Detainees in Police Custody in Yorkshire, United Kingdom: A Survey of the Common Mental Health Problems
DOI:
https://doi.org/10.6000/1929-4409.2019.08.02Keywords:
Detainees, police, custody, mental health, risk, forensic medical examiner, drugs and alcohol.Abstract
Purpose: The purpose of this paper is to identify and study the common mental health problems presented by detainees in police custody as well their demographic characteristics. This would help to create awareness and sensitise health care practitioners working in custody, as well as custody staff towards early recognition and detection of cases, which should facilitate the health promotion and psycho social education of detainees and reduce the overall clinical risk in custody.
Design/Methodology: The 'anonymised custody records' of a random sample of two hundred and fifty eight detainees in police custody as well as the Forensic Medical practitioners contemporaneous notes including 'direct clinical interviews 'were examined. Data was collected from the Risk assessment record completed by the custody officers and record of medical assessment by forensic Medical Examiners using a 'Standard Questionnaire format ‘. Data then was analysed.
Findings: Detainees admitted into custody experienced a wide range of mental health problems.The most common mental health problems seen in detainees during the period of study were, substance misuse, depression, self-harm, anxiety disorder, epilepsy and schizophrenia in that order. Other conditions were identified such as Learning disabilities. The sex distribution was Male (83%) and Female (17%). In terms of age distribution most of the detainees were in the age range 20-41 (67.5%) for both sexes. The female detainees tend to be older compared to males.Heroin use was the most prevalent drug of abuse in custody. Some of the most common medications prescribed for detainees are Methadone, Mirtazapine, Citalopram, Diazepam, Sorbutex, sodium valproate and Thiamine.
Originality/Value: The findings from this study would help to further identify and bring awareness to the common mental health problems encountered in detainees in police custody. It would help to reduce clinical risks and facilitate a safer detention in custody. It would also help to address the issue of the limited availability of data regarding the mental health of detainees.
References
Best, D., Havis, S., Strathdee, G., Keaney, F., Manning, V. and Strang, J. 2004.” Drug deaths in police custody: is dual diagnosis a significant factor ?”, J Forensic Leg Med, 11(4): 173-182. https://doi.org/10.1016/j.jcfm.2003.12.006 DOI: https://doi.org/10.1016/j.jcfm.2003.12.006
British Medical Association, Ethics Department and The Faculty of Forensic and Legal Medicine. 2009," Guidance on the Health care of detainees in police stations’’.
Bottomley, K., Coleman, C., Dixon, D., Gill, M. and Wall, D. 1991.” The detection of suspects in police custody: The impact of the Police and Criminal Evidence Act 1984", British Journal of Criminology 31(4): 347-364. https://doi.org/10.1093/oxfordjournals.bjc.a048134 DOI: https://doi.org/10.1093/oxfordjournals.bjc.a048134
Carter, J. and Mayhew, J. 2010." Audit of hospital transfers January to March 2006 from Sussex police custody”, J Forensic Leg Med 17: 38-40. https://doi.org/10.1016/j.jflm.2009.07.014 DOI: https://doi.org/10.1016/j.jflm.2009.07.014
College of Policing, Authorised professional Practice. 2017. www.app.college.police.uk
Department of Health, 2009. Bradley Report. Department of Health Publications. London.
Evans, E., Hawton K. and Rodham, K. 2004. ‘’Factors associated with suicidal phenomenon in adolescents: a systematic review of population based studies. Cli Psychol Rev, 24 (8): 957- 979. https://doi.org/10.1016/j.cpr.2004.04.005 DOI: https://doi.org/10.1016/j.cpr.2004.04.005
European Convention of Human Rights, EHCR. 1950. Article 5. The Stationery Office. London.
Fuller, E. 2008.” Alcohol consumption. In health survey for England 2006 vol. 1: Cardiovascular disease and risks factors in adults. eds Craig R & Mindell J. Leeds. The information Centre.
Hawton, K, Saunders K. E.A. and O' Connor, R. 2012." Self harm and suicide in adolescents. Lancet 379: 2373-2382. DOI: https://doi.org/10.1016/S0140-6736(12)60322-5
Human Rights Act. 1998. The Stationery Office. London.
McKinnon, I. and Grubin, D. 2010.” Health Screening in Police custody”. J Forensic Leg Med 17: 209-12. https://doi.org/10.1016/j.jflm.2010.02.004 DOI: https://doi.org/10.1016/j.jflm.2010.02.004
Mental Health Act. 1983. TSO.London.
Mental Health Act. 2007. The Stationery Office. London.
Ministry of Justice. 2018.” Female offender Strategy. June. Wwww.revolving doors.org.uk/blog/ministry of justice-female offender strategy.
National Institute for Clinical Excellence NICE. 2011. Clinical Guideline No 115. National Collaborating Centre for mental health. United Kingdom. Leicester. www.nice.org.uk
Olubokun, J. 2008.” The vulnerable adult in police custody: lessons learned from the case of R v Paul Aspinall”. Med Sci Law 48 (3): 199-202. https://doi.org/10.1258/rsmmsl.48.3.199 DOI: https://doi.org/10.1258/rsmmsl.48.3.199
Police and Criminal Evidence Act, PACE. 1984. TSO. London.
Police and Criminal Evidence Act. 1986. Code of Practice Code C. TSO. London.
Payne - James, J.J. 2010.” Clinical risk and detainees in police custody”. Clinical Risk, 16 (2): 56-60. https://doi.org/10.1258/cr.2009.090090 DOI: https://doi.org/10.1258/cr.2009.090090
Prison Reform Trust 2018. Bradley Report. Www.prisonreformtrust.org.uk
Payne- James, J.J., Wall, I.J and Bailey, C. 2005.” Patterns of Illicit drug use of prisoners in police custody in London, UK”. J Forensic Leg Med, 12(4): 196-198. https://doi.org/10.1016/j.jcfm.2005.04.005 DOI: https://doi.org/10.1016/j.jcfm.2005.04.005
Payne -James, J.J., Green, P.G., Green, N., Mclachlan G.M.C. and Moore, T.C.B.2010." Healthcare issues of detainees in police custody in London, UK”.J Forensic Leg Med, 17: 11-7. https://doi.org/10.1016/j.jflm.2007.10.011 DOI: https://doi.org/10.1016/j.jflm.2007.10.011
Recrut- Lappa,T. and Lappa, A. 2014.” Health needs of detainees in police custody in England and Wales. Literature review”. J Forensic Leg Med 27: 69-75. https://doi.org/10.1016/j.jflm.2014.08.004 DOI: https://doi.org/10.1016/j.jflm.2014.08.004
Robertson, G., Pearson, R. and Gibb, R. 2007." The entry of mentally disordered people to the criminal justice system”, Br J Psychiatry 169:172-80. https://doi.org/10.1192/bjp.169.2.172 DOI: https://doi.org/10.1192/bjp.169.2.172
Scott, D., Mc Gilloway, S. and Donnelly, M. 2009.” The mental health needs of women detained in police custody”. Journal of Mental Health 18 (2): 144-151. https://doi.org/10.1080/09638230701879193 DOI: https://doi.org/10.1080/09638230701879193
Shaw, J., Creed, F., Price, J., Huxley, P and Tomenson, B.1999.” Prevalence and detection of serious psychiatric disorder in defendants attending court” Lancet 353:1053-6. https://doi.org/10.1016/S0140-6736(98)08094-5 DOI: https://doi.org/10.1016/S0140-6736(98)08094-5
www.nice.org.uk. 2010.” Diagnosis, Assessment & Management of harmful drinking and alcohol dependence. Final Draft CG 115.
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