Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort study
BackgroundLittle is known internationally about return to prison from in-patient psychiatric services, including: circumstances leading to return, aftercare services and subsequent patient outcomes.AimsTo examine and describe: (a) circumstances leading to return to prison from medium secure services...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2020-09-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472420000629/type/journal_article |
| _version_ | 1827995684928749568 |
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| author | Sarah-Jayne Leonard Roger T. Webb Jennifer J. Shaw |
| author_facet | Sarah-Jayne Leonard Roger T. Webb Jennifer J. Shaw |
| author_sort | Sarah-Jayne Leonard |
| collection | DOAJ |
| description | BackgroundLittle is known internationally about return to prison from in-patient psychiatric services, including: circumstances leading to return, aftercare services and subsequent patient outcomes.AimsTo examine and describe: (a) circumstances leading to return to prison from medium secure services; (b) available aftercare and early outcomes of returned persons; and (c) implications for policy development.MethodProspective cohort design with all patients (n = 96) returned to prisons from 33 National Health Service (NHS) medium secure services over a 6-month period in England and Wales. Follow-up was conducted for 1 year post-remittal, across 60 prisons.ResultsLess than 20% of patients with legal entitlement to section 117 aftercare under the Mental Health Act 1983 were receiving care managed/delivered via the care programme approach. Subsequent pathways included: inter-prison transfer (30%), use of the Assessment, Care in Custody and Teamwork process (49%), referral to secure services (21%) and community release (30%). Less than half of community releases were referred to a community mental health team.ConclusionsFindings suggest that persons returned to prison are a vulnerable group of patients, many of whom require intervention (e.g. enhanced monitoring, admission to a healthcare wing, readmission to secure mental health services) on return to prison in the absence of targeted aftercare services. More robust guidance for discharge and aftercare planning procedures for persons remitted to prison should be developed to ensure that the benefits of in-patient admission are maintained and that individuals’ legal rights to ongoing aftercare are upheld. |
| first_indexed | 2024-04-10T04:59:04Z |
| format | Article |
| id | doaj.art-591ca8f89d4a4d79862a634ede5f0b2e |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:59:04Z |
| publishDate | 2020-09-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-591ca8f89d4a4d79862a634ede5f0b2e2023-03-09T12:29:04ZengCambridge University PressBJPsych Open2056-47242020-09-01610.1192/bjo.2020.62Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort studySarah-Jayne Leonard0https://orcid.org/0000-0002-1729-0556Roger T. Webb1Jennifer J. Shaw2Offender Health Research Network, Centre for Mental Health and Safety, University of Manchester, UKCentre for Mental Health and Safety, University of Manchester, UKCentre for Mental Health and Safety, University of Manchester, UKBackgroundLittle is known internationally about return to prison from in-patient psychiatric services, including: circumstances leading to return, aftercare services and subsequent patient outcomes.AimsTo examine and describe: (a) circumstances leading to return to prison from medium secure services; (b) available aftercare and early outcomes of returned persons; and (c) implications for policy development.MethodProspective cohort design with all patients (n = 96) returned to prisons from 33 National Health Service (NHS) medium secure services over a 6-month period in England and Wales. Follow-up was conducted for 1 year post-remittal, across 60 prisons.ResultsLess than 20% of patients with legal entitlement to section 117 aftercare under the Mental Health Act 1983 were receiving care managed/delivered via the care programme approach. Subsequent pathways included: inter-prison transfer (30%), use of the Assessment, Care in Custody and Teamwork process (49%), referral to secure services (21%) and community release (30%). Less than half of community releases were referred to a community mental health team.ConclusionsFindings suggest that persons returned to prison are a vulnerable group of patients, many of whom require intervention (e.g. enhanced monitoring, admission to a healthcare wing, readmission to secure mental health services) on return to prison in the absence of targeted aftercare services. More robust guidance for discharge and aftercare planning procedures for persons remitted to prison should be developed to ensure that the benefits of in-patient admission are maintained and that individuals’ legal rights to ongoing aftercare are upheld.https://www.cambridge.org/core/product/identifier/S2056472420000629/type/journal_articleForensic mental health serviceshuman rightsprison mental healthMental Health Actoffender pathway |
| spellingShingle | Sarah-Jayne Leonard Roger T. Webb Jennifer J. Shaw Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort study BJPsych Open Forensic mental health services human rights prison mental health Mental Health Act offender pathway |
| title | Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort study |
| title_full | Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort study |
| title_fullStr | Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort study |
| title_full_unstemmed | Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort study |
| title_short | Service transitions, interventions and care pathways following remittal to prison from medium secure psychiatric services in England and Wales: national cohort study |
| title_sort | service transitions interventions and care pathways following remittal to prison from medium secure psychiatric services in england and wales national cohort study |
| topic | Forensic mental health services human rights prison mental health Mental Health Act offender pathway |
| url | https://www.cambridge.org/core/product/identifier/S2056472420000629/type/journal_article |
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