Policing Mental Health Challenges in Scotland
Meeting the increasing demand for mental health support within policing in Scotland is a critical issue outlined in various reports and reviews. The thematic review emphasizes the importance of prevention over crisis intervention and highlights the impact on police officers' wellbeing. Recommendations and insights from other relevant publications and sources offer valuable perspectives on addressing mental health crises effectively.
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Thematic Review Policing Mental Health in Scotland Craig Naylor HM Chief Inspector of Constabulary HM Inspectorate of Constabulary in Scotland www.hmics.scot
The challenge on meeting Mental Health Demand in Policing There comes a point where we need to stop pulling people out of the river. We need to go upstream and find out why they re falling in. Bishop Desmond Tutu Prevention is far better than cure. Mental health crisis is often preventable and avoidable. It is far cheaper for health agencies to intervene early than pay for specialist crisis treatment after harm and distress has already been caused Picking up the pieces- Policing and Mental health, HMICFRS, 2018 2 HM Inspectorate of Constabulary in Scotland www.hmics.scot
Drivers and Influencers for our Thematic Review (Scotland) Anecdotal and as yet unquantified demand on Policing Only 20% of 3.4 million contacts and 1.5 million incidents results in a crime. 40% of persons in police custody report to be suffering from mental health issues . SPA Board Meeting Paper May 2022 Police Officers waiting for hours in Accident and Emergency Units with people awaiting Mental Health assessment. SPF Submissions to Scottish Parliament Justice Committee 803,985 unique individuals recorded on IVPD PS Report to SPA on maintaining IVPD March 2021 Impact on Police Officer Wellbeing SPF Wellbeing Survey 2020 In the SPF survey, Dealing with Mental Health issues in the community was the third top activity in which Police Officers reported spending their time. (The first two were writing, then reading / reviewing reports) PIRC Annual report: Investigations conducted by PIRC in to the circumstances of a death has highlighted the increasing demand on policing to deal with people experiencing mental health crisis or illness. 28 deaths investigated by PIRC following contact with the Police 54% had a background in mental health Dame Elish Angiolini Review Final Report Published November 2020 Rec 71 - As soon as it is reasonable and feasible to do so, HMICS, along with the appropriate health inspection or audit body, should conduct a Review of the whole-system approach to mental health HM Inspectorate of Constabulary in Scotland www.hmics.scot
Other relevant publications and sources from England and Wales Mental Health Crisis Care Concordat 2014 The Mental Health Crisis Care Concordat is a national agreement between services and agencies involved in the care and support of people in crisis. It sets out how organisations will work together better to make sure that people get the help they need when they are having a mental health crisis. Independent Commission on Mental Health and Policing 2013 - Link Independent review commissioned by MPS to review the work of MPS with regard to people who have died or been seriously injured in police custody. Focused on the roles and responsibilities of the MPS in dealing with issues of mental health in custody, at street encounter and in response to calls made to police, including call handling processes when dealing with members of the public where there is an indication of mental health. 28 recommendations. College of Policing Authorised Professional Practice Mental Health 2016 - Link Provides guidance in E & W for police response to people with mental ill health, learning disability, developmental conditions, multiple needs relating to mental health and are mentally or emotionally vulnerable and require assistance. HMICFRS Report 2018 Policing and Mental Health Picking up the Pieces Link 5 recommendations. Sir Michael Barber Strategic Review of Policing in England and Wales 2022 Link 4 HM Inspectorate of Constabulary in Scotland www.hmics.scot
Strategic Landscape through to Tactical Delivery Scottish Government Mental Health Strategy Mental Health Strategy Distress Brief Intervention Mental Health Pathway to NHS (through C3) Criminal Justice Pathway (through CJSD) Collaboration Framework with Public Health Scotland Mental Health and Substance Abuse Pathfinder Programme with PHS Police Scotland Primary and Secondary Care Community Triage NHS 24 Mental Health Pathway (from PSOS C3) Mental Health Assessment Units NHS 2017 2027 New Collaboration Framework with PSOS Public Health Scotland Health Care Improvement Scotland (HIS) Mental Health and Substance Abuse Pathfinder Programme with PSOS HM Inspectorate of Constabulary in Scotland www.hmics.scot
Objectives and Outcomes of the Review? The intention is to consider the role of Police Scotland in relation to mental health in Scotland and to assess the state, efficiency and effectiveness of Police Scotland s provision of mental health related policing services, by assessing: How well prepared Police Scotland are to meet the needs of people who are suffering from poor mental health Whether the police response to mental health related demand impacts on the efficiency and effectiveness of the force in delivering other policing services Whether the force understand the demand associated with the provision of mental health related policing services The effectiveness of the force s collaborative working arrangements in relation to the provision of mental health related policing services The impact that the involvement of the police has on the person who is suffering from poor mental health 6 HM Inspectorate of Constabulary in Scotland www.hmics.scot
Inspection HMICS engages with collaborative inspections in many areas Adult support and protection (CI & HIS) Children at risk of harm (CI & HIS) Diversion from prosecution (HMIPS) Health care in custody (HIS) Ambition to do this jointly but first step is to understand the demands on policing and make a case for wider engagement 7 HM Inspectorate of Constabulary in Scotland www.hmics.scot
Next steps Terms of reference issued this week to PSOS and SPA- for comment and will be published by year end. Seeking lived experience- please help and contact us if you can hmic@hmic.gov.scot Inspection early 2023 with self evaluation, field work and documentary reviews. 8 HM Inspectorate of Constabulary in Scotland www.hmics.scot
