Health screening in police custody

McKinnon, Iain; Грубин, Дон

doi:10.1016/j.jflm.2010.02.004

Cited by 58 publications

(46 citation statements)

References 9 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 The custody suites where this study took place were drug-testing sites within the Metropolitan Police Service; we expected that a higher proportion of detainees would have divulged this information in the knowledge they were likely to be tested for drugs. At reception into custody, a detainee's fear of harming their defence by divulging class A drug use may outweigh their concern about drug withdrawal hours later while still in custody.…”

Section: Discussionmentioning

confidence: 99%

Screening for psychiatric morbidity in police custody: results from the HELP-PC project

McKinnon

Srivastava²,

Kaler

et al. 2013

Psychiatrist

Self Cite

View full text Add to dashboard Cite

Aims and methodTo ascertain the efficacy of custody health screening for mental disorders. We assessed a sample of detainees for the presence of mental disorders and the need for an appropriate adult. The assessments were carried out using pragmatic interviews and examinations supported by structured tools. Where possible, we attributed a probable clinical diagnosis based on the information available to us. The need for an appropriate adult was judged based on this information and capacity assessments.ResultsExisting screening procedures missed a quarter of cases of severe mental illness and moderate depression; they also failed to detect about a half of those at risk of alcohol withdrawal and 70% of those at risk of withdrawal from crack cocaine. The need for an appropriate adult was not recognised in more than half of cases.Clinical implicationsConsideration should be given to modifying police screening procedures for mental and associated disorders so that detainees receive the appropriate attention.

show abstract

Section: Discussionmentioning

confidence: 99%

Screening for psychiatric morbidity in police custody: results from the HELP-PC project

McKinnon

Srivastava²,

Kaler

et al. 2013

Psychiatrist

Self Cite

View full text Add to dashboard Cite

show abstract

“…These groups initially enter the criminal justice system by being arrested and processed through police custody, and therefore it is not surprising that a more recent and developing literature that has focused specifically on detainees in police custody has also found high levels of morbidity across a range of health measures. Complexity and mixed pathology across domains have emerged as key themes (Rekrut-Lapa & Lapa, 2014;McKinnon & Grubin, 2010;PayneJames, Green, Green, McLachlan, Munro & Moore, 2010). High levels of substance use and dependence have been identified, with a wide range of substances (both legal and illegal) being consumed, and serious problems arising in police stations as a consequence of both substance intoxication and withdrawal (Clement, Gerardin, Victorri, Guigand, Wainstein & Jolliet, 2013;Dorn, Ceelen, Buster, Stirbu, Donker & Das, 2014;Coulton, Newbury-Birch, Cassidy, Dale, Deluca, Gilvarry, Godfrey, Heather, Kaner & Oyefeso, 2012;Payne-James, Wall & Bailey, 2005;Pearson, Robertson & Gibb, 2000).…”

Section: Introductionmentioning

confidence: 99%

Demographic and clinical characteristics of 1092 consecutive police custody mental health referrals

Forrester

Samele

Slade

et al. 2016

The Journal of Forensic Psychiatry & Psychology

View full text Add to dashboard Cite

The 43 police forces in England and Wales have made over 13 million arrests in the last decade. Yet despite this high volume criminal justice system activity, and evidence of substantial health morbidity across the criminal justice pathway, mental health services in police custody have so far only been developed in patches, and the literature in this area is limited. Referrals (n=1092) to a pilot mental health service operating across two police stations in a London borough were examined over an 18-month period in 2012/13. The referred group had high levels of mental health and substance misuse problems (including acute mental illness, intoxication and withdrawal), selfharm, suicide risk and vulnerability, with some important gender differences. Although this work has limitations, the findings are broadly consistent with the small existing literature and they confirm the need for services that are sufficiently resourced to meet the presenting needs.Abstract word count = 145

show abstract

“…Worldwide, there is a high risk of considerable health hazards or death in police custody [1][2][3]. There are often doubts on a person's fitness to stay in police custody even at the time of arrest that make it necessary to consult a doctor.…”

Section: Background and Problemmentioning

confidence: 99%

“…This problem is partly due to unclear legislation and a lack of clearly defined medical responsibilities [3][4][5]. In Germany alone, there are dramatic differences in the regimentation of medical aspects for police custody [6].…”

Section: Background and Problemmentioning

confidence: 99%

Medical examination of fitness for police custody in two large German towns

et al. 2011

View full text Add to dashboard Cite

Worldwide, there is a high risk of medical complications or death in police custody. This risk is often increased by unclear legislation, a lack of clearly defined responsibility and medical examination standards. Any solution to these problems requires as a very basis the systematic analysis of the medical examinations that determine whether a person is fit to be detained in custody. We analysed a total of 3,674 medical records on fitness for custody, taken from two large German towns (Halle/S and Bremen). The examined individuals were predominantly males or of a younger age. The indication in the majority of cases was acute alcoholic intoxication or drug withdrawal syndromes. Traumata and internal or mental diseases were also quite frequent. For approximately 50% of all cases, fitness for custody was declared on certain conditions. Only 39.8% were found to be unconditionally fit for detention in custody. In just under 10% of the cases, the person was found unfit for custody. These cases concerned mainly persons with psychological symptoms and advanced alcohol or drug withdrawal syndromes. We were able to show that the recent introduction of new police custody regulations in Halle/S had a significant influence on the medical decision on fitness for custody. Our detailed assessment has provided us with the basis to develop solutions for the improvement of medical care in police custody. The focus lies here on the organisation and legal regulation of the medical aspects of custody but also on policing and medical work.

show abstract

Health screening in police custody

Cited by 58 publications

References 9 publications

Screening for psychiatric morbidity in police custody: results from the HELP-PC project

Screening for psychiatric morbidity in police custody: results from the HELP-PC project

Demographic and clinical characteristics of 1092 consecutive police custody mental health referrals

Medical examination of fitness for police custody in two large German towns

Contact Info

Product

Resources

About