Independent Forensic Mental Health Review: final report

This final report sets out the Review's recommendations for change. A summary and easy read version are also available.


Footnotes

1. Independent Review into the Delivery of Forensic Mental Health Services (2020) Interim Report: What People Told Us).

2. Scottish Human Rights Commission, Forensic Mental Health Review: Human Rights Briefing.

3. Independent Review into the Delivery of Forensic Mental Health Services (2020) Interim Report: What People Told Us

4. Millan report (2001) New Directions: Report on the review of the Mental Health (Scotland) Act 1984.

5. Millan report (2001) New Directions: Report on the review of the Mental Health (Scotland) Act 1984

6. Drennan and Wooldridge. (2014) Making Recovery a Reality in Forensic Settings. ImROC Briefing Paper 10.

7. The Scottish Executive (2006) Forensic mental health services (NHS HDL(2006)48).

8. The Matrix of Security can be found at Appendix 3 of the Forensic Network’s Guidance on Patient Referral to or within Scottish High and Medium Secure Services.  It recognises that that low secure services need not always be provided in wards that meet the standards for low secure forensic locked wards, but can also be provided in intensive psychiatric care units (IPCUs) and locked rehabilitation and open wards.

9. The Scottish Office described it as such in its policy framework for health, social work and related services for mentally disordered offenders in its NHS Management Executive Letter in January 1999 (MEL(1999)5).

This was in keeping with definition in an earlier Review of such services in England by Professor Reed in 1992 and aligns with the current definition of forensic psychiatry used by the Royal College of Psychiatrists.

10. Forensic Network (2019) Women’s Service and Pathways across the Forensic Mental Health Estate.

11. See Section 5.5. ‘Definition of “Forensic” Patients’ Forensic Network (2019) Women’s Service Pathways across the Forensic Mental Health Estate.  Available at:

12. European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (2020) Report on the United Kingdom focusing on Scottish prisons.

13. This is the number of people recorded by the Network as being in a low level of security.  It does not include people in locked LD, IPCU, open wards or assessment and treatment wards which the Network reports on separately.

14. The Forensic Network longitudinal analysis indicated that Rohallion typically reported waiting lists of zero or one throughout 2018 and 2019.  In 2020, up to July, the list had risen to a constant two or three.

15. Millan report (2001) New Directions: Report on the review of the Mental Health (Scotland) Act 1984.

16. Ulrich (2018) Psychiatric Ward Design can reduce aggressive behaviourin ‘Journal of Environmental Psychology’ 57 pp.53-66.

17. Mental Welfare Commission (2019) Visiting and monitoring report: Medium and low secure forensic services.

18. Equality and Human Rights Commission (2020) Inclusive justice: a system designed for all.

Law Society for Scotland (2019) Report – Vulnerable Accused Persons.

19. MacDonald, A. (2018) Coming Home: A Report on Out-of-Area Placements and Delayed Discharge for People with Learning Disabilities and Complex Needs. Online: Scottish Government.  Available at: Mental Welfare Commission (2016) Visit and monitoring report: No through road: People with learning disabilities in hospitals.

20. Flannigan et al (2018) ‘Fetal Alcohol Spectrum Disorder and the criminal justice system: A systematic literature review’ International Journal of Law and Psychiatry 57 pp.42-52.

21. Scottish Government (2020) Child and Adolescent Mental Health Services: national service standards.

22. Mental Welfare Commission (2020) Young People Monitoring Report, 2018-19.

23. Scottish Government, Inpatient Census 2019.

24. Angiolini report (2012), Commission on women offenders.

25. Community Health and Social Care Directorate (2015) National health and wellbeing outcomes framework: Embedding a human rights based approach.

26. Mental Welfare Commission (2019) Visiting and monitoring report: Medium and low secure forensic services.

Contact

Email: isla.jack@gov.scot

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