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Advances in Psychiatric Treatment (2003) 9: 359-367
© 2003 The Royal College of Psychiatrists

Managing criminal acts on the psychiatric ward: understanding the police view

Richard Bayney and George Ikkos

Richard Bayney is a consultant psychiatrist at the Forensic Directorate, West London Mental Health Care Trust (Uxbridge Road, Southall, Middlesex UB1 3EU, UK. E-mail: Richard.Bayney{at}wlmht.nhs.uk). His research interests include issues of criminal behaviour and responsibility in psychiatry. George Ikkos is a consultant psychiatrist at Edgware Hospital, Middlesex, Associate Medical Director, Barnet Enfield and Haringey Mental Health NHS Trust, and Chairman of the London Division of the Royal College of Psychiatrists. His research interests include issues of responsibility for behaviour in psychiatry, in the context of psychodynamic theories of transference and countertransference in the doctor–patient relationship. The authors are grateful to Inspector Bruce Frenchum, of the Community Safety and Partnership Policy Unit of the Metropolitan Police, London, for his advice. The opinions expressed in this article are those of the authors and not those of the police.

Success in preventing and responding to criminal behaviours on psychiatric wards may sometimes require cooperation between mental health services and local police services. This is especially so when seeking legal remedies through the criminal justice system. This article describes police perceptions of psychiatric services and psychiatric patients. It also reviews police procedures and factors that influence their response when the police are requested to intervene following an alleged criminal act by an in-patient. A case vignette is used to highlight the causes of tensions and guide the reader through the steps that might be considered when the issue of prosecution arises.




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Copyright © 2003 The Royal College of Psychiatrists.