Forensic Mental Health

Concepts, systems, and practice

Edited by Annie Bartlett and Gill McGauley

A comprehensive and powerful analysis of the forensic mental health system, looking at the huge practical and ethical problems inherent in such a system
Brings together a range of highly experienced specialists, who describe and consider their own contribution to this process - one that ultimately has the right to deprive an individual of his or her liberty
Considers and compares the treatment of mentally disordered offenders in other parts of the world, challenging the reader to consider how their own role in this process might be made more effective and fair

Forensic Mental Health

Concepts, systems, and practice

Edited by Annie Bartlett and Gill McGauley

Description

In the UK, we lock up more individuals per year than in any other part of Europe. Many of these are suffering from some form of treatable mental disorder, yet too often, prison is viewed as the only option. Part of the problem is the range of individuals and specialities involved in making these crucial judgements. Government departments, health and social care and voluntary sector organisations, and frontline criminal justice and penal institutions are all engaged in the definition, management, and processing of the mentally disordered offender (MDO), leaving the invidual in 'spiders web' of a system - often to their disadvantage.
This book presents a penetrating and thought provoking analysis of the forensic mental health system - how it operates, the people involved, the problems inherent in such a system, and the huge ethical dilemma of depriving an individual of their freedom. It brings together a range of specialists, each with considerable experience, who describe the processes involved in dealing with an MDO - from their own unique perspective.

The book starts with a section on violence and risk - covering a range of ideas from the disciplines of criminology, sociology, psychiatry and psychology that contribute to an understanding of these concepts.
The second section, on Forensic Psychotherapeutic Approaches to MDOs details the contributions of both cognitive and psychodynamic psychotherapies to understanding and managing the psychopathology, risk and interpersonal interactions of MDOs.
Legislation, both statutory and case law, has changed substantially in relation to MDOs over the last decade and the third section on Law discusses these changes as well as the fierce debate that has surrounded them.
The fourth section, on Ethics, develops some of these ideas on capacity, autonomy, vulnerability and responsibility. It describes common ethical dilemmas for professionals in forensic settings as it lays out the different duties involved in the different professional roles intrinsic to multi-agency working.
The fifth section on Social Policy discusses the development of the concept of the MDO and how penal, health and social care institutions are designed to meet their needs. It illustrates how much has changed, especially in the last fifteen years and how much of that change has been driven by the risk agenda.
The book concludes with an International Section - exploring how other countries think about anti-social and violent behaviour and how their circumstances and dilemmas have led to approaches to MDOs both similar to and different from those of England and Wales.

The book will be essential for both students and professionals in the complex and ethically challenging discipline of forensic mental health.

Forensic Mental Health

Concepts, systems, and practice

Edited by Annie Bartlett and Gill McGauley

Violence and dangerousness
1:Introduction, Annie Bartlett
2:Medical models of mental disorder, Annie Bartlett
3:Violence in a criminological context, Darrick Jolliffe
4:Psychiatric disorder: frequency and mechanisms in understanding violence, Tine Burke
5:Gender, crime and violence, Annie Bartlett
6:Race and culture: the relationship of complex social variables to the understanding of violence, Sharon Prince
7:Domestic violence: genesis and perpetuation, Lorraine Bacchus and Gillian Aston
8:Sexual offending: understanding motivations, Julia Houston
9:Reponses to violence and trauma: the case of post-traumatic stress disorder, Gwen Adshead, Annie Bartlett and Gill Mezey
Forensic psychotherapy
10:Introduction, Gillian McGauley
11:Introduction to psychotherapy and mentally disordered offenders, Gillian McGauley
12:Psychodynamic approaches to working with mentally disordered offenders, Steven Blumenthal
13:Psychotherapeutic understanding and approach to psychosis in mentally disordered offenders, Cleo van Velsen
14:Caring for individuals with personality disorder in secure settings, Gwen Adshead and Gillian McGauley
15:Cognitive behavioural approaches to working with mentally disordered offenders, Derek Perkins
16:Treating high risk mentally disordered offenders; the dangerous and severe personality disorder initiative, Val Hawes
Law
17:Introduction, Martin Wrench and Bridget Dolan
18:Law and the mentally disordered offender: an overview of structures and statute, Martin Wrench and Bridget Dolan
19:Insanity and homicide: 'new defences and old defences', Nerida Harford-Bell and Annie Bartlett
20:Mental health law and mentally disorder offender, Sameer Sarkar
21:Child care law and practice for mental health practitioners, Sarah Lerner and Lib Skinner
Ethical aspects
22:Introduction, Gwen Adshead
23:Principles of ethical reasoning in forensic psychiatry, Gwen Adshead
24:Ethical issues in secure care, Gwen Adshead
25:Ethical roles, relationships and duties of forensic mental health clinicians, Nigel Eastman, Danny Riordan and Gwen Adshead
Social policy
26:Introduction to social policy and the mentally disordered offender, Annie Bartlett
27:Organizational and conceptual frameworks and the mentally disordered offender, Annie Bartlett and Sue Kesteven
28:Prison mental health care, Annie Bartlett and Crystal Romilly
29:Current service provision for mentally disordered offenders, Annie Bartlett and Sue Kesteven
International
30:Introduction, Annie Bartlett
31:Forensic psychiatry in Australia, Rob Ferris
32:Forensic mental health care in New Zealand, Ceri Evans
33:Care and treatment of mentally disordered offenders in India, Jaydip Sarkar
34:Reflections on the ethical complexities of medical life in apartheid South Africa, Trudi Roussouw
35:Scottish forensic psychiatry, John Crichton
36:Diminished responsibility as a cultural phenomenon (Netherlands), Emma van Hoecke
37:Forensic mental health in (Switzerland), Madleina Manetsch
38:Legal models and treatment approaches for the mentally disordered offender: United States of America, Sameer Sarkar
Appendix
Childcare law and practice, Sarah Lerner and Lib Skinner

Forensic Mental Health

Concepts, systems, and practice

Edited by Annie Bartlett and Gill McGauley

Author Information

Edited by Annie Bartlett, Department of Mental Health, St. George's Hospital Medical School, London, UK, and Gill McGauley, Department of Mental Health, St. George's Hospital Medical School, London, UK

Contributors:

Gwen Adshead, Department of Forensic Psychotherapy, Broadmoor Hospital Authority, Berks, UK
Lorraine Bachus, London
Annie Bartlett, Department of Mental Health, St. George's Hospital Medical School, London, UK
Steven Blumenthal
Richard Charlton, Kent, UK
John Crichton, Royal Edinburgh Hospital, Edinburgh, UK
Nigel Eastman, St. George's Hospital Medical School, London, UK
Ceri Evans, Division of Psychiatry, University of Auckland, New Zealand
Tim Exworthy, Redford Lodge Psychiatric Hospital, London, UK
Rob Ferris, Berks, UK
Nerida Harford-Bell, Garden Court Chambers, Lincoln's Inn Fields, London
Val Hawes, DSPD Unit, HMP Whitemoor, Cambs, UK
Julia Houston, Shaftesbury Clinic, Springfield Hospital, London, UK
Ian Jewesbury, London, UK
Andrew Johns, Dennis Hill Secure Unit, Bethlem Royal Hospital, Kent, UK
Darrick Jolliffe, London, UK
Sue Kesteven, NACRO, London, UK
Helena Kennedy QC, Doughty Street Chambers, London, UK
Sarah Lerner, London, UK
Gill McGauley, Department of Mental Health, St. George's Hospital Medical School, London, UK
Madleina Manetsch, Hume Office Suite, Springfield Hospital, London, UK
Carine Minne, Portman Clinic, London, UK
Derek Perkins, Department of Psychology, Broadmoor Hospital, UK
Sharon Prince, Leed Personality Clinical Network, Leeds, UK
Ian Robbins, St. George's Hospital, London, UK
Brian Robinson, Assessment and Training Unit, Colton Fort, Bristol
Crystal Romilly, Springfield Hospital, London, UK
Trudie Roussow, London, UK
Jaydip Sarkar, Arnold Lodge Secure Unit, Leicester, UK
Sameer Sarkar
Chris Scanlon, Henderson Hospital Outreach Team, London, UK
Debbie Taylor, London, UK
Gerdje van Hoecke, Broadmoor Hospital, UK
Cleo van Velson, John Howard Centre, London
Martin Wrench, Henderson Hospital Outreach Team, London, UK

Forensic Mental Health

Concepts, systems, and practice

Edited by Annie Bartlett and Gill McGauley

Reviews and Awards

"'...the book is both fresh and refreshing. It needs to be explored actively, otherwise one might miss something...The content is strong throughout...This is a book for Masters-level students or postgraduate trainees. It will also be of immense value to established practitioners. For interested undergraduates from all the allied disciplines it will only serve to fuel their enthusiasm'" - British Journal of Psychiatry

"'...[the book] is highly informative and both scholars and practitioners will find much of value in it...The chapter on medical models on mental disorder is my pick...as it is wide-ranging, insightful and provides for interesting critiques of the medical approach to mental illness with issues of gender and culture carefully examined.'" - British Journal of Criminology