Centre for Wellbeing and Quality of Life , School of Health and Social Care, Bournemouth University, Bournemouth, UK.
J Interprof Care. 2011 May;25(3):196-202. doi: 10.3109/13561820.2010.524322. Epub 2011 Feb 25.
Effective screening of mentally-ill defendants in the criminal court system requires cooperation between legal professionals in the criminal justice system (CJS), and health and social care workers in the mental-health service (MHS). This interagency working, though, can be problematic, as recognized in the Bradley inquiry that recommended joint training for MHS and CJS professionals. The aim of this study was to examine the experiences and attitudes of workers in the CJS and MHS to inform the development of relevant training. The method was a survey of mental-health workers and legal professionals in the court. The results showed that both agencies were uncertain of their ability to work with the other and there is little training that supports them in this. Both recognized the importance of mentally-ill defendants being dealt with appropriately in court proceedings but acknowledged this is not achieved. There is a shared willingness to sympathize with defendants and a common lack of willingness to give a definite, unqualified response on the relationship between culpability, mental-illness and punishment. Views differ around defendants' threat to security.Findings suggest there is scope to develop interprofessional training programs between the CJS and MHS to improve interagency working and eventually impact on the quality of defendants' lives. Recommendations are made on the type of joint training that could be provided.
有效的刑事法庭系统中精神疾病被告的甄别需要刑事司法系统(CJS)中的法律专业人员和心理健康服务(MHS)中的健康和社会护理人员之间的合作。尽管这种机构间的合作可能会出现问题,如布拉德利调查所认识到的那样,建议对 MHS 和 CJS 专业人员进行联合培训。本研究的目的是调查 CJS 和 MHS 工作人员的经验和态度,以为相关培训的制定提供信息。方法是对法庭中的心理健康工作者和法律专业人员进行调查。结果表明,这两个机构都不确定自己有能力与对方合作,而且几乎没有任何培训可以支持他们。双方都认识到在法庭诉讼中适当处理精神病被告的重要性,但也承认这一目标尚未实现。双方都愿意同情被告,但在刑事责任、精神疾病和惩罚之间的关系问题上,都缺乏明确、无条件的回应。对被告的安全威胁也存在不同看法。研究结果表明,有必要在 CJS 和 MHS 之间制定专业间培训计划,以改善机构间的工作,并最终影响被告的生活质量。就可以提供的联合培训类型提出了建议。