Forensic Mental Health: Concepts, systems, and practice

Paperback | October 30, 2009

EditorAnnie Bartlett, Gillian McGauley

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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 makingthese 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 'spidersweb' 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-agencyworking. 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 therisk 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.

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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 makingthese crucial judgements. Government department...

Annie Bartlett and Gillian McGauley are both in the Department of Mental Health at St. George's Hospital Medical School, London, UK.

other books by Annie Bartlett

Format:PaperbackDimensions:432 pages, 9.69 × 6.73 × 0.04 inPublished:October 30, 2009Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198566859

ISBN - 13:9780198566854

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Table of Contents

Violence and dangerousness1. Annie Bartlett: Introduction2. Annie Bartlett: Medical models of mental disorder3. Darrick Jolliffe: Violence in a criminological context4. Tine Burke: Psychiatric disorder: frequency and mechanisms in understanding violence5. Annie Bartlett: Gender, crime and violence6. Sharon Prince: Race and culture: the relationship of complex social variables to the understanding of violence7. Lorraine Bacchus and Gillian Aston: Domestic violence: genesis and perpetuation8. Julia Houston: Sexual offending: understanding motivations9. Gwen Adshead, Annie Bartlett and Gill Mezey: Reponses to violence and trauma: the case of post-traumatic stress disorderForensic psychotherapy10. Gillian McGauley: Introduction11. Gillian McGauley: Introduction to psychotherapy and mentally disordered offenders12. Steven Blumenthal: Psychodynamic approaches to working with mentally disordered offenders13. Cleo van Velsen: Psychotherapeutic understanding and approach to psychosis in mentally disordered offenders14. Gwen Adshead and Gillian McGauley: Caring for individuals with personality disorder in secure settings15. Derek Perkins: Cognitive behavioural approaches to working with mentally disordered offenders16. Val Hawes: Treating high risk mentally disordered offenders; the dangerous and severe personality disorder initiativeLaw17. Martin Wrench and Bridget Dolan: Introduction18. Martin Wrench and Bridget Dolan: Law and the mentally disordered offender: an overview of structures and statute19. Nerida Harford-Bell and Annie Bartlett: Insanity and homicide: 'new defences and old defences'20. Sameer Sarkar: Mental health law and mentally disorder offender21. Sarah Lerner and Lib Skinner: Child care law and practice for mental health practitionersEthical aspects22. Gwen Adshead: Introduction23. Gwen Adshead: Principles of ethical reasoning in forensic psychiatry24. Gwen Adshead: Ethical issues in secure care25. Nigel Eastman, Danny Riordan and Gwen Adshead: Ethical roles, relationships and duties of forensic mental health cliniciansSocial policy26. Annie Bartlett: Introduction to social policy and the mentally disordered offender27. Annie Bartlett and Sue Kesteven: Organizational and conceptual frameworks and the mentally disordered offender28. Annie Bartlett and Crystal Romilly: Prison mental health care29. Annie Bartlett and Sue Kesteven: Current service provision for mentally disordered offendersInternational30. Annie Bartlett: Introduction31. Rob Ferris: Forensic psychiatry in Australia32. Ceri Evans: Forensic mental health care in New Zealand33. Jaydip Sarkar: Care and treatment of mentally disordered offenders in India34. Trudi Roussouw: Reflections on the ethical complexities of medical life in apartheid South Africa35. John Crichton: Scottish forensic psychiatry36. Emma van Hoecke: Diminished responsibility as a cultural phenomenon (Netherlands)37. Madleina Manetsch: Forensic mental health in (Switzerland)38. Sameer Sarkar: Legal models and treatment approaches for the mentally disordered offender: United States of AmericaAppendix:Sarah Lerner and Lib Skinner: Childcare law and practice