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A Realist Evaluation of an Enhanced Court Based Liaison & Diversion Service for defendants with Neurodevelopmental Disorders

Lookup NU author(s): Dr Shalabh Srivastava, Dr Iain McKinnonORCiD, Professor Dame Louise Robinson, Dr Alison Forrester

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Abstract

Court-based mental health liaison and diversion services in England work across courts and police stations to support those with severe mental illness and other vulnerabilities. The evidence around how such services support those with neurodevelopmental disorders is limited. A Realist Evaluation was therefore undertaken of an enhanced Court-based mental health liaison and diversion within an inner-city Magistrates’ Court in London, England. A logic model-based approach was developed using initial programme theory focusing on component parts of the new enhanced service, specifically training, screening, signposting, and interventions. Semi-structured interviews were conducted with the court staff, judiciary and clinicians from the liaison and diversion service. The new enhanced service was successful in identifying and supporting the needs of defendants with neurodevelopmental disorders. The identified benefits of the enhanced service included knowledge sharing, improved identification and making reasonable adjustments. There were challenges in finding and accessing local specialist community services. It was recognised that local care pathways would need to be developed between the health system and the judiciary to ensure timely responses. Findings and implications will be discussed in the presentation.


Publication metadata

Author(s): Chaplin E, McCarthy J, Marshall-Tate K, Ali S, Harvey D, Childs J, Xenitidis K, Srivastava S, McKinnon I, Robinson L, Allely C, Hardy S, Forrester A

Publication type: Conference Proceedings (inc. Abstract)

Publication status: Published

Conference Name: XXXVIIIth International Congress on Law and Mental Health

Year of Conference: 2024

Online publication date: 26/07/2024

Acceptance date: 22/10/2023

Publisher: International Academy of Law and Mental Health

URL: https://ialmh.org/


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