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Criminal Justice and PSD: the Long Road to
Equality
Louise Ellison, University of Leeds
Vanessa Munro, University of Nottingham
Katrin Hohl, City University London
Paul Wallang, St Andrew’s Healthcare
A note on terminology
 “psychosocial disability” - expresses a social
rather than medical model of conditions and
experiences labelled as ‘mental illness’
 Highlights fact that treatment of this population
within the scope, and potential protection, of
disability equality duties
Victimization amongst adults with PSD
MIND 2007 survey of 300 people living with
mental distress
 71% victimised at least once in the past two
years
 34% victim of theft /other financial crime
 22% physically assaulted
 10% sexually assaulted
Pettitt et al (2013) survey of 361 victims with SMI
 44% any crime in past year
 18% victims of assault
 23% theft/ criminal damage
 40% of women a victim of rape/attempted rape
in adulthood
 43% experienced more than one type of crime
in the past year
 Australia, Chapple et al (2004) (962
participants with a psychotic disorder) 1 in 6
suffered violent victimisation in the previous
year, a rate 3.5 times higher than the general
figures from the country
 USA, Teplin et al (2005) (936 participants with
SMI) more than one quarter had been victims
of one or more violent crimes within the past
year - incidence more than 4 times greater
compared to general population.
Impact of victimisation
 Pettitt et al report -
 98% reported emotional or MH problems as a
result of victimisation
 Relationship breakdown, financial hardship,
housing related problems
 40% female victims (23% male victims) of
sexual/domestic violence had attempted
suicide
Barriers to reporting
 Fear of disbelief
 Previous dismissive treatment by police
 Fear of being sectioned
 Discouraged by third parties
 Intimidation
Unmet need for support
 Problems with identification / reluctant to
disclose PSD
 Needs not assessed
 Denied access to special measures
 Criminal justice personnel lack training to
deal with victims with complex needs
A question of credibility?
 Perception amongst victims of prejudicial
attitudes existing within the police
 Inaction following police report
 Reports of improper use of medical records in
court
 Perception amongst some lawyers / judges
that few cases reach court due to credibility
concerns
PSD and attrition: a known unknown
 Police / prosecutors do not routinely
monitor or keep records of people with
PSD as victims of crime
 impact of mental health on case
progression has generally not been
subject to systematic analysis
MPS Rape Study
 London MPS: comprehensive dataset of
all allegations of rape received in April
and May 2012 (n=679)
 Full police records of each rape
complaint in the sample coded
 Complainant mental health included as
an analytical category = 23% of sample
Method
 Multivariate logistic regression analysis
of data set. Significance tests used to
identify differences between cases
involving complainants with/ without
recorded mental health conditions
 Limitations: nature and severity of the
MHC not recorded; variable may be
under/over inclusive
Findings
Recorded
MHC
No recorded
MHC
No-crime 11% 5%
NFA 45% 38%
Referred to
CPS
1% 21%
Charged 4% 10%
Findings: other ‘vulnerabilities’
Recorded
MHC
No recorded
MHC
Intellectual
disability
13% 2%
Homeless/
missing
9% 2%
Alcohol/drug
dependency
14% 4%
False report 9% 2%
Findings: case characteristics
Recorded
MHC
No recorded
MHC
Physical
resistance
28% 37%
Inconsistency 17% 9%
Intoxicated 22% 31%
Findings: perceived credibility
Recorded
MHC
No recorded
MHC
Police noted
doubts about
the case
54% 24%
Police noted
doubts about V
credibility
37% 17%
Findings: victim cooperation
Recorded
MHC
No recorded
MHC
Police noted
difficulty
contacting V
28% 21%
Police noted
poor V
cooperation
39% 30%
Summary
Rape complainants with recorded MHCs
significantly more likely to:
 experience additional, circumstantial
vulnerabilities
 have their credibility explicitly doubted by
police officers
 see their case discontinued by the police /
CPS
Remaining data gaps
 PSD and attrition – a known unknown
 Absence of reliable evidence base
inconsistent with obligations imposed by
equality legislation and international
human rights obligations
Key references
 Ellison L. Ellison, K. Hohl, V. Munro, P. Wallang,
‘Challenging Criminal Justice? Psychosocial Disability
and Rape Victimisation’ Criminology and Criminal
Justice Online First 1 August 2014
 Ellison, L., ‘Responding to the needs of victims with
psychosocial disabilities: challenges to equality of
access to justice’ [2015] 1 Criminal Law Review 28-47
 Mind (2007) Another Assault. London: Mind.
 B. Pettitt et al (2013) At Risk Yet Dismissed, the
Criminal Victimisation of People with Mental Health
Problems. London: Victim Support/Mind.

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  • 1. Criminal Justice and PSD: the Long Road to Equality Louise Ellison, University of Leeds Vanessa Munro, University of Nottingham Katrin Hohl, City University London Paul Wallang, St Andrew’s Healthcare
  • 2. A note on terminology  “psychosocial disability” - expresses a social rather than medical model of conditions and experiences labelled as ‘mental illness’  Highlights fact that treatment of this population within the scope, and potential protection, of disability equality duties
  • 3. Victimization amongst adults with PSD MIND 2007 survey of 300 people living with mental distress  71% victimised at least once in the past two years  34% victim of theft /other financial crime  22% physically assaulted  10% sexually assaulted
  • 4. Pettitt et al (2013) survey of 361 victims with SMI  44% any crime in past year  18% victims of assault  23% theft/ criminal damage  40% of women a victim of rape/attempted rape in adulthood  43% experienced more than one type of crime in the past year
  • 5.  Australia, Chapple et al (2004) (962 participants with a psychotic disorder) 1 in 6 suffered violent victimisation in the previous year, a rate 3.5 times higher than the general figures from the country  USA, Teplin et al (2005) (936 participants with SMI) more than one quarter had been victims of one or more violent crimes within the past year - incidence more than 4 times greater compared to general population.
  • 6. Impact of victimisation  Pettitt et al report -  98% reported emotional or MH problems as a result of victimisation  Relationship breakdown, financial hardship, housing related problems  40% female victims (23% male victims) of sexual/domestic violence had attempted suicide
  • 7. Barriers to reporting  Fear of disbelief  Previous dismissive treatment by police  Fear of being sectioned  Discouraged by third parties  Intimidation
  • 8. Unmet need for support  Problems with identification / reluctant to disclose PSD  Needs not assessed  Denied access to special measures  Criminal justice personnel lack training to deal with victims with complex needs
  • 9. A question of credibility?  Perception amongst victims of prejudicial attitudes existing within the police  Inaction following police report  Reports of improper use of medical records in court  Perception amongst some lawyers / judges that few cases reach court due to credibility concerns
  • 10. PSD and attrition: a known unknown  Police / prosecutors do not routinely monitor or keep records of people with PSD as victims of crime  impact of mental health on case progression has generally not been subject to systematic analysis
  • 11. MPS Rape Study  London MPS: comprehensive dataset of all allegations of rape received in April and May 2012 (n=679)  Full police records of each rape complaint in the sample coded  Complainant mental health included as an analytical category = 23% of sample
  • 12. Method  Multivariate logistic regression analysis of data set. Significance tests used to identify differences between cases involving complainants with/ without recorded mental health conditions  Limitations: nature and severity of the MHC not recorded; variable may be under/over inclusive
  • 13. Findings Recorded MHC No recorded MHC No-crime 11% 5% NFA 45% 38% Referred to CPS 1% 21% Charged 4% 10%
  • 14. Findings: other ‘vulnerabilities’ Recorded MHC No recorded MHC Intellectual disability 13% 2% Homeless/ missing 9% 2% Alcohol/drug dependency 14% 4% False report 9% 2%
  • 15. Findings: case characteristics Recorded MHC No recorded MHC Physical resistance 28% 37% Inconsistency 17% 9% Intoxicated 22% 31%
  • 16. Findings: perceived credibility Recorded MHC No recorded MHC Police noted doubts about the case 54% 24% Police noted doubts about V credibility 37% 17%
  • 17. Findings: victim cooperation Recorded MHC No recorded MHC Police noted difficulty contacting V 28% 21% Police noted poor V cooperation 39% 30%
  • 18. Summary Rape complainants with recorded MHCs significantly more likely to:  experience additional, circumstantial vulnerabilities  have their credibility explicitly doubted by police officers  see their case discontinued by the police / CPS
  • 19. Remaining data gaps  PSD and attrition – a known unknown  Absence of reliable evidence base inconsistent with obligations imposed by equality legislation and international human rights obligations
  • 20. Key references  Ellison L. Ellison, K. Hohl, V. Munro, P. Wallang, ‘Challenging Criminal Justice? Psychosocial Disability and Rape Victimisation’ Criminology and Criminal Justice Online First 1 August 2014  Ellison, L., ‘Responding to the needs of victims with psychosocial disabilities: challenges to equality of access to justice’ [2015] 1 Criminal Law Review 28-47  Mind (2007) Another Assault. London: Mind.  B. Pettitt et al (2013) At Risk Yet Dismissed, the Criminal Victimisation of People with Mental Health Problems. London: Victim Support/Mind.