Barnet, Enfield and Haringey Mental Health NHS Trust, UK.
Greater Manchester Mental Health NHS Foundation Trust, UK.
Med Sci Law. 2020 Oct;60(4):294-300. doi: 10.1177/0025802420917837. Epub 2020 Apr 16.
The prevalence of personality disorder is very high among criminal justice (correctional) populations, yet our understanding of this condition as it arises in police custody is presently limited. Although healthcare screening has a well-described role within criminal justice settings, including police custody, specific screening for personality disorders has hardly been considered. Yet such screening is broadly in keeping with the aims of liaison and diversion services and the general healthcare principle of early identification, has the potential to inform future care pathways and ameliorate risk and could in some cases inform future sentencing arrangements including community alternatives. Therefore, there is a need for research to consider the design and implementation of a suitable screening tool for application as early as possible in the criminal justice pathway, either as a stand-alone instrument, or as part of a wider package of healthcare screens. It will be important to consider the feasibility of any such design, given environmental and time limitations within police custody and the high levels of substance misuse, with issues relating to intoxication and withdrawal.
人格障碍在刑事司法（矫正）人群中的患病率非常高，但我们目前对这种在警察羁押期间出现的情况的理解还很有限。尽管医疗保健筛查在刑事司法环境中，包括警察羁押中，都有明确的作用，但针对人格障碍的具体筛查几乎没有被考虑过。然而，这种筛查广泛符合联络和转移服务的目标以及一般医疗保健的早期识别原则，有可能为未来的护理途径提供信息，减轻风险，并在某些情况下为未来的判决安排提供信息，包括社区替代方案。因此，需要研究考虑设计和实施一种合适的筛查工具，以便尽早在刑事司法途径中应用，无论是作为独立的工具，还是作为更广泛的医疗保健筛查包的一部分。鉴于警察羁押中的环境和时间限制以及高水平的药物滥用，以及与醉酒和戒断有关的问题，需要考虑任何此类设计的可行性。
