Liaison between criminal justice and psychiatric systems: Diversion services

O’Neill, Conor

doi:10.1017/s0790966700009678

Cited by 6 publications

(2 citation statements)

References 7 publications

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“…From an initial cohort of 12 nurses there are now 194 psychiatric nurses working in a variety of roles. The main intake for this nursing team has taken place within the past 9 years during which time, forensic psychiatric nursing in Ireland has become used to a more multicultural and urbanized population with increased psychiatric morbidity, violence, suicide and an increased number of people with mental illness incarcerated in prison (Kelly 2004, O'Neill 2006).…”

Section: Introductionmentioning

confidence: 99%

Forensic psychiatric nursing: a description of the role of the psychiatric nurse in a high secure psychiatric facility in Ireland

Timmons¹

2010

Journal of Psychiatric and Mental Health Nursing

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The Central Mental Hospital is one of the oldest high secure mental health services in Europe dating back to 1845 but has been one of the last to introduce (forensic) psychiatric nurses. This paper describes the role of psychiatric nurses working in this high secure psychiatric facility in Ireland. The United Kingdom Central Council competency framework was considered to be a prudent starting point for beginning to understand this role in an Irish context. The study received a response rate of 74% and found that the Irish Forensic Mental Health Nurse experiences many of the same challenges as their international colleagues. A high proportion of nursing practice is focused on assessment, communication and creating a therapeutic environment based very much in keeping with the mainstream role in mental health nursing. Skills in specialist assessments and addressing offending behaviour were considered important but deficient at that time. The importance of recovery and human rights were considered paramount but challenged by the need for risk management and security.

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Section: Introductionmentioning

confidence: 99%

Forensic psychiatric nursing: a description of the role of the psychiatric nurse in a high secure psychiatric facility in Ireland

Timmons¹

2010

Journal of Psychiatric and Mental Health Nursing

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“…The PICLS service model has been described in a service manual in multiple iterations (e.g. O'Neill et al 2017) and its clinical outcomes in a series of papers, since the inception of the service in 2006 (O'Neill, 2006;McInerney & O'Neill, 2008;McInerney et al 2013;O'Neill et al 2016;Georgiou & Townsend, 2019). These outcome studies relate to all committals to Cloverhill since 2006, not just those for whom courts requested psychiatric reports.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric court reports and diversion outcomes in a remand prison over three years

Tong

Smith

Mohan

et al. 2021

Ir. j. psychol. Med.

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Objectives: There has been a notable increase in requests for psychiatric reports from District Courts for persons remanded to Ireland’s main remand prison, Cloverhill. We aimed to identify if reports were prepared for persons with severe mental illness and if they led to therapeutic benefits such as diversion to healthcare. Measures of equitability between Cloverhill and other District Courts were explored. Methods: For District Court-requested reports completed by the Prison Inreach and Court Liaison Service (PICLS) at Cloverhill Prison from 2015 to 2017, we recorded clinical variables and therapeutic outcomes such as diversion to inpatient psychiatric settings. Results: Of 236 cases, over half were diverted to inpatient or outpatient psychiatric care. One-third of remand episodes were admitted to a psychiatric hospital, mainly in non-forensic settings. Nearly two-thirds had major mental illness, mainly schizophrenia and related conditions. Almost half had active psychosis. Cases in Cloverhill District Court and other District Courts were similarly likely to have active psychosis (47% overall) and hospital admission (33% overall). Voluntary reports were more likely to identify active psychosis, with over 90% diverted to inpatient or outpatient community treatment settings. Conclusions: This is the first large scale study of diversion outcomes following requests for psychiatric advice from District Courts in Ireland. Requests were mainly appropriate. Over half led to diversion from the criminal justice system to healthcare settings. There is a need for a complementary network of diversion initiatives at every stage of the criminal justice system to effectively divert mentally ill individuals to appropriate settings at the earliest possible stage.

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Mentally disordered offenders and the European Court of Human Rights

Prior

2007

International Journal of Law and Psychiatry

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Liaison between criminal justice and psychiatric systems: Diversion services

Cited by 6 publications

References 7 publications

Forensic psychiatric nursing: a description of the role of the psychiatric nurse in a high secure psychiatric facility in Ireland

Forensic psychiatric nursing: a description of the role of the psychiatric nurse in a high secure psychiatric facility in Ireland

Psychiatric court reports and diversion outcomes in a remand prison over three years

Mentally disordered offenders and the European Court of Human Rights

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