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MDO: Care Pathway Document

Appendix 2: Checklist of components of a comprehensive local service for Mentally Disordered Offenders

Services for People with Mental Health Problems

Components

In Place/In Development

Community-based

 

Advocacy

 

Social Care — Support in own home:

Low to intensive support

 

Supported Accommodation/Residential Care

 

Day Care

 

Employment Schemes

 

Community Care Social Work

 

Criminal Justice Social Work

 

Children and Families Social Work

 

Social Work Addiction Services (DATs)

 

Diversion Schemes

 

CMHT: CPNs, Psychiatry, Psychology, Social Work, OT

 

GP/Police Surgeon

 

Duty Psychiatry: Support to police, courts, assessment for diversion

 

MHO

 
   

Secondary Care

 

General Psychiatry (Hospital):

Out-patient

Acute in-patient

Day Hospital

 

IPCU (short stay, acutely ill, limited physical security)

 

Addictions Services

 

Child and Adolescent Psychiatry

 

Clinical Psychology

 

Psycho-therapy

 

Tertiary Care

 

Access to:

Community Based Forensic Mental

Health Services:

Supporting generic mental health and health services;

Providing direct care;

Providing support to prisons.

Consultant Forensic Psychiatry

Clinical Forensic Psychology

Forensic Psycho-therapy

Forensic CPNs

Forensic OT

 

Access to:

Forensic Hostel/Secure Supported Accommodation

 

Access to:

Day Care

 

Access to:

Open/low secure in-patient care

Short stay secure in-patient care

Long stay/continuing care secure in-patient care

High secure care

 

 

Services for People with Learning Disabilities

Components

In Place/In Development

Community-based

 

Advocacy

 

Social Care — Support in own home:

Low to intensive support

 

Supported Accommodation/Residential Care

 

Community Care Social Work

 

Criminal Justice Social Work

 

Children and Families Social Work

 

Day Care, Training, Employment

 

Diversion Schemes

 

CLDT: Psychiatrist in learning disabilities, community nurses, clinical psychology, social work, OT, speech and language therapy

 

GP/Police Surgeon (as per people with mental health problems)

 

Duty Psychiatrist in learning disabilities

 

MHO

 
   

Secondary Care

 

Access to:

Clinical Forensic Psychology

Day Hospital for offenders

Admission/Assessment beds

 

Tertiary Care

 
   

Access to:

Short stay secure learning disabilities in-patient care

Long stay/continuing care secure learning disabilities in-patient care

High secure in-patient care

 

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