Criminal Justice Publications

A Missed Opportunity?

A missed opportunity cover image - buses in a queue of trafficCommunity Sentences and the Mental Health Treatment Requirement

The Mental Health Treatment Requirement (MHTR) is rarely used, even though more than two-fifths of people on community sentences have mental health problems.

A Missed Opportunity? looks at why the courts, probation and health services rarely use the MHTR. It calls on the Government to issue clear guidance on the use of the MHTR.  

26 March 2009
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Blurring the Boundaries

Blurring the Boundaries cover image - blurred  fencingThe convergence of mental health and criminal justice policy, legislation, systems and practice

This report shows that a convergence is taking place between mental health and criminal justice.

It summarises the benefits and the risks of convergence and is intended to inform policy-makers and practitioners about where convergence can be useful and where caution is required.

Foreword by Rt Hon Lord Bradley.  

16 March 2010
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The Bradley report and the Government's response (Briefing 38)

Bradley report briefing paper coverThe implications for mental health services for offenders

The Bradley Report made 82 recommendations to improve the treatment of people with mental health problems and people with learning disabilities in the criminal justice system. The Government's response accepted almost all of the recommendations in full or in principle.

This briefing paper examines these reports in terms of the mental health of offenders. It is our assessment of and response to their recommendations. 

21 July 2009
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The Chance of a Lifetime

Chance of a Lifetime cover image - snakes and ladders in a playgroundPreventing early conduct problems and reducing crime

A very high proportion of those who have the most serious conduct problems during childhood will go on to become involved in criminal activity.

This paper examines the links between early conduct problems and subsequent offending. It makes the case for greatly increased investment in evidence-based programmes to reduce the prevalence and severity of conduct problems in childhood. 

23 November 2009
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Commissioning mental health care in the criminal justice system: 10 top tips for PCT Boards

10 top tips for PCT Boards for commissioning mental health care in the criminal justice system

Every year, primary care trusts in England commission health care for an average of 500 prisoners, 1,000 community sentenced offenders and some 10,000 people who are arrested by the police.

The Bradley Report laid down a challenge to the NHS to improve the quality of mental health care it offers to prisoners and offenders.

This brief guide sets out 10 questions PCT board members can ask to find out how well their PCT is serving prisoners and offenders in their area. 

03 June 2009
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The Community Order and the Mental Health Treatment Requirement

The Community Order and the Mental Health Treatment Requirement - Publication Cover Image

It is estimated that half of people on community orders have at least one mental health problem, yet fewer than one per cent of community orders contain a requirement for mental health treatment. The report looks at the requirement and examines barriers to its use.  

09 January 2008
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Directory of services for high-risk young people

Directory of services for high-risk young people cover

This directory outlines secure services in England and Wales. It contains a summary of each service, detailing whom it's for and the contact details. 

07 September 2010
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Diversion

Diversion report cover image - bends in a roadA better way for criminal justice and mental health

Diversion finds that many opportunities for diversion are being missed and too little is being done to ensure that offenders with mental health problems make continuing use of community mental health services.

The report looks at the evidence on outcomes and the effectiveness of diversion, it includes information from site visits and looks at whether diversion is good value for money. 

23 February 2009
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Diversion Dividend

Diversion Dividend cover

Rethink and Sainsbury Centre for Mental Health have called on political parties to recognise that imprisoning offenders with mental health problems on short sentences is a poor use of taxpayers' money.

Diversion Dividend finds that diverting offenders to community support rather than prisons would save money in the justice system and reduce reoffending rates.  

02 April 2010
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First Steps to Work: a study at Broadmoor Hospital

First Steps to Work: a study at Broadmoor Hospital - Publication Cover ImageBriefing Paper 30

This briefing paper shows that patients at the special hospital gained in skills and confidence after participating in a business run for and by patients. 

11 January 2006
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Forensic Mental Health Services

Forensic Mental Health Services - Publication Cover ImageFacts and figures on current provision

Forensic mental health services provide care for people who have come into contact with the criminal justice system and have been transferred to secure NHS services. This factfile brings together figures from many sources about forensic mental health services. 

10 September 2007
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From the Inside

From the Inside report cover - blue barred gates in a doorwayExperiences of prison mental health care

From the Inside is based on interviews with 98 prisoners in five West Midlands prisons. It finds that mental ill health is not the exception but the rule. It sets out what prisoners themselves say they need to improve their mental health. 

25 June 2008
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Getting the Basics Right

Getting the Basics Right - Publication Cover ImageDeveloping a primary care mental health service in prisons

Prisoners with common mental health conditions frequently go untreated in prisons. Government policy is that prisoners should receive health care that is ‘equivalent’ to that which they would get outside. This paper looks at ways in which this could be achieved and makes policy recommendations. 

22 November 2007
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Improving the health and social outcomes of people recently released from prison

Improving the health and social outcomes of people recently released from prison cover imageA perspective from primary care

This paper gives an overview of the health and social care and the physical and mental health needs of offenders upon release from prison.

It looks at what development work is being undertaken or planned in this area, the national policy drivers in wider health care which may significantly relate to and affect prisoners, how prisoners are enabled to access primary care services and what organisational issues affect this access. 

18 January 2008
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In the Dark

In the dark cover imageThe mental health implications of Imprisonment for Public Protection

This report finds that prisoners serving IPP sentences are much more likely than other prisoners to have mental health problems.

It looks at the sentencing process, what information is given to prisoners and the courses they can do as well as the prisoners' mental health needs and the impact of mental ill health on the IPP process. It makes recommendations for health and criminal justice services. 

18 September 2008
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London's prison mental health services

London's prison mental health services - Publication Cover ImageA Review

This policy paper examines London’s prisons and makes recommendations for improvement and ways that the primary care trusts and the prisons can work together to make more progress. 

29 March 2006
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Mental health care and the criminal justice system

Mental health care and the criminal justice system - Publication Cover ImageBriefing Paper 39

The quality of mental health care available in our prisons is frequently poor. This briefing paper provides an overview of the mental health care available in prisons. It covers prison inreach teams work, alternatives to prison and care after release. It also makes recommendations for improvements. 

22 July 2009
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On the Outside

On the Outside report cover image - houses on a streetContinuity of care for people leaving prison

Continuity of care is vital in all areas of health care. For released prisoners with mental health problems it is especially important to help them get their lives back on track on the outside. On the Outside finds that many released prisoners quickly lose touch with the services that are supposed to support them. Many prisoners do not know where they will be living on release. Some end up on relatives' sofas. Others go to hostels where they fear getting back into drug habits, or they end up on the streets. 

02 December 2008
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Personality Disorder

Personality Disorder briefing cover imageA briefing for people working in the criminal justice system

Personality disorder is a difficult topic which is surrounded by myth.

This briefing is designed to raise awareness about personality disorder, to dispel some of the myths, and to give some interesting facts about this important and hotly disputed area, as an introduction for people working in the criminal justice system.  

08 January 2009
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The Police and Mental Health (Briefing 36)

Police and Mental Health Briefing paper cover image

This briefing looks at the role of the police in relation to mental health and makes recommendations for development.

It calls on the NHS to manage health care in police custody and to take a more active role in diverting people with mental health problems to the services they need. 

02 September 2008
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Public health and criminal justice

Public health and criminal justice cover image - aerial photo of housesPromoting and protecting offenders' mental health and wellbeing

The offending population experiences poor mental health on many counts, often associated with a lifetime of social exclusion and its consequences.

This policy paper looks at a range of innovative programmes and interventions that target people and communities at high risk of social exclusion, poor mental health and offending. 

21 July 2010
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Reaching out, reaching in

Reaching out, reaching in coverPromoting mental health and emotional well-being in secure settings

This study was commissioned by the Department of Health to review current levels and standards of mental health provision in the young people's secure estate in England. 

07 September 2010
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A Review of Service User Involvement in Prison Mental Health Research

Review of service user involvement cover image

Service user involvement in health care research is now firmly established in the NHS but few attempts have been made to find out about prisoners' experiences of mental health care in prison or to encourage their involvement in this research.

This review looks at how models of service user involvement in health research could be applied in prisons.  

16 December 2008
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A review of the use of offending behaviour programmes for people with mental health problems

review of the use of offending behaviour programmes cover

Offending behaviour programmes (OBPs) aim to change the way offenders think in order to change their offending behaviour. This review finds that many programmes are poorly adapted to the needs of people with mental health problems and that they fail to address the most common causes of offending, such as lack of a home and lack of a job.

The review calls for programmes to be made more accessible to prisoners with mental health problems and relevant to people's lives. 

12 November 2008
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Securing Employment for Offenders with Mental Health Problems

Securing Employment for Offenders with Mental Health Problems cover imageTowards a Better Way

Enabling a person with a history of offending to get and keep a job is probably the most effective intervention anyone can make to prevent reoffending and improve their chances of leading a better life.

This policy paper examines how to improve the employment prospects of offenders with mental health problems.  

02 September 2009
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Short-changed

Short-changed publication cover imageSpending on Prison Mental Health Care

Short-changed, produced together with Lincoln University, shows that prison inreach teams get £300 in funding for every prisoner in England. This is only about one-third of what they need to offer the same level of service as community mental health services. 

27 May 2008
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You just get on and do it

Healthcare provision in Youth Offending Teams coverHealthcare provision in Youth Offending Teams

This paper shows the results of our study of healthcare provision in YOTs in England. We also reviewed mental health diversion work along the youth justice pathway to look at how these services might be better developed to improve outcomes for young people and their families. 

07 September 2010
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