Author:
McKinnon Iain,Srivastava Samir,Kaler Gurpreet,Grubin Don
Abstract
Aims and methodTo ascertain the efficacy of custody health screening for mental
disorders. We assessed a sample of detainees for the presence of mental
disorders and the need for an appropriate adult. The assessments were
carried out using pragmatic interviews and examinations supported by
structured tools. Where possible, we attributed a probable clinical
diagnosis based on the information available to us. The need for an
appropriate adult was judged based on this information and capacity
assessments.ResultsExisting screening procedures missed a quarter of cases of severe mental
illness and moderate depression; they also failed to detect about a half
of those at risk of alcohol withdrawal and 70% of those at risk of
withdrawal from crack cocaine. The need for an appropriate adult was not
recognised in more than half of cases.Clinical implicationsConsideration should be given to modifying police screening procedures
for mental and associated disorders so that detainees receive the
appropriate attention.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health
Cited by
21 articles.
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