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22 Interventions with Mentally Disordered Offenders
DAWN FISHER, MICHELLE GINTY, JAGJIT SANDHU AND NUWAN GALAPPATHIE
CHAPTER OUTLINE
22.1 INTRODUCTION
22.2 HISTORY OF FORENSIC MENTAL HEALTH SERVICES 22.2.1 Hospital Provision for Mentally Ill
Offenders (in Special Hospitals, Medium and Low Secure Units)
22.2.2 Community Service Provision
22.2.3 Mentally Ill Offenders in Prison
22.3 TYPES OF MENTAL ILLNESS/FORENSIC BEHAVIOURS SEEN IN FORENSIC MENTAL HEALTH SERVICES 22.3.1 Schizophrenia
22.3.2 Paranoid Schizophrenia
22.3.3 Major Affective Disorders
22.3.4 Personality Disorder
22.3.5 Psychopathy
22.3.6 Intellectual Disability and Developmental Disorders
22.3.7 Acquired Brain Injury
22.3.8 Substance Misuse Disorders
22.3.9 Poorly Controlled Anger (with Resultant Aggression and Violence)
22.4 LEGISLATION PERTAINING TO MENTALLY DISORDERED OFFENDERS 22.4.1 Mental Health Legislation/Arrangements
22.4.2 Legislation to Safeguard the Patient
22.4.3 Capacity to Consent
22.4.4 Multi-Agency Public Protection Arrangements (MAPPA)
22.4.5 Care Pathway Approach Arrangements
22.5 THE ROLE OF THE PSYCHOLOGIST IN FORENSIC MENTAL HEALTH SETTINGS 22.5.1 Assessments
22.5.2 Risk Assessment
22.5.3 Treatment
22.5.4 The Assistant Psychologist
22.6 SUMMARY
LEARNING OUTCOMES
BY THE END OF THIS CHAPTER, YOU SHOULD BE ABLE TO:
Gain an overview of the mental health legislation associated with the duty of care for mentally disordered offenders
Appreciate the range of interventions available for people with forensic mental health problems
Understand the role of psychology when working with mentally disordered offenders.
22.1 INTRODUCTION
The whole area surrounding services, legislation and specialised practice for mentally disordered offenders has come to be known as forensic mental health. The word forensic simply means “pertaining to or used in a court of law” and so has come to be associated with those who transgress the law. Forensic mental health combines the fields of mental health with the working of the criminal justice system (CJS). This presents a unique challenge for the professionals, who have to balance the needs of mentally ill offenders with the demands of the CJS, and the potential risk to the public. This approach emphasises the need for effective multi-disciplinary working, creativity, and external scrutiny.
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