Abstract
Although common in the USA, mental health courts are relatively new to the UK and their effectiveness here is not yet fully understood. Referral to these courts is largely reliant upon early identification of mental health problems, a task commonly undertaken by police in the custody suite. Little is known about police perceptions of their role in working with offenders with mental health system in the UK. This exploratory study therefore investigates police views of a pilot mental health courts and their role within the pathway to these. Semi-structured interviews were conducted with six members of a large police force involved in a pilot mental health court. Data-led thematic analysis was used to identify the recurrent themes emerging. Three main themes were identified: ‘Benefits of a Mental Health Court’, ‘Police as Gatekeepers’ and ‘Barriers to Identification’. The introduction of mental health courts in the UK was viewed as being reflective of changes in approaches to criminal justice. Whilst feeling responsibility for referrals to the mental health court, time, training and multiagency working were seen as hindering this. The findings suggest the success of mental health courts is dependent upon ‘getting it right’ from the start of the pathway; recommendations are provided.
Similar content being viewed by others
References
Anshel MH (2000) A conceptual model and implications for coping with stressful events in police work. Crim Justice Behav 27:375–400
Bingham WVD, Moore BV (1959) How to interview. Harper, New York
Booth A, Scantlebury A, Hughes-Morley A, Mitchell N, Wright K, Scott W, McDaid C (2017) Mental health training programmes for non-mental health trained professionals coming into contact with people with mental ill health: a systematic review of effectiveness. BMC Psychiatry 17:1–24
Bradley K (2009) The Bradley Report: Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system. Department of Health, London
Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101
Brewer N, Wilson C, Beck K (1994) Supervisory behaviour and team performance amongst police patrol sergeants. J Occup Organ Psychol 67:69–78
Elliott R, Fischer CT, Rennie DL (1999) Evolving guidelines for publication of qualitative research studies in psychology and related fields. Br J Clin Psychol 38:215–229
Fry AJ, O’Riordan DP, Geanellos R (2002) Social control agents or front-line carers for people with mental health problems: police and mental health services in Sydney, Australia. Health Soc Care Community 10(4):277–286
Forni C, Caswell N, Spicer J (2009) Delivering mental health awareness training to police officers. Nurs Times 105(10):12–13
Gendle K, Woodhams J (2005) Suspects who have a learning disability: police perceptions toward the client group and their knowledge about learning disabilities. J Intellect Disabil 9(1):70–81
Gillig P, Dumaine M, Stammer J, Hillard J, Grubb P (1990) What do police officers really want from the mental health system? Hosp Community Psychiatry 41:663–665
Green TM (1997) Police as front-line mental health workers. Int J Law Psychiatry 20(4):469–486
Gur OM (2010) Persons with mental illness in the criminal justice system: police interventions to prevent violence and criminalization. J Police Crisis Negotiations 10:220–240
Hayes S (2007) Missing out: offenders with learning disabilities and the criminal justice system. Br J Learn Disabil 35:146–153
Hean S, Warr J, Heaslip V, Staddon S (2009) Challenges at the interface of working between mental health services and criminal justice system. Med Sci Law 49(3):170–178
Hellenbach M (2012) Learning disabilities and criminal justice: custody sergeants’ perceptions of alleged offenders with learning disabilities. Br J Learn Disabil 40:15–22
Lamb HR, Weinberger LE, DeCuir WJ (2002) The police and mental health. Psychiatr Serv 53:1266–1271
Lincoln YS, Guba EG (1985) Naturalistic enquiry. Sage, Beverly Hills
Malterud K, Siersma VD, Guassora AD (2016) Sample size in qualitative interview studies. Qual Health Res 26(13):1753–1760
McKinnon I, Grubin D (2010) Health screening in police custody. J Forensic Legal Med 17:209–212
McLean N, Marshall S (2010) A front line police perspective of mental health issues and services. Crim Behav Ment Health 20:62–71
McLeod R, Philpin C, Sweeting A, Joyce L, Evans R (2010) Court experience of adults with mental health conditions, learning disabilities and limited mental capacity. Report 1: overview and recommendations. Ministry of Justice Research Series 8/10 July
McNiel DE, Binder RL (2010) Stakeholder views of a mental health court. Int J Law Psychiatry 33:227–235
Miller SL, Perelman AM (2009) Mental health courts: an overview and redefinition of tasks and goals. Law Psychol Rev 33:113–123
Morrow SL (2005) Quality and trustworthiness in qualitative research in counselling psychology. J Couns Psychol 52(2):250–260
Noga HL, Walsh ECL, Shaw JJ, Senior J (2014) The development of a mental health screening tool and referral pathway for police custody. Eur J Pub Health 25(2):237–242
NVivo version 9 (2010) NVivo qualitative data analysis software; QSR International Pty Ltd.
Oxburgh L, Gabbert F, Milne R, Cherryman J (2016) Police officers’ perceptions and experiences of dealing with mentally disordered suspects. Int J Law Psychiatry 49a:138–146
Pakes F, Winstone J, Haskins J, Guest J (2010) Mental health court pilot: feasibility of an impact evaluation. Ministry of Justice Research Summary 7/10
Patton MQ (2002) Qualitative research and evaluation methods, 3rd edn. Sage, London
Riordan S, Wix S, Kenney-Herbert J, Humphreys M (2000) Diversion at the point of arrest: mentally disordered people and contact with the police. J Forensic Psychiatry 11(3):683–690
Ryan S, Whelan D (2012) Diversion of offenders with mental disorders: mental health courts. Web Journal of Current Legal Issues, 1. http://webjcli.ncl.ac.uk/2012/issue1/ryan1.html [13 July 2012]
Scantlebury A, Fairhurst C, Booth A, McDaid C, Moran N, Parker A, Payne R, Scott WJ, Torgerson D, Webber M, Hewitt C (2017) Effectiveness of a training program for police officers who come into contact with people with mental health problems: a pragmatic randomised control trial. PLoS One 12(9):e0184377
Seltzer T (2005) Mental health courts. A misguided attempt to address the criminal justice system’s unfair treatment of people with mental illness. Psychol Public Policy Law 11:570–586
Shaw J, Creed F, Price J, Huxley P, Tomenson B (1999) Prevalence and detection of serious psychiatric disorder in defendants attending court. Lancet 353:1053–1056
Sirdifield C, Brooker C (2012) Detainees in police custody: results of a health needs assessment in Northumbria, England. Int J Prison Health 8:60–67
Stefan S, Winick B (2005) A dialogue on mental health courts. Psychol Public Policy Law 11:507–526
Watson AC, Ottati VC, Morabito M, Draine J, Kerr AN, Angell B (2010) Outcomes of police contacts with persons with mental illness: the impact of CIT. Admin Pol Ment Health 37:302–317
Winick B (2003) Outpatient commitment: a therapeutic jurisprudence analysis. Psychol Public Policy Law 9:107–144
Winstone J, Pakes F (2010) Process evaluation of the mental health court pilot. Ministry of Justice Research Series 18/10. http://www.justice.gov.uk/publications/docs/mhc-process-evaluation.pdf[20 November 2011]
Wolff N (2002) Courts as therapeutic agents: thinking past the novelty of mental health courts. J Am Acad Psychiatry Law 30:431–437
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Wesson, C.J., Chadwick, D.D. Police Officers’ Perceptions of Their Role in a Mental Health Magistrates’ Court Pathway. J Police Crim Psych 34, 285–291 (2019). https://doi.org/10.1007/s11896-019-09335-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11896-019-09335-4