Show Summary Details
Page of

Mental Health and Human Rights in Secure Settings 

Mental Health and Human Rights in Secure Settings
Mental Health and Human Rights in Secure Settings

Danny H. Sullivan

and Paul E. Mullen

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 19 September 2021

Danny Sullivan and Paul Mullen consider the rights of those doubly stigmatized as mentally disordered and criminal. Citizens committing serious criminal offences and mentally ill people unable to protect themselves or others both forfeit some civil rights. Offending and mental illness curtail rights in the name of justice and therapy. Deinstitutionalization, intended to end coercion and exclusion, preceded a trend towards compulsory hospital admissions and community treatment orders, thus perpetuating coercion in less forbidding places. Forensic psychiatry services and secure hospitals have grown substantially. Minimal standards for these services and for mentally ill offenders are sometimes deflected by populist media outrage. The authors consider the relationship between prisons and asylums (or hospitals), and for secure mental health institutions, and the tensions between therapeutic and custodial goals and cultures. Civil commitment necessitates diagnostic or dysfunction criteria, and/or incapacity to consent, treatment refusal, treatability, and other thresholds, such as harm to self or others, least restrictive environment, and parens patriae . The authors discuss capacity-based commitment, arguments against commitment, coercive cultures, and the situation of the mentally abnormal offender: the problems of (especially compulsory) treatment in prisons, transfer to hospitals, sexuality, and political dissent. The challenges for mental health professionals of providing care are scrutinized.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.