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African–Caribbean men remanded to Brixton Prison

Psychiatric and forensic characteristics and outcome of final court appearance

Published online by Cambridge University Press:  03 January 2018

Kamaldeep Bhui ,
Phillip Brown ,
Tim Hardie ,
J. P. Watson  and
Janet Parrott
Kamaldeep Bhui*
Affiliation:
Division of Psychiatry and Psychology, Guy's United Medical and Dental Schools, London
Phillip Brown
Affiliation:
Division of Psychiatry and Psychology, Guy's United Medical and Dental Schools, London
Tim Hardie
Affiliation:
Division of Psychiatry and Psychology, Guy's United Medical and Dental Schools, London
J. P. Watson
Affiliation:
Bexley Hospital
Janet Parrott
Affiliation:
Bexley Hospital
*
Dr K. Bhui, Wellcome Training Fellow, Institute of Psychiatry, DeCrespigny Park, London SE5 8AZ. E-mail: [email protected]
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Abstract

Background

African–Caribbean men are over-represented in psychiatric and forensic services and in the prison population. A failure of community services to engage mentally ill African–Caribbean men and their presentation through the criminal justice system culminates in a repeated pattern of forensic service and criminal justice system contact.

Method

We carried out a cross-sectional survey during a one-year period of a sample of potentially mentally ill men remanded to HMP Brixton in south London. Men were interviewed to establish their place of birth, first language, socio-demographic profile, ethnicity, psychiatric diagnosis, levels of alcohol and substance misuse, criminality, violence involved in their index offence, past psychiatric and forensic contacts and outcome of court appearance.

Results

Two hundred and seventy-seven men were interviewed. In comparison with White men, African–Caribbean men were more often diagnosed as having schizophrenia and were more often sent to hospital under a mental health act order. African–Caribbean men were remanded in custody despite more stable housing conditions and more favourable indices of lifetime criminality, substance misuse and violence.

Conclusions

Community services, including diversion schemes, should be especially sensitive to African–Caribbean men with schizophrenia who ‘fall out of care’, who are not diverted back into care and are therefore unnecessarily remanded.

Type
Papers
Information
The British Journal of Psychiatry , Volume 172 , Issue 4 , April 1998 , pp. 337 - 344
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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References

Banerjee, S. O'Neill-Byrne, K. Exworthy, T. et al (1995) The Belmarsh Scheme. A prospective study of the transfer of mentally disordered remand prisoners from prisons to psychiatric units. British Journal of Psychiatry, 166, 802–805.CrossRefGoogle ScholarPubMed
Birmingham, L. Masson, D. & Grubin, D. (1996) Prevalence of mental disorder in remand prisoners: consecutive case study. British Medical Journal, 313, 1521–1524.Google Scholar
Blumenthal, S. & Wessley, S. (1992) National Survey of current arrangements for diversion from custody in England and Wales. British Medical Journal, 305, 1322–1325.Google Scholar
Burney, E. & Pearson, G. (1995) Mentally disordered offenders: finding a focus for diversion. Howard Journal, 34, 291–313.CrossRefGoogle Scholar
Cope, R. (1989) The compulsory detention of African–Caribbeans under the Mental Health Act. New Community, 15, 343–356.Google Scholar
Ewing, J. (1984) Detecting alcoholism – the CAGE questionnaire. Journal of the American Medical Association, 25, 1905–1907.CrossRefGoogle Scholar
Fleiss, J. (1986) The Design and Analysis of Clinical Experiments. New York: Wiley.Google Scholar
Gunn, J. & Robertson, G. (1976) Drawing a criminal profile. British Journal of Criminology, 16, 156–160.CrossRefGoogle Scholar
Leavey, G. King, M. Cole, E. et al (1997) First onset psychosis illness: patients’ and relatives satisfaction with services. British Journal of Psychiatry, 170, 53–57.CrossRefGoogle ScholarPubMed
Lewis, G. & Pelosl, A. (1991) Measuring Psychiatric Disorder in the Community: A Standardised Assessment for Use by Lay Interviewers. London: Institute of Psychiatry.Google Scholar
McKenzie, K. van Os, J. Fahy, T. et al (1996) Psychosis with good prognosis in African–Caribbean people now living in the UK. British Medical Journal, 311, 1325–1328.CrossRefGoogle Scholar
Mitchinson, S. Renevolze, E. & Schweiger, M. (1994) Recorded psychiatric morbidity in a large prison for male remanded and sentenced prisoners. Medicine, Science and Law, 34, 324–330.CrossRefGoogle Scholar
Department of Health & Home Office (1992) Department of Health and the Home Office, Review of Health and Social Services for Mentally Disordered Offenders Others Requiring Similar Services: Final Summary Report. Cm 2088. London: HMSO.Google Scholar
Royal Commission on Criminal Justice (1993) Ethnic Minorities and the Criminal Justice System. Research study no. 20. London: HMSO.Google Scholar
Senior, P. & Bhopal, R. (1994) Ethnicity as a variable in epidemiological research. British Medical Journal, 309, 327–330.CrossRefGoogle ScholarPubMed
Shah, R. & Pease, K. (1992) Crime, race and reporting to the police. Howard Journal, 31, 192–199.CrossRefGoogle Scholar
Siegal, S. & Castellan, N. (1988) Non-Parametric Statistics for the Behavioral Sciences (2nd edn). Singapore: McGraw Hill.Google Scholar
Wessley, S. (1997) The epidemiology of crime, violence and schizophrenia. British Journal of Psychiatry, 170 (suppl. 32), 8–11.CrossRefGoogle Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases andRelated Health Problems (ICD–10). Geneva: WHO.Google Scholar
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