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Forensic psychiatry in Britain

J C Beck1

  • 1Harvard Medical School, Cambridge, MA, USA.

The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

The British criminal forensic mental health system offers comprehensive care from prison to community settings for individuals with mental disorders and violence history. This system demonstrates effective treatment, contrasting with U.S. approaches.

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Area of Science:

  • Forensic Psychiatry
  • Mental Health Systems Analysis
  • Comparative Health Policy

Background:

  • The British criminal forensic mental health system operates parallel to general psychiatric care within the National Health Service.
  • It encompasses a continuum of care, including prisons, secure hospitals, and community-based services.

Purpose of the Study:

  • To provide an overview of the criminal forensic mental health system in Great Britain (England and Wales).
  • To compare British and U.S. approaches to forensic mental health care, training, and practice.
  • To discuss current challenges and privatization plans within the British health care system.

Main Methods:

  • Participant observation as a visiting consultant psychiatrist at a regional forensic facility in Manchester, England.

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  • Analysis of legal and philosophical differences between British and U.S. forensic mental health systems.

    • Main Results:

    • British law encompasses a broader range of forensic patients compared to U.S. law.
    • The British forensic system provides integrated care from incarceration through community reintegration.
    • The system appears effective in treating individuals with major mental disorders and violent histories.

    Conclusions:

    • The British forensic mental health system offers a model for effective, continuous care.
    • Philosophical differences regarding government's role in individual welfare underpin system variations between Britain and the U.S.
    • Ongoing healthcare reforms and privatization present potential challenges to the British system.