1st Edition

Diversity and Marginalisation in Forensic Mental Health Care

Edited By Jack Tomlin, Birgit Völlm Copyright 2023
    222 Pages 1 B/W Illustrations
    by Routledge

    222 Pages 1 B/W Illustrations
    by Routledge

    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.

    Foreword by Professor Harry Kennedy

    Part One: Introduction

    1. Marginalisation and Diversity in Forensic Mental Health Care: An introduction

    Dr Jack Tomlin

    Prof Birgit Völlm

    2. The United States Criminal Justice System: The Experience of Racially Marginalized People

    Dr Brittany Wells

    Dr Antoinette Kavanaugh

    Part Two: Marginalised and Diverse Social Characteristics

    3. Intersectional Inequalities and Women in Secure Settings

    Dr Jayne Taylor

    Professor Tammi Walker

    4. Transitional Spaces: Working with Transgender Prisoners in the United Kingdom

    Jessica Collier

    Dr Rebecca Lockwood

    Dr Frances Maclennan

    5. Children in Custody: Exploring the Impact of Incarceration for Children and Their Families in the Context of Wider Marginalization and Oppression

    Dr Celia Sadie

    Dr Clare Holt

    Andrez Harriott

    Sophie D’Souza

    Javel Watt 

    6. Foreign Nationals in Forensic Care: A German Perspective

    Prof. Thomas Ross

    Dr María Isabel Fontao

    Dr Annette Opitz-Welke

    Dr Jan Bulla

    7. Fathers in Forensic Mental Health Services

    Dr Sara Morgan

    Dr Leigh Gale

    Dr Christopher Hartwright

    Dr Michelle Wells

    Part Three: Marginalised and Diverse Clinical Characteristics

    8. Autism in Forensic Settings

    Emma Longfellow

    Julia Skelding

    9. Learning Disability and Forensic Mental Health

    Julia Skelding

    Emma Longfellow

    10. The problematic nature of transitions amongst adolescents with multiple and complex needs in secure care: An overview of institutional transitions

    Dr Maria Livanou

    Dr Vivek Furtado

    11. "Long-Stay" Patients in Forensic Mental Health

    Prof. Birgit Völlm

    Part Four: Developing Responsive Interventions and Models of Care

    12. 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

    Dr James Cavney

    13. The Elders Project: Bringing Black African-Caribbean Collectivism in From the Outside

    Beresford Dawkins

    Dawn M Sutherland

    Dr Kimberly Sham Ku

    Patrick Bennett

    Dr Abdullah Mia

    14. Working in Multicultural Forensic Settings: An Integrated Model of Assessment

    Dr Stephane M Shepherd

    Dr Mary O. Madu

    Part Five: Communicating with Marginalised Groups

    15. The Individual as a Marginalised Cohort in Secure and Forensic Mental Health Inpatient Settings in the UK

    Dr Sarah Markham

    16. Including Older Forensic Service Users in Research

    Dr Renske Visser

    Dr Janet Parrott

    Dr Fiona Houben

    Prof. Douglas MacInnes

    17. Men in ‘Limbo’: Masculinities in Medium Secure Care in Scotland

    Dr Christine Haddow

    18. Carers and Forensic Services: Towards Carers Peer Support

    Karen Machin

    Shelagh Musgrave

    Karen Persaud

    Dr Julie Ridley

    Part Six: Conclusion

    19. Conclusion: Pulling towards justice

    Dr Jack Tomlin

    Prof. Birgit Völlm


    Jack Tomlin is Lecturer in Criminology at the University of Greenwich, United Kingdom. He has studied, taught, and researched crime and mental health in the United Kingdom, the Netherlands, and Germany.

    Birgit Völlm is Professor of Forensic Psychiatry and Director of the Hospital of Forensic Psychiatry at Rostock University Medical Center. She is also Chair of the Forensic Section of the World Psychiatric Association.

    "This collection is eye-opening, accessible and pioneering. An invaluable toolkit for anybody interested in criminal justice and mental health."

    David Lammy, MP; Shadow Secretary of State for Foreign and Commonwealth Affairs in the United Kingdom

    "Justice is a key concept in medical ethics, with respect for justice identified as one of four principles of bioethics. This timely book provides a welcome review of how systemic injustices can affect patients and staff in forensic services. The editors have brought together a range of rich and thoughtful chapters which should make forensic practitioners question themselves about whether their services always act justly; and how forensic services can be more respectful of diversity and justice."

    Dr Gwen Adshead, Consultant Forensic Psychiatrist and Psychotherapist at Broadmoor Hospital, UK

    "An intellectual entertainment was defined by Lord Reith as educating, informing and entertaining. Science and medicine do not fare well as entertainments, but entertainment and literary criticism do not fare well as nostrums for life shortening illnesses. In this book, Tomlin and Völlm give fair and equal hearings to both. The reader will benefit from the choice."

    Prof. Harry Kennedy, Clinical Professor of Forensic Psychiatry and Executive Clinical Director National Forensic Mental Health Service in Ireland