title: Assaults by Mentally Disordered Offenders in Prison: Equity and Equivalence.
abstract: Managing the violent behaviour of mentally disordered offenders (MDO) is challenging in all jurisdictions. We describe the ethical framework and practical management of MDOs in England and Wales in the context of the move to equivalence of healthcare between hospital and prison. We consider the similarities and differences between prison and hospital management of the violent and challenging behaviours of MDOs. We argue that both types of institution can learn from each other and that equivalence of care should extend to equivalence of criminal proceedings in court and prisons for MDOs. We argue that any adjudication process in prison for MDOs is enhanced by the relevant involvement of mental health professionals and the articulation of the ethical principles underpinning health and criminal justice practices.
authors.affiliation: HMYOI Cookham Wood, CNWL NHS Foundation Trust, Sir Evelyn Road, Rochester, UK. Heidi.hales@nhs.net.
authors.forename: Heidi
authors.identifier: http://orcid.org/0000-0002-9468-4364
authors.initials: H
authors.lastname: Hales
authors.affiliation: HMP Holloway, 1 Parkhurst Road, London, UK, N7 0NU.
authors.forename: Amy
authors.initials: A
authors.lastname: Dixon
authors.affiliation: HMP Holloway, CNWL NHS Foundation Trust, I Parkhurst Road, London, N7 0NU, UK.
authors.forename: Zoe
authors.initials: Z
authors.lastname: Newton
authors.affiliation: PHSE, St Georges, University of London, Cranmer Terrace, London, SW17 0RE, UK.
authors.forename: Annie
authors.initials: A
authors.lastname: Bartlett
mesh_terms: D003134:Commitment of Persons with Psychiatric Disorders; D057237:Criminals / Q000523:psychology; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy; D008605:Mental Health Services / Q000941:ethics*; D011329:Prisoners / Q000523:psychology*; D011330:Prisons / Q000941:ethics*; D012017:Referral and Consultation; D014754:Violence
keywords: Adjudication; Mentally disordered offenders; Segregation; Violence