mental health and criminal justice: current position and what needs to happen in the future sean...
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![Page 1: Mental health and criminal justice: current position and what needs to happen in the future Sean Duggan, Joint Chief Executive 13 th November 2010](https://reader035.vdocuments.us/reader035/viewer/2022081519/56649e545503460f94b4b00f/html5/thumbnails/1.jpg)
Mental health and criminal justice: current position and what needs to happen in the future
Sean Duggan, Joint Chief Executive13th November 2010
![Page 2: Mental health and criminal justice: current position and what needs to happen in the future Sean Duggan, Joint Chief Executive 13 th November 2010](https://reader035.vdocuments.us/reader035/viewer/2022081519/56649e545503460f94b4b00f/html5/thumbnails/2.jpg)
Mental health in prisons
Prison population reached 85,600 on 31st August 2010Majority of prisoners have MH problems
Over 90% have one MH problemMore than 70% suffer from two or more MH problemsMany have complex mix of other issues
Prison mental health careImprovements in some prisons as a result of mental health in reach teams but picture still mixedLittle provision for vast majority of prisoners with common MH problems such as depressionFunding no more than one-third of what is needed to deliver policy objective of equivalence
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Young people (1)
On 31st August 2010, 11,770 young people (aged 15-20) were in custodyHigh risk of multiple health inequalities and poor life chancesOne third have mental health needs, often undiagnosed and untreated 8 in 10 young people (aged 16-20) in custody have more than one mental health need; almost all meet criteria for a diagnosis of personality disorder 1 in 5 young people in community and custodial settings meet criteria for a learning disability
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Young people (2)
Importance of early interventionConduct problems most common childhood mental health difficultiesEstimated 80% of criminal activity attributable to people who had conduct problems in childhood, at a cost of £60 billion a yearProgrammes aimed at prevention or early intervention most effective
Adapting diversion techniques for young offenders
Point of arrest pilots‘Wraparound’ approaches
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Police
Bradley recommendations on section 136
Transfer commissioning of health services from police to NHS
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Diversion
All Stages Diversion Model
Interventions to address complexity of need
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Secure services
Around 4,000 people in secure services (compared with an estimated 8,000 prisoners with severe mental illness)Cost the NHS £1.2 billion in 2009/10Vast majority of places are in medium secure unitsGrowing concern about capacityExcessive delays for prison transfers
Recommended 14-day maximum transfer waiting time
Need to improve pathways through security levels and between prisons and secure services
564896
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Current government strategies (1)
NHS White PaperCommissioning: GP consortia; prison health care to be commissioned nationally Health and Wellbeing Boards in local authoritiesOutcomes framework
MH Strategy
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Current government strategies (2)
MoJ ‘Rehabilitation Revolution’3,000 fewer prisoners by 2014 More rigorous and effective community sentencesKey role for private sector and voluntary organisationsPayment by results and Social Impact Bonds – Peterborough prison pilot
Common theme: need to ensure cross-departmental and agency working