Contributors to this volume present and discuss new data which suggest that major mental disorder substantially increases the risk of violent crime. These findings come at a crucial time, since those who suffer from mental disorders are increasingly living in the community, rather than in institutions. The book describes the magnitude and complexity of the problem and offers hope that humane, effective intervention can prevent violent crime being committed by the seriously mentally disordered.
This comprehensive book addresses the complex issues associated with the criminalization of mentally ill offenders in the United States and the ways in which social workers and other mental health professionals can best channel their efforts to create better services and treatment. Specialists in law enforcement, community-based mental health and outreach, the legal community, the corrections environment, and substance abuse providers present best practices and programs that offer rehabilitation alternatives to mentally ill offenders. Unique to this volume is the perspective provided by key players of the criminal justice system including a judge, a prosecutor, an advocate, a defense attorney, and a mentally ill offender. The last section provides in-depth research into the challenges of placing the dually-diagnosed offender into alternative-to-incarceration programs.
It has long been known that the pathway through the criminal justice system for those with mental health needs is fraught with difficulty. This interdisciplinary collection explores key issues in mental health, crime and criminal justice, including: offenders' rights; intervention designs; desistance; health-informed approaches to offending and the medical needs of offenders; psychological jurisprudence, and; collaborative and multi-agency practice. This volume draws on the knowledge of professionals and academics working in this field internationally, as well as the experience of service users. It offers a solution-focused response to these issues, and promotes both equality and quality of experience for service users. It will be essential reading for practitioners, scholars and students with an interest in forensic mental health and criminal justice.
Arguing that there is little useful that can be said about the responsibility of mentally ill offenders in general, Elliott looks at specific mental illnesses in detail; among them schizophrenia, manic-depressive disorders, psychosexual disorders such as exhibitionism and voyeurism, personality disorders, and impulse control disorders such as kleptomania and pyromania. He takes a particularly hard look at the psychopath or sociopath, who many have argued is incapable of understanding morality.
This volume presents current treatment approaches for offenders with mental disorders in a variety of settings. After reviewing administrative and legal issues in the provision of care, the volume addresses therapeutic work with inpatients, outpatients, and incarcerated persons. Separate chapters cover special issues in treatment of sexual offenders, offenders with mental retardation, and juvenile offenders. Throughout, the approaches featured are interdisciplinary and eclectic, incorporating biological and psychological perspectives. This volume will be of use to mental health practitioners as well as legal professionals in criminal justice and mental health law.
A powerful, sophisticated, and original critique on how the disciplines of law and psychiatry behave and on how the mental health and justice systems operate, Punishing the Mentally Ill reveals where, how, and why the identity and humanity of persons with psychiatric disorders are consciously and unconsciously denied. Author Bruce A. Arrigo contends that despite periodic and well-intentioned efforts at reform, the current law-psychiatry system functions to punish the mentally ill for being different. The book synthesizes a wide range of mainstream and critical literature in sociology, law, philosophy, history, psychology, and psychoanalysis to establish a new theory of punishment at the law-psychiatry divide. To situate the analysis, enduring psycholegal issues are explored including the meaning of mental illness, definitions and predictions of dangerousness, the ethics of advocacy, the right to community-based treatment, the logic of forensic courtroom verdicts, transcarceration, and the execution of mentally disordered offenders among others. Punishing the Mentally Ill shows that current mental disability law research, programming, and policy are seriously flawed and that wholesale reform is necessary if the goals of citizen justice, social well-being, and humanism are to be realized.
This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length of stay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.
In its narrowest sense, "mentally disordered offender" refers to the approximately twenty thousand persons per year in the United States who are institutionalized as not guilty by reason of insanity, incompetent to stand trial, and mentally disordered sex offenders, as well as those prisoners transferred to mental hospitals. The real importance of mentally disordered offenders, however, may not lie in this figure. Rather, it may reside in the symbolic role that mentally disordered offenders play for the rest of the legal system. The 3,140 persons residing in state institutions on an average day in 1978 as not guilty by reason of insanity (see Chapter 4), for example, are surely worthy of concern in their own right. But they represent only 1% of the 307,276 persons residing in state and federal prisons in the same period (U. S. Dept. of Justice, 1981). From a purely numeric point of view, the insanity defense truly is "much ado about little" (Pasewark & Pasewark, 1982). The central importance of understanding these persons, however, is that they serve a symbolic function in justifying the imprisonment of the other 99%. The insanity defense, as Stone (1975) has noted, is "the exception that proves the rule. " By exculpating a relatively few people from being criminally responsible for their behavior, the law inculpates all other law violators as liable for social sanction.
