Saturday, 13 December 2014

Bad News Again



Did you know that people with mental health difficulties are at much greater risk of being victims of crime than the general population?  They are five times more likely to be victims of assault (males three times more likely and females 10 times more likely), and are more likely than the general population to be victimised by someone they know.  Not only that, but when they are victimised they generally perceive the crime as more serious, have greater support needs, find the criminal justice system more stressful and are less likely to have their support needs met.




These alarming statistics all came from the report At Risk, Yet Dismissed, which was published by the charities Mind and Victim Support last year.  They conducted a large research project, in conjunction with some London universities, to find out about people’s experiences of crime, attitudes towards seeking help after being victimised, who they sought help from (if anyone), what the barriers and facilitators were, and their experiences of help-seeking.  Although some positive experiences were disclosed, overall this report presents yet more bad news for people with mental health difficulties.




One of the most notable findings is the fact that there appears to be a ‘culture of disbelief’, whereby people with mental health problems are not seen as credible when reporting crimes.  Sadly this actually seems to be reinforced by the very piece of guidance that exists to ensure victims of crime get the support they need:  the Code of Practice for Victims of Crime states that vulnerable people (including those with mental health problems) should be considered for special measures to give them extra support whilst involved in the criminal justice system. However, it states that this is the case for mentally unwell people not because the experience will be more challenging for them, but because they may not be able to give such good evidence due to their condition!




To me, another of the most salient findings is that people with mental health problems are significantly more likely to experience adverse effects as a result of being victims of crime, most often in the form of emotional distress.  In some cases this leads to the person going into crisis and, in severe cases, hospital admissions.  This highlights the undeniable relationship between trauma and declining mental health, which for me is something that isn’t recognised to a great enough extent in mental health services in general (due to the largely biomedical approach often taken).




The report provides extensive qualitative data around people’s experiences of help seeking (or not!).  examples of findings were that people were more likely to seek help if they had a strong social network to support them, were less likely to report to the police if they had previous poor experience with them, more likely to report if police officers were more accessible in the community, and appreciated things like empathy, time, being believed and being actively listened to when reporting crimes and seeking help.




The final finding I will note here is that, amongst people with mental health problems, those most at risk of crime were people who engaged poorly with services, used drugs and had a history of exhibiting violent behaviour.  This is valuable in giving us clues as to where interventions to tackle the issue of victimisation of people with mental health problems should be targeted.




Based on their findings, Mind and Victim Support make several important recommendations.  These include building collaborative relationships and frameworks for supporting victims, training the police, mental health and community workforce to effectively support these people, empowering people to protect themselves from crime, supporting people to report crimes and seek help, and improving people’s experience of the criminal justice system, including courts.




I’m really pleased to currently be working as part of a project group in Dorset that is tackling the issues raised in this report.  Our Recovery Education Centre has developed a course called Staying Safe: Independence, Choice and Control, which helps people to identify ways they can keep themselves safe and to develop personal safety plans.  In the future we aim to provide this type of education in small groups or 1:1 basis, for people that aren’t able to attend the course, as well as providing more in-depth, individualised education and support to those who need it.  We are in the process of collecting data to demonstrate the need for these interventions in the area, which should help us to obtain funding to continue the good work.  Dorset Police has developed improved mental health training for their staff, and we plan to implement specialised training within mental health services too in the future.  There are so many other things that can be done to address these issues and I look forward to hopefully implementing more and more of them over time.




And Dorset isn’t the only place that’s responding positively and productively to the criminal victimisation of people with mental health problems.  The Mind report Police and Mental Health: Getting it Right Locally highlights a number of organisations nationally who are demonstrating good practice in this area.  And this is by no means an exhaustive account of the good work which is going on; no doubt new innovations and interventions are popping up all the time.  I look forward to hearing about more and more good work, networking with those who are doing this and gaining inspiration for work to do in my own locality.




Building an empathic, supportive workforce is vital in tackling these issues
If we get the business of supporting people who are victims of crime right, I hope this will also help us to tackle some of the general issues surrounding mental health, such as tackling stigma, improving collaborative working and treating people in respectful and individualised ways.  Central to this work is the building of strong communities and improving people’s support networks, which will be beneficial not only for victimisation projects but for society as a whole.  This, I hope, represents a big step in the direction of helping people to recover from trauma and mental distress, ang building a healthier, happier society.

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