Background Diversion programmes in magistrates'courts are designed to provide immediate advice or access to mental-health treatment facilities for defendants when appropriate.
The prevalence of serious psychiatric disorder and the proportion of defendants who might require transfer are unknown.
We undertook a study to address these issues and to find out whether defendants with such disorders are reliably detected by court personnel and referred to psychiatric staff in court diversion programmes.
Methods A two-phase screening method used questionnaires for psychiatric disorder (the general health questionnaire and psychotic screening questionnaire) and screening instruments for alcohol and substance misuse followed by standard psychiatric interview (schedules for clinical assessment in neuropsychiatry).
The detection rate of defendants with serious psychiatric disorder by court staff was observed.
Findings The frequency of serious psychiatric disorder was 1.31% (three of 229) among defendants appearing in court direct from the community and 6.57% (96 of 1460) among those held in custody overnight.
Of the 99 defendants with serious psychiatric disorder, 34 had schizophrenia and other psychoses and 55 had depressive disorders. 42 (76%) of the 55 individuals with depressive disorders had suicidal ideas, which were recorded on the first-phase screening questionnaire in many cases. (...)
Mots-clés Pascal : Royaume Uni, Europe, Epidémiologie, Prévalence, Homme, Justice, Santé mentale, Dépistage, Trouble psychiatrique, Questionnaire, Evaluation, Accusé
Mots-clés Pascal anglais : United Kingdom, Europe, Epidemiology, Prevalence, Human, Justice, Mental health, Medical screening, Mental disorder, Questionnaire, Evaluation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0217083
Code Inist : 002B30A03C. Création : 16/11/1999.