Document Detail

Increasing the power of psychiatric court diversion: a new model of supra-district diversion centre.
MedLine Citation:
PMID:  10689862     Owner:  NLM     Status:  MEDLINE    
The object was to develop and evaluate a new concentrated model of psychiatric diversion scheme at the magistrates' court, designed to maximize the potential of such interventions. A one-year prospective study was undertaken of a consecutive series of 264 referrals to the new diversion project at an Inner London magistrates' court, with concurrent examination of police station custody records, magistrates' court returns, hospital admission data and remand prison transfer records for an area with a population of 500,000. The results showed that this one scheme originated 12.8% of all the unrestricted hospital orders in England under section 37 of the Mental Health Act 1983, 4.2% of section 35 orders, and 6.4% of section 48 and 48/49 remand prisoner transfers. Of all arrests in the central London area, 0.46% were referred to the scheme, with 0.28% being admitted. The seriousness of the charge did not have a significant effect on whether or not admission was achieved (p = 0.5365). The new model is a powerful intervention in the assessment and diversion of mentally disordered offenders. Similar supra-district diversion centres may have a role to play in other areas, complementing other local diversion exercises, some of which might better be relocated to the police station.
D V James; P Harlow
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine, science, and the law     Volume:  40     ISSN:  0025-8024     ISO Abbreviation:  Med Sci Law     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-04-26     Completed Date:  2000-04-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400721     Medline TA:  Med Sci Law     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  52-60     Citation Subset:  IM    
Department of Psychiatry and Behavioural Science, Royal Free and University College Medical School, London.
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MeSH Terms
Commitment of Mentally Ill / legislation & jurisprudence*
Forensic Psychiatry / methods*
Mental Disorders / therapy*
Middle Aged
Models, Theoretical
Prospective Studies
Referral and Consultation

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