Forensic Mental Health Legislation and Policies
As a probation and parole officer in Australia, one of the major issues that need to be addressed through best practice is dealing with mentally ill offenders. This is an emerging issue to be dealt with in order to provide suitable programs and support to lessen recidivism. The significance of addressing this issue is evident in the substantial attention given to offenders with mental illness in the recent past largely because of their prevalence and poor outcomes. Most of this attention has been centered on whether offenders with mental illness pose more risk of dangerousness and how to effectively evaluate and manage that risk. While the increased focus has contributed to the creation of various interventions, these services have poorly matched the policy objective of lessening recidivism (Skeem, Manchak & Peterson, 2011, p.110). In light of the increasing prevalence and poor outcomes of offenders with mental illness, establishing best practice would help provide suitable programs and support to lessen recidivism.
Summary and Overview of the Problem
According to Wang et al. (2005), offenders with mental health issues who are on probation and parole continue to struggle with several issues on their own and slip through the cracks (p.603). This shows that there are issues that are not being addressed that may in turn contribute to the risk of recidivism for these individuals. One of the major indicators of the seeming ineffectiveness of mental health legislation is the high proportion of indigenous offenders with mental health problems. Mentally ill offenders tend to receive inadequate treatment or inappropriate medication dosages because incarceration facilities are generally ill-equipped to deal with mental illness
The current mental health legislation is not adequately supportive to mentally ill offenders who are on probation and parole services. The current experience of many mentally ill offenders in indigenous communities demonstrates that courts are increasingly reluctant to agree to their release or return to the community because of lack of necessary formal support (Hunter, n.d.). Since Mental Health Services exist in larger cities or regional areas, such offenders from indigenous communities are more likely to be released to these areas as long as they can cater for their accommodation. The current approach towards release on bail fails in recognizing the significance of family and community in the healing process of offenders with mental illness. Generally, indigenous people are increasingly likely to have strong focus on relationships with family members and the society. The failure to acknowledge these relations make it difficult to provide adequate help to mentally ill offenders, especially in probation and parole programs.
While services for offenders with mental health concerns exist in indigenous communities, they are usually underfunded and operating at over capacity, which makes them inaccessible for all individuals who need them. Therefore, access to these Mental Health Services is limited and dependent on various factors including the timing of community visits by a practitioner and availability of appointment. Moreover, people who need closer attention do not usually receive it because of accessibility issues and the minimal number of beds in Mental Health Units.
There have been numerous attempts to address these issues through increased interest in whether mentally ill individuals pose an increased risk of dangerousness, and how to effectively evaluate and manage that risk (Gagliardi, 2004, p.133). However, there is minimal research and literature on the risk posed by mentally ill offenders released from prisons. Freckelton (2004) states that existing research associated with mental illness and the law has primarily focused on when mentally ill offenders are required to avail themselves of the defense of not guilty because of mental impairment or insanity (p.375). However, decisions on whether offenders found innocent by such pleas should be released back into the community entails complex analyses of the risk of recidivism. The risk is difficult to examine when dealing with cases involving offenders who have carried out serious violent acts while mentally ill.
The increased attention has contributed to the development of legislative initiatives and policy measures that focus on addressing the issue of mentally ill offenders. An example of legislation related to the issue is the 1997 Mental Impairment and Unfitness Act through which an individual may be declared legally accountable to supervision. This supervision may be custodial i.e. served in prison or a forensic hospital or non-custodial i.e. served in the community through probation and/or parole programs (Freckelton, 2005, p.377). Notably, the non-custodial supervision is granted once the court is satisfied that the mentally ill offender will not endanger the safety of community members upon release.
Secondly, the recent increased attention has resulted in the development of a number of interventions,...
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