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Mental Health in Custody

A mental health in custody assessment identifies psychiatric disorders among the prison population and evaluates the impact of the carceral environment on a prisoner’s wellbeing. These reports are used to secure appropriate clinical pathways, diversion to hospital, or specialized treatment within the prison estate.

Overview

When this report is required

  • To assess if a prisoner meets the criteria for transfer to a secure hospital under Section 47/49
  • To evaluate the risk of self-harm or suicide (ACDT) and the adequacy of current monitoring
  • To determine if a prisoner’s mental state is a barrier to participating in offending behaviour programmes
  • To provide clinical evidence for “reasonable adjustments” in accordance with the Equality Act

What the expert assesses

  • Presence of Treatable Mental Disorders
  • Suicide and Self-Harm Risk Levels
  • Impact of Cellular Confinement on Mental Stability
  • Dual Diagnosis (Co-occurring Substance Misuse)
  • Cognitive Functioning and Capacity in Custody

Report specification

Element Detail
Assessment Setting Prison Estate, Secure Unit, Remote
Court Acceptance Prison Service, High Court
Compliance CPR Part 35
CPR Part 35 Compliant Digital Delivery Urgent Instructions

Specialist expertise

Consultant Forensic Psychiatrists Clinical Psychologists Dual Diagnosis Experts
While these are the primary specialists engaged for this instruction type, please note that every case turns on its own facts. Complex or multi-disciplinary cases may require a bespoke team of experts. Our case managers will review your specific instruction to ensure the correct clinical match.