“Psychokiller, qu’est-ce que c’est”. The risk of violent re-offending among prisoners with psychotic experiences

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In England and Wales, the Mental Health Act (1983, revised 2007) allows for the detention of individuals to hospital for a period of assessment (Section 2) or treatment (Section 3) if it is deemed that they suffer with a mental disorder of a nature or degree sufficient to warrant admission to hospital and it is necessary [read the full story…]

Screening for mental health problems in the adult prison population

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On 14th May 2010, when Kenneth Clarke returned to the Ministry of Justice, the prison population in England and Wales was 85,009. When he had previously been Home Secretary in 1992-93, the average prison population had been 44,628 (Prison Briefing 2010). This represents a 90% increase in a period when crime rates were generally falling. The [read the full story…]

Interventions for drug using offenders: What works in reducing drug use and criminal activity?

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It is estimated that between 10% (Gunn 1991) and 39% (Brooke 1996) of prisoners in the UK are dependent on illicit drugs; and that 14.5% of male and 31% of female prisoners have serious mental health problems (Steadman 2009). Drug use can be associated with many health, social and criminological consequences; and when mental health [read the full story…]

Needs of people with learning disabilities in criminal justice system not being met

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Background We know that people with learning disabilities in the criminal justice system can be especially vulnerable, and the recent Bradley report highlighted a number of approaches that could be taken to prevent this vulnerable group being caught in the revolving door of the criminal justice system. It is unclear however how many people with [read the full story…]

We ignore the rise of suicide in people with mental illness

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Despite public campaigns to combat stigma around mental illness, people with mental health problems still face ongoing discrimination. And while some sections of the media focus on mental illness in cases of violence, a rise in the number of people who are more of a risk to themselves goes unnoticed. We still find it difficult [read the full story…]

Is a moral reasoning programme for offenders with intellectual disabilities effective?

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Over recent years, media and research have highlighted the large number of offenders in prison who have an intellectual or developmental disability. The Prison Reform Trust (2007), estimated this to be 20-30% of all current offenders in prison (although todays numbers may be even higher!), and that this group of individuals are more likely to [read the full story…]

People with disability are more likely to be victims of violence and to suffer mental illness as a result

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In the UK over 10 million people live with a disability, many of whom suffer from violence (Department for Working Pensions, 2011). A recent World Report on Disability by WHO (2011) highlighted that people living with disabilities are at  risk from sexual and physical violence. Despite this, little is known about who is at risk [read the full story…]

Medical management of people who use illegal drugs: new report from the BMA

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There has been a great deal of debate about illicit drugs in recent weeks. Just before Christmas, we had the House Affairs Committee report, which highlighted the downward trend in recorded drug use over recent years. Earlier this week the All-Party Parliamentary Group for Drug Policy Reform published their report on legal highs, which recommended a [read the full story…]

Repeat offending significantly higher in people with personality disorders, according to new systematic review

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The excellent Time to Change initiative is quick to point out that people with mental health problems are more likely to be the victims of violence than the perpetrators. However, it remains the case that certain mental health conditions are more frequently associated with antisocial behaviour and violence than others. Personality disorders (PD) are one [read the full story…]

Risk assessment tools do not accurately predict the risk of repeat offending, according to new systematic review

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Risk assessment tools are widely used in psychiatric hospitals and criminal justice systems to help predict violent behaviour and inform sentencing and release decisions. Yet their predictive accuracy remains uncertain and expert opinion is divided, according to a new systematic review published in the BMJ. An international team of researchers led by Seena Fazel from [read the full story…]