:
- Great Britain. Office for Disability Issues
- Publication year:
- 2009
- Pagination:
- 7p.
- Place of publication:
- London
This is the executive summary of a review which sets out to investigate the nature and extent of evidence relating to independent advocacy for disabled people at risk of losing choice and control in four specific situations: during transition to adulthood; when the children of disabled parents are subject to safeguarding procedures; when entry to residential care is a possibility; when disabled people are victims or alleged perpetrators of anti-social behaviour. In doing so, it describes and evaluates evidence about the need, costs and benefits associated with independent advocacy. The final section summarises the state of the evidence base currently available and the gaps therein, and suggests what additional research is needed to further our knowledge in this field.
From strength to strength: report on the first two years of the Mental Health Act Commission service user involvement strategy
- Author:
- SIBLEY Rose
- Publisher:
- Stationery Office
- Publication year:
- 2008
- Pagination:
- 22p.
- Place of publication:
- London
The Mental Health Act Commission has adopted the mission statement, 'safeguarding the interests of all people detained under the Mental Health Act'. The Commission's remit is to keep under review the operation of the Mental Health Act 1983 as it relates to detained patients, and to meet with and interview detained patients in private. In furtherance of this remit, the Commission visits mental health service providers regularly in order to check the legality of detention. In addition to the visiting programme, the Commission provides important safeguards to patients who lack capacity or refuse consent to treatment, through the Second Opinion Appointed Doctor Service. In all its work the Commission places an emphasis on equality and human rights.
Treatment of offenders with mental disorders
- Editor:
- WETTSTEIN Robert M.
- Publisher:
- Guilford Press
- Publication year:
- 1998
- Pagination:
- 447p.,bibliog.
- Place of publication:
- London
Looks at the treatment of offenders with mental health problems in the United States. Includes chapters on: administration of treatment programmes; legal aspects; inpatient treatment; community based forensic treatment; treatment in prison; treatment of sex offenders; treatment of offenders with learning difficulties; and treatment of juvenile offenders.