Wyboston Lakes, Bedfordshire 2016 IOM Conference Wyboston Lakes, Bedfordshire Information Sharing within IOM Roger Doxsey, Detective Sergeant Dr Julian Walker, Consultant Forensic Clinical Psychologist

Bridewell Police Station…

Agenda Why do we need to information share? Case example (Tarasoff) Legislation and Guidance Case studies Tips for information sharing Questions

Tarasoff Case (California) Student stalked Tatiana Tarasoff Psychotherapy with Dr Moore He stabbed & killed her (as described in therapy) Family sued 1974 Ruling ‘duty to protect’ 1976: ‘warn, notify police, take reasonable steps’ But most cases are decided in favour of MH professional (few used Tarasoff) Rulings in favour of victims = negligence

Legislation and Guidance Need to balance: Duty of Confidentiality – Common Law Data Protection Act 1998 Human Rights Act 1998 With: Crime and Disorder Act 1998 Children Act 2004 Care Act 2014 Extensive other legislation

Case Studies Case Study A Disclosed plans to kill family member during assessment at CMHT What should I have done? Case Study B Subject in 3 day siege with weapon; admitted to hospital but not detained long term. Offences committed but MH unclear. What should police and MH do and share for best outcome?

Tips for Information Sharing (1) Discuss/disclose with the offender Good multidisciplinary leadership Build good relationships Understand other professionals’ worries Be clear about your professional obligations Record your decision and rationale Must be for a lawful purpose Safety and wellbeing will usually justify disclosure

Tips for Information Sharing (2) Confidentiality principle in health Sharing Principle – serious crime, risk to self necessary, proportionate, relevant, accurate, timely, secure Make specific requests Keep reviewing your (IOM) information sharing processes Keep it simple!

Any Questions ?

How To Contact Us: Dr Julian Walker: julian.walker@nhs.net DS Roger Doxsey: roger.doxsey@avonandsomerset.pnn.police.uk