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Mental Health and the Criminal Justice System

Mental Health and the Criminal Justice System

Ian Cummins

(2016)

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Book Details

Abstract

The Criminal Justice System is becoming a de facto provider of mental health care, according to a series of recent prison inspections and reports on policing and mental illness which have highlighted the crisis in mental health services.  However, the pressures on prisons and other areas of the CJS mean that the needs of those with mental health problems are often overlooked.  


This book examines the experiences of people with mental health problems across all stages of the CJS and across all the points of contact – police, Courts and prisons between the CJS and people with mental health problems. Providing a clearly written, comprehensive introduction to the main themes in this field, it also has a clear critical edge highlighting the failings in the areas of penal and social policy that have resulted in increasing numbers of people with mental health problems being criminalised.

 

Highlighting a very important social issue, Mental Health and the Criminal Justice System provides a thorough introduction to this subject for social work students and practitioners.


Ian Cummins is senior lecturer in social work at the University of Salford. His main research revolves around the experiences of people with mental health problems in the Criminal Justice system with a focus on policing and mental illness. This is linked to an exploration of the development of the penal state and its interaction with community based mental health services. He is interested in the ways the CJS has become, in many incidences, the default provider of mental health care


I particularly enjoyed the refreshing, challenging and energized style of writing, which engaged the reader in key themes related to mental health. 


Kay Wall, University of Worcester

The book clearly raises current and past issues around mental health care provision, CJF and social care amongst people with mental illness.This format works well to create awareness for professional responsibility and accountability in practice, but also critically raises the debate around policy-practice gap relating to mental health provision of mentally ill offenders and wider systemic challenges faced by frontline staff.


Herbert Mwebe, Middlesex University

I find it a very accessible and important contribution to the literature.


Margarete Parrish, Bournemouth University

Table of Contents

Section Title Page Action Price
Cover Cover 1
Title page i
Copyright information ii
Dedication iii
Table of contents v
Lists of Tables and Figures vi
Meet the Author vii
Acknowledgements viii
Foreword ix
Introduction 1
Critical questions 1
Background to my research 1
Researching the CJS – working with the police 2
Appreciative inquiry as an approach 3
Bourdieu’s bureaucratic field and habitus 5
The socio-legal and political context 5
Neo-liberalism 5
The penal state 6
Incarceration across the world 7
American exceptionalism 7
Comparing penal regimes 8
Social work, Advanced Marginality and the CJS 10
Governing through crime 10
The wider role of social work 11
Social work and poverty 11
Why social work should play a wider role in the CJS 12
The Professional Capabilities Framework (PCF) 13
Mental health social work 17
Taking it further 17
1 Key Decision Points 19
Critical questions 19
Who are ‘mentally disordered offenders’? 19
Key decision points of the CJS 20
Current key issues 24
The impact of austerity 24
The role of the police 25
The experiences of marginalised groups in the CJS 25
The state of prisons in England and Wales in 2015 25
Rediscovering dignity: a social work perspective 26
Taking it further 27
2 A Short History of Community Care 28
Critical questions 28
Penrose and the relationship between prisons and psychiatric care 29
Development of institutional care for the mentally ill 29
Foucault’s analysis: a brief summary 29
Response to the radical perspective on the rise of asylums 31
Psychiatry responds 32
The crisis in asylums 33
Goffman and total institutions 34
The politics of deinstitutionalisation 36
Community care as a ‘moral panic’ 37
Policy and legislative responses to the failings of community care 39
Conclusion 40
Taking it further 41
3 Madness and the Criminal Justice System: Ethical Issues 43
Critical questions 43
The nature of the problem 43
Mental illness and the problem of autonomy 44
Nagel’s concept of critical scrutiny 44
Punishment and moral responsibility 45
Sentencing 46
Madness and punishment 47
Foucault: punishment and technologies of power 47
Foucault and the body as a site of punishment 48
Madness and the Courts 48
Sentencing under the Mental Health Act (1983) 49
Mental health treatment requirement – community order 49
Section 37 hospital orders 49
Section 41 restriction orders 49
Section 45A hybrid orders 50
A short history of personality disorder 50
Psychopathology 51
The 1904 Royal Commission and the 1957 Percy Commission 51
The 1975 Butler Committee 52
The 1992 Reed Review 52
Reform of the Mental Health Act (2007) 53
Personality disorder and treatment 53
Conclusion 53
Sentenced to psychiatry? 53
Responsibility 54
Taking it further 54
4 Prison Mental Health and Forensic Services 56
Critical questions 56
Health care in prisons 56
Women and prisons 57
BME women and prisons 57
The Corston Inquiry (2007) 58
Mental health and women in prison 58
Women, self-harm and suicide in prison 59
Campaigning for reform 60
The experience of imprisonment 60
Male prisons 61
Mental health in male prisons 61
Suicide in male prisons 62
Older prisoners 63
Forensic mental health services 64
Admission to forensic services and length of stay 65
Forensic mental health social work 69
Social work in secure settings 69
Social supervision 69
Multi-agency public protection arrangements 70
Which offenders are subject to MAPPA? 70
MAPPA and levels of risk 71
Taking it further 71
5 Policing and Mental Illness 73
Critical questions 73
Community care and policing 73
‘Cop culture’ 74
Mental health work as ‘core police business’ 74
Mental health issues in the custody setting 76
PACE and the role of the custody sergeant 76
The Confait case and the 1981 Royal Commission 76
Vulnerable groups in custody 77
PACE safeguards 77
The role of the appropriate adult under PACE (2004) 77
Acting as an appropriate adult 78
How effective is the appropriate adult role? 79
Some legal questions to consider 80
Discussion 81
Section 136 MHA 84
Background 84
The use of section 136 MHA 84
Use of police cells as a place of safety 85
Service user perspectives 85
MS v UK 86
Outcomes 86
Mental health emergencies, triage and models of policing 87
Triage 87
Models of police triage 87
Crisis Intervention Team (CIT) 87
Joint police and mental health teams 88
Phone triage 88
Conclusion 88
Taking it further 90
6 The Way Forward: Rediscovering Dignity 92
Critical questions 92
Where are we now? 92
The expansion of the penal state 93
Advise, assist, befriend – and risk manage? 93
Stuart Hall and the notion of conjuncture 94
The potential for reform: the economic case 94
The Care Act (2014) 95
Provisions of the Care Act 95
The potential for reform: changing social and cultural attitudes 96
The potential for reform: changing prison conditions 96
Learning lessons from the USA: Brown v Plata 96
Conclusion 98
Taking it further 98
Bibliography 100
Index 112