Gulati G, Kelly B D, Cullen W, Kukaswadia S, Cusack A, Kilcommins S, Dunne C P
School of Medicine, University of Limerick, Limerick, Ireland.
School of Law, University of Limerick, Limerick, Ireland.
Ir J Psychol Med. 2023 Sep;40(3):494-499. doi: 10.1017/ipm.2021.25. Epub 2021 Apr 19.
People with severe mental illness and intellectual disabilities are overrepresented in the criminal justice system worldwide and this is also the case in Ireland. Following Ireland's ratification of the United Nations' Convention on the Rights of People with Disabilities in 2018, there has been an increasing emphasis on ensuring access to justice for people with disabilities as in Article 13. For people with mental health and intellectual disabilities, this requires a multi-agency approach and a useful point of intervention may be at the police custody stage. Medicine has a key role to play both in advocacy and in practice. We suggest a functional approach to assessment, in practice, and list key considerations for doctors attending police custody suites. Improved training opportunities and greater resources are needed for general practitioners and psychiatrists who attend police custody suites to help fulfill this role.
在全球范围内，患有严重精神疾病和智力残疾的人在刑事司法系统中所占比例过高，爱尔兰也是如此。2018年爱尔兰批准《联合国残疾人权利公约》后，越来越强调要确保残疾人能够像第13条规定的那样获得司法公正。对于患有精神健康问题和智力残疾的人来说，这需要采取多机构合作的方式，而一个有效的干预点可能是在警方拘留阶段。医学在宣传和实践中都可以发挥关键作用。我们建议在实践中采用功能性评估方法，并列出前往警方拘留室的医生的关键注意事项。需要为前往警方拘留室的全科医生和精神科医生提供更多的培训机会和资源，以帮助他们履行这一职责。
