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Evaluation of a liaison and diversion Court Mental Health Service for defendants with neurodevelopmental disorders

Chaplin, Eddie, McCarthy, Jane, Marshall-Tate, Karina, Ali, Salma, Xenitidis, Kiriakos, Childs, Jessica, Harvey, Denise, McKinnon, Iain, Robinson, Louise, Hardy, Sally, Srivastava, Samir, Allely, Clare, Tolchard, Barry and Forrester, Andrew 2021. Evaluation of a liaison and diversion Court Mental Health Service for defendants with neurodevelopmental disorders. Research in Developmental Disabilities 119 , 104103. 10.1016/j.ridd.2021.104103

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Aim Neurodevelopmental disorders (NDD) may present as neuropsychiatric problems as well as impairments of motor, cognitive, social and communication functioning. This study describes the introduction of a specialist service with expertise in NDD into an existing court mental health liaison and diversion service to determine if the service would impact on the health needs or disposal outcomes of defendants. Methods We examined referrals of defendants with NDD disorders over 30-months at a London Magistrates’ Court. The pre-existing Court Mental Health (CMH) service was enhanced to provide additional expertise and hereafter referred to as the CMH + NDD Service. Baseline data including gender, ethnicity, remands and the rates of mental disorders was collected from the CMH Service using the existing minimum mental health service dataset. This was compared with data collected from the CMH + NDD Service. Results We found the following rates of NDD 9.5 % (n = 43) for the CMH service, and 9.5 % (n = 79) for the CMH + NDD service. Although overall the rates were the same the number of defendants with a single NDD diagnosis was increased in the CMH + NDD service with ADHD 10 %, ASD and ID 4% higher, the rates of comorbid NDD decreased in the CMH + NDD service compared to baseline.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 0891-4222
Date of First Compliant Deposit: 8 October 2021
Date of Acceptance: 29 September 2021
Last Modified: 11 Oct 2021 12:01

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