MISSED PSYCHIATRIC CASES - THE EFFECTIVENESS OF A COURT DIVERSION SCHEME

Citation
M. Fiander et Aea. Bartlett, MISSED PSYCHIATRIC CASES - THE EFFECTIVENESS OF A COURT DIVERSION SCHEME, Alcohol and alcoholism, 32(6), 1997, pp. 715-723
Citations number
36
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Substance Abuse
Journal title
ISSN journal
0735-0414
Volume
32
Issue
6
Year of publication
1997
Pages
715 - 723
Database
ISI
SICI code
0735-0414(1997)32:6<715:MPC-TE>2.0.ZU;2-7
Abstract
Court Diversion Schemes have been evaluated in terms of clinical outco me or case disposal in studies focusing on individuals who are referre d to the scheme. Little is known about the 'psychiatric caseness' of c ourt defendants not referred. The present study was undertaken with th e aims of identifying levels of 'missed caseness' in an 'in-custody' p opulation at a busy London Magistrates court and to consider how such populations might be more effectively screened. A random sample of ind ividuals in custody was selected and semi-structured interviews conduc ted (n = 100). Very high levels of alcohol abuse, illicit drug misuse and histories of deliberate self-harm were found. Such individuals wer e very unlikely to be referred to the duty psychiatrist scheme. These findings highlight the difficulties in screening for alcohol abuse, il licit drug misuse and histories of deliberate self-harm in an in-custo dy court population. The context in which screening takes place is dis cussed. Realistic and inexpensive improvements are suggested for ident ifying those at greatest risk.