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Defendants with mental health issues 'neglected' in England and Wales Defendants with mental health issues 'neglected' in England and Wales
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Report by Justice suggests introduction of specialist prosecutors and a change to the defence of insanity
Owen Bowcott Legal affairs correspondent
Mon 27 Nov 2017 18.28 GMT
First published on Mon 27 Nov 2017 18.00 GMT
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Specialist prosecutors should review all decisions to charge suspects with mental health vulnerabilities and the defence of insanity should be amended, a law reform charity has said.Specialist prosecutors should review all decisions to charge suspects with mental health vulnerabilities and the defence of insanity should be amended, a law reform charity has said.
Defendants with learning disabilities and mental illness are repeatedly being failed by the criminal justice system in England and Wales, the report by Justice claims.Defendants with learning disabilities and mental illness are repeatedly being failed by the criminal justice system in England and Wales, the report by Justice claims.
About a quarter of adults are diagnosed with a mental illness during their lifetime, and the proportion caught up in the criminal justice system is even higher. They need to be more clearly identified and supported, the study argues.About a quarter of adults are diagnosed with a mental illness during their lifetime, and the proportion caught up in the criminal justice system is even higher. They need to be more clearly identified and supported, the study argues.
If problems are not addressed, the fair trial rights of many defendants may be undermined, Justice says. The report says mental health experts, not police officers, should identify people with mental ill-health or learning disabilities.If problems are not addressed, the fair trial rights of many defendants may be undermined, Justice says. The report says mental health experts, not police officers, should identify people with mental ill-health or learning disabilities.
Among other recommendations, the report says specialist prosecutors should be appointed for each Crown Prosecution Service area to make charging decisions in such vulnerable cases.Among other recommendations, the report says specialist prosecutors should be appointed for each Crown Prosecution Service area to make charging decisions in such vulnerable cases.
Magistrates courts, youth courts and the crown court should have a dedicated mental health judge to deal with management of such cases, Justice proposes.Magistrates courts, youth courts and the crown court should have a dedicated mental health judge to deal with management of such cases, Justice proposes.
A new capacity-based test of fitness to plead and fitness to stand trial should be placed on a statutory footing, the report adds.A new capacity-based test of fitness to plead and fitness to stand trial should be placed on a statutory footing, the report adds.
The defence of insanity should be amended to a defence of “not criminally responsible by reason of a recognised medical condition”.The defence of insanity should be amended to a defence of “not criminally responsible by reason of a recognised medical condition”.
Fresh sentencing guidelines on mental health and vulnerability should be developed and a broader range of alternative punishments made available to sentencers to meet the needs of these cases, Justice says.Fresh sentencing guidelines on mental health and vulnerability should be developed and a broader range of alternative punishments made available to sentencers to meet the needs of these cases, Justice says.
“Too many criminal justice actors, all along its pathways, are unfamiliar with the range of mental health conditions and learning disabilities that can create vulnerability nor what to do about them,” the report notes.“Too many criminal justice actors, all along its pathways, are unfamiliar with the range of mental health conditions and learning disabilities that can create vulnerability nor what to do about them,” the report notes.
Sir David Latham, chair of the Justice working party, said vulnerability should be “properly identified and, where identified, properly approached so that the person either receives reasonable adjustments to give them the capacity to effectively participate in their defence, or if appropriate, is not prosecuted.Sir David Latham, chair of the Justice working party, said vulnerability should be “properly identified and, where identified, properly approached so that the person either receives reasonable adjustments to give them the capacity to effectively participate in their defence, or if appropriate, is not prosecuted.
“Where a person is diverted from prosecution or prison, suitable and effective treatment and support must be available to ensure that the person remains outside of the criminal justice system.”“Where a person is diverted from prosecution or prison, suitable and effective treatment and support must be available to ensure that the person remains outside of the criminal justice system.”
Andrea Coomber, the director of Justice said: “The criminal justice system is not suitably designed to accommodate people with mental health or learning difficulties. There are still fundamental problems with the criminal justice system’s response to vulnerability and too few people receive reasonable adjustments to enable them to effectively participate in their defence.Andrea Coomber, the director of Justice said: “The criminal justice system is not suitably designed to accommodate people with mental health or learning difficulties. There are still fundamental problems with the criminal justice system’s response to vulnerability and too few people receive reasonable adjustments to enable them to effectively participate in their defence.
“We are impressed by the efforts being made to create an integrated criminal justice and mental health sector. We hope that this report will build on that and bring about change for some of the country’s most vulnerable people.”“We are impressed by the efforts being made to create an integrated criminal justice and mental health sector. We hope that this report will build on that and bring about change for some of the country’s most vulnerable people.”
The headline of this article was amended on 29 November 2017 to make clear the report only applies to the justice system in England and Wales.The headline of this article was amended on 29 November 2017 to make clear the report only applies to the justice system in England and Wales.
UK criminal justiceUK criminal justice
Mental healthMental health
Learning disabilityLearning disability
DisabilityDisability
Crown Prosecution ServiceCrown Prosecution Service
Prisons and probationPrisons and probation
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