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Table of Contents
Intro
Table of Contents
Acknowledgements
Remerciements
Part I Introductory Synthesis and Analyses 1ère Partie Synthèse et Analyses Introductives
A legal perspective on the worldwide situation of defendants and detainees with mental illness
1 Introduction to this volume
1.1 Definitions
1.2 Outline of this volume
1.2.1 Thematic chapters
1.2.2 National chapters
1.2.3 Present chapter
2 Defendants and detainees with mental illness: the numbers
3 Defendants and detainees with mental illness: the causes
3.1 Systemic causes
3.1.1 How the system deals with mental illness
3.1.2 How defendants and detainees deal with the system
3.2 Reasons for systemic causes
4 Defendants and detainees with mental illness: the problems
4.1 Defendant is not able to deal with criminal proceedings
4.2 Lack of treatment
4.3 Unsuitable environment
4.4 Aftercare problems
5 Human rights implications
5.1 Legal framework
5.2 Procedural rights of defendants and detainees with mental illness
5.3 The right to mental healthcare
5.3.1 General rules on the right to mental healthcare
5.3.2 Rules on mental healthcare in prison
5.3.3 Rules relevant to specific groups of prisoners
5.4 Human rights implications of the effect of the general situation in prisons on detainees with mental illness
5.5 Human rights implications of aftercare problems
5.6 Conclusion
6 Recommendations
7 Conclusion
Une perspective juridique sur la situation mondiale des prévenus et des détenus atteints de maladie mentale
1 Introduction à ce volume
1.1 Définitions
1.2 Aperçu du présent volume
1.2.1 Les chapitres thématiques
1.2.2 Chapitres nationaux
1.2.3 Présent chapitre
2 Les prévenus et les détenus atteints de maladie mentale : les chiffres.
3 Les prévenus et les détenus atteints de maladie mentale : les causes
3.1 Causes systémiques
3.1.1 Comment le système traite la maladie mentale
3.1.2 Comment les prévenus et les détenus traitent avec le système
3.2 Les raisons des causes systémiques
4 Les prévenus et les détenus atteints de maladie mentale : les problèmes
4.1 Le défendeur n'est pas en mesure de faire face à la procédure pénale
4.2 L'absence de traitement
4.3 Environnement inadapté
4.4 Problèmes de suivi
5 Les implications en matière de droits de l'homme
5.1 Cadre juridique
5.2 Droits procéduraux des accusés et des détenus atteints de maladie mentale
5.3 Le droit aux soins de santé mentale
5.3.1 Règles générales sur le droit aux soins de santé mentale
5.3.2 Règles relatives aux soins de santé mentale en prison
5.3.3 Règles applicables à des groupes spécifiques de détenus
5.4 Implications pour les droits de l'homme de l'incidence de la situation générale dans les prisons sur les détenus atteints de maladie mentale
5.5 Implications des problèmes de postcure sur les droits de l'homme
5.6 Conclusion
6 Recommandations
7 Conclusion
Part II Themes 2ème Partie Thèmes
The effects of the criminal process and deprivation of liberty on mental health
1 Introduction
2 Effects of deprivation of liberty
3 Challenges prior to imprisonment
4 The presence of prisoners with mental and behavioural disorders
5 Prisons: theory versus reality
6 The jurisprudence of the ECtHR
6.1 De Donder and De Clippel v. Belgium
6.2 Keenan v. the UK
7 Conclusion
Mentally disordered in prison? Prevalence, development of symptoms and recidivism
1 Introduction
2 Prevalence
2.1 Psychotic disorders
2.2 Depressive disorders
2.3 Anxiety disorders
2.4 Substance-related disorders.
2.5 Attention Deficit Hyperactivity Disorders (ADHD)
2.6 (Antisocial) Personality disorders
2.7 Intellectual dysfunction
2.8 Autism Spectrum Disorders (ASD)
3 Development of symptoms
3.1 Symptom changes in the overall prison population
3.2 Symptom change in specific mental disorders
3.3 Symptom changes in relation to other prison or personal circumstances
4 Recidivism
4.1 Mental disorders and recidivism
4.2 Other factors that may be related to recidivism
5 Conclusion
6 Closing remark
Onthe treatment of prisoners with psychiatric disturbances: a matter of health or justice?
1 Introduction
2 Causes
3 Criminal justice versus medical care
4 Away towards fair and adequate treatment of offenders with psychiatric disturbances
5 Conclusion
Defendants with psychiatric disturbances or otherwise limited mental abilities - Fair procedure during pre-trial inquiry and at trial
1 Introduction
2 Scope of the problem: various statistics
3 General bases: adversarial procedure, equality of arms, equality - relevance of systems' adversariality or inquisitoriality?
4 The specific fair procedure rights for defendants with psychiatric disturbances or otherwise limited mental abilities
4.1 Guarantees for effective participation by defendants during trial
4.2 Safeguards for fairness during police questioning of defendants with limited abilities
4.3 No right to terminate the trial and no impediment to fair proceedings by suspension
4.4 Preliminary conclusion: task for legislature and legal practice
5 The need for protection of the legal position of insufficiently capable defendants
5.1 Conclusions on defendants who are unfit to stand trial
5.2 Conclusions on defendants with limited capacity for effective participation during trial.
5.3 Conclusions on defendants with limited capacity during police questioning and preliminary inquiry
6 Final remarks
Healthcare and human rights requirements as regards detainees with psychiatric disturbances
1 Introduction
2 The right to obtain adequate healthcare in prison/detention centre
3 The right to liberty of persons of unsound mind - an absolute ban on deprivation of liberty based partly on mental disorder?
4 Conclusions
Prisoners with psychiatric disturbances in detention and in prison
1 Introduction
2 Dilemmas in relation to two different groups of prisoners
3 Recent developments
Les unités hospitalières spécialement aménagées, un dispositif spécifique de prise en charge des personnes détenues atteintes de troubles mentaux
1 Une forte présence de personnes atteintes de troubles mentaux en prison justifiant une politique de prise en charge adaptée
1.1 La prévalence des troubles mentaux en prison
1.2 Les principes d'une prise en charge spécifique
2 Les UHSA : un dispositif innovant de prise en charge des détenus atteints de troubles mentaux nécessitant une hospitalisation
2.1 Un dispositif novateur répondant à des besoins spécifiques
2.2 Deux cas d'admission sont prévus
2.3 Un dispositif pertinent et efficace
3 Conclusion
Part III National Reports 3ème Partie Rapports Nationaux
Defendants and prison inmates with mental disabilities in the criminal justice system in Brazil
1 Introduction
2 Defendants with mental disabilities during the investigation stage and the trial stage: the fair process
3 Prisoners with mental disabilities during provisional arrest: needs, problems, possible solutions
4 Prison inmates with mental disabilities: needs, problems, possible solutions.
5 Treatment of prison inmates with mental disabilities: a matter of health or justice responsibility?
6 Reintegration of prisoners with mental disabilities to the community: needs, problems, solutions
7 Conclusion
The criminal justice system, mental health and human rights - The situation of defendants and detainees in Chile
1 Introduction
2 Defendants with psychiatric disturbances during pre-trial inquiry and at trial: fair procedure
3 Detainees with psychiatric disturbances during provisional detention: needs, problems, screening tools
4 Prisoners with psychiatric disturbances in prison: needs, problems, screening tools
5 Treatment of prisoners with psychiatric disturbances: health or justice responsibility?
6 Community reintegration of prisoners with psychiatric disturbances: needs, problems, solutions
7 Conclusions
Defendants and detainees with psychiatric disturbances in Germany
1 Introduction
2 Defendants with psychiatric disturbances during pre-trial inquiry and at trial: fair procedure
3 Detainees and prisoners with psychiatric disturbances during provisional detention: needs, problems, screening tools
3.1 Introduction
3.2 Context
3.3 Needs
3.4 Problems
3.5 Screening tools
3.6 Conclusion
4 Treatment of prisoners with psychiatric disturbances: health or justice responsibility?
5 Community reintegration of prisoners with psychiatric disturbances: needs, problems, solutions
6 Conclusion
Defendants and detainees with psychiatric disturbances in the criminal process and in the prison system in Greece
1 Introductory remarks
1.1 The law in the books of the year 1950
1.2 The 1950 law in action
1.3 The new law: main points
2 Defendants with psychiatric disturbances during pre-trial inquiry and at trial: fair procedure.
3 Detainees with psychiatric disturbances in provisional detention: needs, problems, screening tools.
Table of Contents
Acknowledgements
Remerciements
Part I Introductory Synthesis and Analyses 1ère Partie Synthèse et Analyses Introductives
A legal perspective on the worldwide situation of defendants and detainees with mental illness
1 Introduction to this volume
1.1 Definitions
1.2 Outline of this volume
1.2.1 Thematic chapters
1.2.2 National chapters
1.2.3 Present chapter
2 Defendants and detainees with mental illness: the numbers
3 Defendants and detainees with mental illness: the causes
3.1 Systemic causes
3.1.1 How the system deals with mental illness
3.1.2 How defendants and detainees deal with the system
3.2 Reasons for systemic causes
4 Defendants and detainees with mental illness: the problems
4.1 Defendant is not able to deal with criminal proceedings
4.2 Lack of treatment
4.3 Unsuitable environment
4.4 Aftercare problems
5 Human rights implications
5.1 Legal framework
5.2 Procedural rights of defendants and detainees with mental illness
5.3 The right to mental healthcare
5.3.1 General rules on the right to mental healthcare
5.3.2 Rules on mental healthcare in prison
5.3.3 Rules relevant to specific groups of prisoners
5.4 Human rights implications of the effect of the general situation in prisons on detainees with mental illness
5.5 Human rights implications of aftercare problems
5.6 Conclusion
6 Recommendations
7 Conclusion
Une perspective juridique sur la situation mondiale des prévenus et des détenus atteints de maladie mentale
1 Introduction à ce volume
1.1 Définitions
1.2 Aperçu du présent volume
1.2.1 Les chapitres thématiques
1.2.2 Chapitres nationaux
1.2.3 Présent chapitre
2 Les prévenus et les détenus atteints de maladie mentale : les chiffres.
3 Les prévenus et les détenus atteints de maladie mentale : les causes
3.1 Causes systémiques
3.1.1 Comment le système traite la maladie mentale
3.1.2 Comment les prévenus et les détenus traitent avec le système
3.2 Les raisons des causes systémiques
4 Les prévenus et les détenus atteints de maladie mentale : les problèmes
4.1 Le défendeur n'est pas en mesure de faire face à la procédure pénale
4.2 L'absence de traitement
4.3 Environnement inadapté
4.4 Problèmes de suivi
5 Les implications en matière de droits de l'homme
5.1 Cadre juridique
5.2 Droits procéduraux des accusés et des détenus atteints de maladie mentale
5.3 Le droit aux soins de santé mentale
5.3.1 Règles générales sur le droit aux soins de santé mentale
5.3.2 Règles relatives aux soins de santé mentale en prison
5.3.3 Règles applicables à des groupes spécifiques de détenus
5.4 Implications pour les droits de l'homme de l'incidence de la situation générale dans les prisons sur les détenus atteints de maladie mentale
5.5 Implications des problèmes de postcure sur les droits de l'homme
5.6 Conclusion
6 Recommandations
7 Conclusion
Part II Themes 2ème Partie Thèmes
The effects of the criminal process and deprivation of liberty on mental health
1 Introduction
2 Effects of deprivation of liberty
3 Challenges prior to imprisonment
4 The presence of prisoners with mental and behavioural disorders
5 Prisons: theory versus reality
6 The jurisprudence of the ECtHR
6.1 De Donder and De Clippel v. Belgium
6.2 Keenan v. the UK
7 Conclusion
Mentally disordered in prison? Prevalence, development of symptoms and recidivism
1 Introduction
2 Prevalence
2.1 Psychotic disorders
2.2 Depressive disorders
2.3 Anxiety disorders
2.4 Substance-related disorders.
2.5 Attention Deficit Hyperactivity Disorders (ADHD)
2.6 (Antisocial) Personality disorders
2.7 Intellectual dysfunction
2.8 Autism Spectrum Disorders (ASD)
3 Development of symptoms
3.1 Symptom changes in the overall prison population
3.2 Symptom change in specific mental disorders
3.3 Symptom changes in relation to other prison or personal circumstances
4 Recidivism
4.1 Mental disorders and recidivism
4.2 Other factors that may be related to recidivism
5 Conclusion
6 Closing remark
Onthe treatment of prisoners with psychiatric disturbances: a matter of health or justice?
1 Introduction
2 Causes
3 Criminal justice versus medical care
4 Away towards fair and adequate treatment of offenders with psychiatric disturbances
5 Conclusion
Defendants with psychiatric disturbances or otherwise limited mental abilities - Fair procedure during pre-trial inquiry and at trial
1 Introduction
2 Scope of the problem: various statistics
3 General bases: adversarial procedure, equality of arms, equality - relevance of systems' adversariality or inquisitoriality?
4 The specific fair procedure rights for defendants with psychiatric disturbances or otherwise limited mental abilities
4.1 Guarantees for effective participation by defendants during trial
4.2 Safeguards for fairness during police questioning of defendants with limited abilities
4.3 No right to terminate the trial and no impediment to fair proceedings by suspension
4.4 Preliminary conclusion: task for legislature and legal practice
5 The need for protection of the legal position of insufficiently capable defendants
5.1 Conclusions on defendants who are unfit to stand trial
5.2 Conclusions on defendants with limited capacity for effective participation during trial.
5.3 Conclusions on defendants with limited capacity during police questioning and preliminary inquiry
6 Final remarks
Healthcare and human rights requirements as regards detainees with psychiatric disturbances
1 Introduction
2 The right to obtain adequate healthcare in prison/detention centre
3 The right to liberty of persons of unsound mind - an absolute ban on deprivation of liberty based partly on mental disorder?
4 Conclusions
Prisoners with psychiatric disturbances in detention and in prison
1 Introduction
2 Dilemmas in relation to two different groups of prisoners
3 Recent developments
Les unités hospitalières spécialement aménagées, un dispositif spécifique de prise en charge des personnes détenues atteintes de troubles mentaux
1 Une forte présence de personnes atteintes de troubles mentaux en prison justifiant une politique de prise en charge adaptée
1.1 La prévalence des troubles mentaux en prison
1.2 Les principes d'une prise en charge spécifique
2 Les UHSA : un dispositif innovant de prise en charge des détenus atteints de troubles mentaux nécessitant une hospitalisation
2.1 Un dispositif novateur répondant à des besoins spécifiques
2.2 Deux cas d'admission sont prévus
2.3 Un dispositif pertinent et efficace
3 Conclusion
Part III National Reports 3ème Partie Rapports Nationaux
Defendants and prison inmates with mental disabilities in the criminal justice system in Brazil
1 Introduction
2 Defendants with mental disabilities during the investigation stage and the trial stage: the fair process
3 Prisoners with mental disabilities during provisional arrest: needs, problems, possible solutions
4 Prison inmates with mental disabilities: needs, problems, possible solutions.
5 Treatment of prison inmates with mental disabilities: a matter of health or justice responsibility?
6 Reintegration of prisoners with mental disabilities to the community: needs, problems, solutions
7 Conclusion
The criminal justice system, mental health and human rights - The situation of defendants and detainees in Chile
1 Introduction
2 Defendants with psychiatric disturbances during pre-trial inquiry and at trial: fair procedure
3 Detainees with psychiatric disturbances during provisional detention: needs, problems, screening tools
4 Prisoners with psychiatric disturbances in prison: needs, problems, screening tools
5 Treatment of prisoners with psychiatric disturbances: health or justice responsibility?
6 Community reintegration of prisoners with psychiatric disturbances: needs, problems, solutions
7 Conclusions
Defendants and detainees with psychiatric disturbances in Germany
1 Introduction
2 Defendants with psychiatric disturbances during pre-trial inquiry and at trial: fair procedure
3 Detainees and prisoners with psychiatric disturbances during provisional detention: needs, problems, screening tools
3.1 Introduction
3.2 Context
3.3 Needs
3.4 Problems
3.5 Screening tools
3.6 Conclusion
4 Treatment of prisoners with psychiatric disturbances: health or justice responsibility?
5 Community reintegration of prisoners with psychiatric disturbances: needs, problems, solutions
6 Conclusion
Defendants and detainees with psychiatric disturbances in the criminal process and in the prison system in Greece
1 Introductory remarks
1.1 The law in the books of the year 1950
1.2 The 1950 law in action
1.3 The new law: main points
2 Defendants with psychiatric disturbances during pre-trial inquiry and at trial: fair procedure.
3 Detainees with psychiatric disturbances in provisional detention: needs, problems, screening tools.