Diversity and marginalisation in forensic mental health care

PART 1: Introduction -- Marginalisation and diversity in forensic mental health care: an introduction -- The United States criminal justice system: the experience of racially marginalized people -- PART 2: Marginalised and diverse social characteristics -- Intersectional inequalities and women in secure settings -- Transitional spaces: working with transgender prisoners in the United Kingdom -- Children in custody: exploring the impact of incarceration for children and their families in the context of wider marginalization and oppression -- Foreign nationals in forensic care: a German perspective -- Fathers in forensic mental health services -- PART 3: Marginalised and Diverse Clinical Characteristics -- Autism in forensic settings -- Learning disability and forensic mental health -- The problematic nature of transitions amongst adolescents with multiple and complex needs in secure care: an overview of institutional transitions -- "Long-stay" patients in forensic mental health -- PART 4: Developing responsive interventions and models of care -- A tripartite model of cultural, clinical and operational governance in the planning and delivery of culturally informed care for indigenous Māori forensic mental health service users -- The Elders project: bringing black African Caribbean collectivism in from the outside -- Working in multicultural forensic settings: an integrated model of assessment -- PART 5: Communicating with marginalised groups -- The individual as a marginalised cohort in secure and forensic mental health inpatient settings in the UK -- Including older forensic service users in research -- Men in ‘limbo’: masculinities in medium secure care in Scotland -- Carers and forensic services: towards carers peer support -- PART 6: Conclusion -- Conclusion: pulling towards justice.

This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward.

Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients’ socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more.

Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.

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