Race, Mental Health & Criminal Justice: Solutions for Better Practice National Mental Health Policing Portfolio DI Frankie Westoby Staff Officer - National Policing Lead for Mental Health Commander Christine Jones National Mental Health Policing Portfolio Lead Today • To set out the challenges the criminal justice system has in working with people with mental health problems • To identify the initiatives the police are taking to provide a service that meets the needs of people with mental health needs from black and minority ethnic communities in contact with the criminal justice system The Police Experience • Part of core business • Police cells • Transport • 24/7 Service • Calls to health settings Independent Commission for Mental Health & Policing • 28 Recommendations • Lord Victor and Commissioner Hogan-Howe met in April 2014. • 12 Recommendations achieved, 14 underway and 2 not progressed (not for police). • Report to be published in December 2014 by the MPS to update on the actions. • Recognised that many other Forces are implementing the recommendations from this report. Mental Health Crisis Care Concordat • ACPO part of the working group to develop the Concordat and now a signatory. • Published in February 2014 by the Department of Health – Norman Lamb Minister for Health and Social Care. • Specific actions for police nationally in relation to datasets, best practice and information share. Street Triage • 9 Dept of Health Funded Street Triage Schemes • 17 Locally funded Schemes • All the schemes are slightly different and these need to await proper evaluation to ascertain what is best practice. This may vary between Forces depending on demographics. • Early indications suggest the areas working really well: • Understanding each partners role and demands on them. • Early Information sharing is providing a positive outcome for the service user. Legislation and Codes of Practice Review • Home Affairs Select Committee Inquiry into Mental Health and Policing • Review of legislation – S136 and S135 – being led by Home Officer and Department of Health. • Review of Mental Health Codes of Practice. Liaison and Diversion – Definition • Liaison and Diversion is a service that identifies a person with one or more: mental health learning disability substance misuse • vulnerabilities at the point they come into contact with the justice system; this includes police custody suites and Courts. • L&D is an identification, assessment & referral service giving an individual access to appropriate treatment and support. Liaison and Diversion – background • 20-40% of custody detainees have mental health issues (uncertain figures as issues often hidden from Custody Officer) • 70% of prison population have mental health issues • Detainees have higher incidence of learning difficulties and alcohol misuse • 50% suffer from anxiety and depression (compared to 15% of general population) • Higher suicide risk. Liaison and Diversion – pilots • 10 National pilot schemes – 11 NE London Boroughs • Standard service specification to be used from April 2014 to improve consistency • Evaluation by 2015 and a full business case to Treasury • Phased roll out of L&D services, increasing to 50% of population in England and then 100% by March 2017. • NHS London funding additional schemes in London with every Borough covered from 2014 Training • Increasingly it is being recognised that it is not for police officers to diagnose. • Officers need to identify that an individual is vulnerable and that they need to do something about it. This will enable early intervention – prevention. • National Portfolio working closely with the College of Policing to review vulnerability training and processes that currently are being used by Forces, to identify best practice. The Challenges for the Police Service • Increasing demand at a time of decreasing budgets and resources • Creating Strategic Partnerships which feature evidence based joint commissioning of services • • • Ensuring staff feel confident and equipped to deal with people with mental health and those that are vulnerable Understanding where the police role starts and ends Police representation on relevant Health meetings to influence commissioning of services.