Quality Education for a Healthier Scotland MENTAL HEALTH ISSUES IN POLICE CUSTODY.

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Presentation transcript:

Quality Education for a Healthier Scotland MENTAL HEALTH ISSUES IN POLICE CUSTODY

Quality Education for a Healthier Scotland A YEAR IN THE LIFE OF AN URBAN FORENSIC PHYSICIAN 2003 Persons in custody 468 Sudden Death81 Mental Health39 CSA21 Examination of injuries18 S4 RTA14 S5 RTA13 Serious Assault13 Rape13 NAI10 Murder11

Quality Education for a Healthier Scotland A YEAR IN THE LIFE OF AN URBAN FORENSIC PHYSICIAN 2011 Fitness to be detained671 Fitness to be interviewed7 Sudden Death3 Mental Health130 CSA9 Examination of injuries52 S4 RTA11 S5 RTA13 Rape59 NAI5

Quality Education for a Healthier Scotland PSYCHIATRIC HISTORY Demeanour Orientation Memory - chronology of that day Thought processes Hallucinations/delusions Depression

Quality Education for a Healthier Scotland PSYCHIATRIC ASSESSMENT 3 fit for court 3 fit for detention but not release 24 fit for detention 91 fit to be released 1 not fit to be detained 4 not fit to be released 4 referred to psychiatry TOTAL130

Quality Education for a Healthier Scotland Section 36emergency detention in hospital Section 292warrant to enter premises for purposes of taking patient Section 297removal from public place Section 299nurse’s power to detain pending medical exam Section 52 Criminal Procedure (Scotland) Act 1995 Mental Health (Care and Treatment) (Scotland) Act 2003

Quality Education for a Healthier Scotland 300Meaning of “place of safety” In this Part of this Act, “place of safety” means— (a) a hospital; (b) premises which are used for the purpose of providing a care home service (as defined in section 2(3) of the Regulation of Care (Scotland) Act 2001 (asp 8)); or (c) any other suitable place (other than a police station) the occupier of which is willing temporarily to receive mentally disordered persons. Mental Health (Care and Treatment) (Scotland) Act 2003

Quality Education for a Healthier Scotland Anxiety Bipolar Disorder (‘manic depression’) Depression Eating Disorders Obsessive Compulsive Disorder (OCD) Personality Disorders Post-natal Depression (PND) Post-traumatic Stress Disorder (PTSD) Schizophrenia Self-harm Suicide

Quality Education for a Healthier Scotland