By User Voice

This report brings forth the experiences of people who are diagnosed and self-diagnose as neurodivergent. As the health and criminal justice sectors are learning more about the experiences of neurodivergent service users, User Voice wants to bring their voices front and centre, and to give them real agency. Their quotes are unedited and based on their personal experiences. As part of this study User Voice interviewed 104 service users across 11 prisons nationwide between September 2022 and February 2023. To gain as full a picture as possible, User Voice additionally surveyed 250 neurodivergent service users about their experiences in the criminal justice system. All interviewed or surveyed service users were either diagnosed or self-diagnosed as neurodivergent. To provide as holistic a picture as possible, User Voice spoke to service users about their lives before they were involved in the criminal justice system. In early life, most service users we spoke to came from lower socio-economic backgrounds, over half had experienced abuse and neglect, and one third had been in care. At a crisis point, service users often found that they did not have the needed support networks, and therefore as a result, many had turned to alcohol and drugs which then had led to a life of criminality. Many told us that due to their neurodiversity, they are easily manipulated, coerced, groomed, or susceptible to peer pressure. This report shines a light on the lack of support for people who end up in the criminal justice system. Half of the service users who took part in this report told us they had been diagnosed before they turned 17 years old. Nine had been diagnosed between ages 17 – 26, and 17 when they were older than 27 years. None of them had been told how to live with their conditions. This study finds a criminal justice system ill-prepared to help neurodivergent people. In police custody, only 2 service users had adjustments made around their neurodiversity, whereas in prison, 15 said adjustments had been made. Because of lack of assessments and screening in prisons, we found that only few were receiving the support they needed. We believe that lived experience has a crucial part to play in the formulation of policy and practice in every sector, whether it be criminal justice, health, or education. To benefit those who are neurodivergent, we advocate for more peer support as well employing staff with lived experience in neurodiversity. This would guarantee that services and resources are tailored to the needs of neurodivergent service users. As prison populations grow, a commitment to more neurodiversity qualified health care staff is a must. The prison population would benefit from clinical psychologists in prison as well as better management of medication. This report is a snapshot of people’s lived experience. To drive true reform, we hope that more resources are given to projects that share the voices and experiences of neurodivergent people. To stop neurodivergent people ending up in the criminal justice system, we need to learn from those who have been there.

London: User Voice, 2023. 41p

By Andrew Galley,  Frank Sirotich, and Sara Rodrigues  

This report is based on a scoping review by a team of researchers at the Canadian Mental Health Association (CMHA), who analyzed existing research and policy documents on the mental health care needs of justice-involved persons in Canada’s criminal justice system and in peer jurisdictions. It aims to guide future research and policy development by highlighting what is currently known about this topic and what knowledge gaps may exist in the literature on mental health in the criminal justice system. While it highlights research on the prevalence of mental health problems and mental illness in the criminal justice system, experiences of justice-involved persons with mental health problems and mental illness, and promising practices and principles for mental health care, it is not intended to be a comprehensive review of the literature.   

Ottawa: Mental Health Commission of Canada , 2020. 124p.

By The National Institute of Corrections, Justice-Involved Veterans Network.

This white paper is a collaboration between the National Institute of Corrections, the Substance Abuse and Mental Health Services Administration, the U.S. Department of Veterans Affairs, and the National Institute of Corrections-sponsored Justice-Involved Veterans Network. This effort reflects the original Sequential Intercept Model (SIM) that was developed in the early 2000s by Mark Munetz, MD, and Patricia A. Griffin, PhD, along with Henry J. Steadman, PhD, of Policy Research Associates, Inc. The original intent of the Sequential Intercept Model was to “envision a series of ‘points of interception’ or opportunities for an intervention to prevent individuals with mental illness from entering or penetrating deeper into the criminal justice system” (Munetz & Griffin, 2006). The current project builds on prior efforts to adapt (as V-SIM) the original SIM to the justice-involved veterans population challenged by various forms and degrees of mental illness, as well as by substance abuse, and by the trauma from physical injuries (with psychological trauma-overlapping Traumatic Brain Injury of particular note). Each decision point in the criminal justice system represents an opportunity to intercede at the lowest level possible and to minimize the collateral consequences of a veteran getting more deeply involved in the justice system.

Washington, DC: NIC, 2023. 120p.

By Arlie Loughnan.

Mental Incapacity in Criminal Law. Whether it is a question of the age below which a child cannot be held liable for their actions, or the attribution of responsibility to defendants with mental illnesses, mental incapacity is a central concern for legal actors, policy makers, and legislators when it comes to crime and justice. Understanding mental incapacity in criminal law is notoriously difficult; it involves tracing overlapping and interlocking legal doctrines, current and past practices of evidence and proof, and also medical and social understandings of mental illness and incapacity. With its focus on the complex interaction of legal doctrines and practices relating to mental incapacity and knowledge - both expert and non-expert - of it, this book offers a fresh perspective on this topic.

Oxford (2012) 307 pages.

By Ernest Bryant Hoag and Edward Huntington Williams

. “In presenting this book to the public the authors have in mind the need for brief but accurate account of the common mental defects and sociological factors encountered in study of adult criminals, and of delinquent children. From an extensive experience in criminological work, including the psychopathic laboratory and much expert testimony in court, they are convinced that many judges, lawyers, police officials and doctors will welcome the sort of information which is here given. They also have in mind the needs of social service workers, teachers, and students of sociology, and last, but not least, certain part of the general public, which is asking almost in vain for the explanation of the criminal and delinquent behavior which today, more than ever before, presents itself in every large community. The authors have not pretended to offer anything new to experts in the study of abnormal behavior, yet they hope that even some of these will find the case-histories, at least, interesting and perhaps valuable.”

Indianapolis: Bobbs-Merrill, 1923. 405p.