Review of psychiatric services to mentally disordered offenders around the Pacific Rim

Every-Palmer, Susanna, Brink, Johann, Chern, Tor P., Choi, Wing-Kit, Hern-Yee, Jerome Goh, Green, Bob, Heffernan, Ed, Johnson, Sarah B., Kachaeva, Margarita, Shiina, Akihiro, Walker, David, Wu, Kevin, Wang, Xiaoping and Mellsop, Graham (2014) Review of psychiatric services to mentally disordered offenders around the Pacific Rim. Asia-Pacific Psychiatry, 6 1: 1-17. doi:10.1111/appy.12109


Author Every-Palmer, Susanna
Brink, Johann
Chern, Tor P.
Choi, Wing-Kit
Hern-Yee, Jerome Goh
Green, Bob
Heffernan, Ed
Johnson, Sarah B.
Kachaeva, Margarita
Shiina, Akihiro
Walker, David
Wu, Kevin
Wang, Xiaoping
Mellsop, Graham
Title Review of psychiatric services to mentally disordered offenders around the Pacific Rim
Journal name Asia-Pacific Psychiatry   Check publisher's open access policy
ISSN 1758-5864
1758-5872
Publication date 2014-03-01
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/appy.12109
Volume 6
Issue 1
Start page 1
End page 17
Total pages 17
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing
Abstract This article was commissioned to collate and review forensic psychiatric services provided in a number of key Pacific Rim locations in the hope that it will assist in future dialogue about service development. The Board of the Pacific Rim College of Psychiatrists identified experts in forensic psychiatry from Australia, Canada, China, Hong Kong, Japan, Russia, Singapore, Taiwan, and the US. Each contributor provided an account of issues in their jurisdiction, including mental health services to mentally disordered offenders in prison, competence or fitness to stand trial, legal insanity as a defense at trial, diminished responsibility, and special forensic services available, including forensic hospitals and community forensic mental health services. Responses have been collated and are presented topic by topic and country by country within the body of this review. The availability of mental health screening and psychiatric in-reach or forensic liaison services within prisons differed considerably between countries, as did provisioning of community forensic mental health and rehabilitation services. Diversion of mentally disordered offenders to forensic, state, or hybrid hospitals was common. Legal constructs of criminal responsibility (insanity defense) and fitness to stand trial ("disability") are almost universally recognized, although variably used. Disparities between unmet needs and resourcing available were common themes. The legislative differences between contributing countries with respect to the mental health law and criminal law relating to mentally disordered offenders are relatively subtle. The major differences lie in operationalizing and resourcing forensic services.
Keyword Forensic psychiatry
Insanity defense
Pacific Rim
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Published online 19 November 2013

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
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Created: Mon, 14 Apr 2014, 20:30:30 EST by Matthew Lamb on behalf of School of Medicine