Bhui K, Brown P, Hardie T, Watson J P, Parrott J
Division of Psychiatry and Psychology, Guy's United Medical School, London.
Br J Psychiatry. 1998 Apr;172:337-44. doi: 10.1192/bjp.172.4.337.
African-Caribbean men are over-represented in psychiatric and forensic services and in the prison population. A failure of community services to engage mentally ill African-Caribbean men and their presentation through the criminal justice system culminates in a repeated pattern of forensic service and criminal justice system contact.
We carried out a cross-sectional survey during a one-year period of a sample of potentially mentally ill men remanded to HMP Brixton in south London. Men were interviewed to establish their place of birth, first language, socio-demographic profile, ethnicity, psychiatric diagnosis, levels of alcohol and substance misuse, criminality, violence involved in their index offence, past psychiatric and forensic contacts and outcome of court appearance.
Two hundred and seventy-seven men were interviewed. In comparison with White men, African-Caribbean men were more often diagnosed as having schizophrenia and were more often sent to hospital under a mental health act order. African-Caribbean men were remanded in custody despite more stable housing conditions and more favourable indices of lifetime criminality, substance misuse and violence.
Community services, including diversion schemes, should be especially sensitive to African-Caribbean men with schizophrenia who 'fall out of care', who are not diverted back into care and are therefore unnecessarily remanded.
非洲裔加勒比男性在精神科和法医服务领域以及监狱人口中所占比例过高。社区服务未能让患有精神疾病的非洲裔加勒比男性参与进来，以及他们通过刑事司法系统现身，最终导致法医服务和刑事司法系统反复接触的模式。
我们在一年时间里对被还押至伦敦南部布里克斯顿监狱的一批潜在精神疾病男性样本进行了横断面调查。对这些男性进行访谈，以确定他们的出生地、母语、社会人口统计学特征、种族、精神科诊断、酒精和药物滥用水平、犯罪情况、其主要犯罪所涉及的暴力行为、过去的精神科和法医接触情况以及出庭结果。
对277名男性进行了访谈。与白人男性相比，非洲裔加勒比男性更常被诊断为患有精神分裂症，并且更常根据精神健康法案令被送往医院。尽管住房条件更稳定，且终身犯罪、药物滥用和暴力的指标更有利，但非洲裔加勒比男性仍被还押候审。
包括分流计划在内的社区服务，应该对患有精神分裂症且“脱离照护”、未被转回照护因而被不必要地还押候审的非洲裔加勒比男性格外敏感。
