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Imprisonment following discharge from mental health units

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Summary:

A quantitative study has found that the risk of imprisonment within 28 days of inpatient mental health service discharge increased in New Zealand between 2012 and 2020. Data for the study were obtained from the Ministry of Health’s national mental health dataset. People experiencing imprisonment were more likely to be young, male, Māori or Pasifika, present with substance use and psychotic disorders involving aggressive or overactive behaviour, and to have undergone coercive interventions such as seclusion and compulsory treatment during their admission. Community-based mental health care may be increasingly reliant on the criminal justice system to manage aggressive and violent behaviour driven by mental illness, the study authors noted. They argue that mental health inpatient units should retain the capacity to safely manage these behaviours.

Comment:
I’m stating the obvious to readers of this review, but key evidence here of the connection between health and justice systems in Aotearoa; and that human rights are at stake here.
Reference: Front Psychiatry. 2023;14:1038803.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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