mental health and criminal justice: current position and what needs to happen in the future sean...
TRANSCRIPT
Mental health and criminal justice: current position and what needs to happen in the future
Sean Duggan, Joint Chief Executive13th November 2010
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
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
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
Police
Bradley recommendations on section 136
Transfer commissioning of health services from police to NHS
Diversion
All Stages Diversion Model
Interventions to address complexity of need
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
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
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
