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NCJ Number: 220367 Find in a Library
Title: Risk, Security and Surveillance: The Care and Control of People with Serious Mental Health Problems
Journal: Security Journal  Volume:20  Issue:4  Dated:October 2007  Pages:211-221
Author(s): Mike Stephens
Date Published: October 2007
Page Count: 11
Type: Issue Overview
Format: Article
Language: English
Country: United States of America
Annotation: This paper addresses the nature of an increasingly security-conscious and surveillance society, especially in relation to the mentally ill, and presents an alternative system, the Madison model of community care.
Abstract: Media reports of people murdered by individuals with serious mental health problems have caused a sense of moral panic in the United Kingdom. The government proposes greater powers of compulsory treatment and detention for such individuals. These proposals have been widely criticized by mental health professionals and civil libertarians. The government, however, argues that community care for the most seriously and potentially dangerous individuals has failed. Its insistence upon compulsory detention and treatment is one further example of a drift towards increasing security-minded surveillance of difficult groups. This surveillance is predicated not on a caring basis where risks can be effectively managed but on exclusionary and compulsory means. In contrast, Madison, WI operates a successful system of community care. There, even the most seriously ill individuals are frequently treated in the community so that they can exercise their civil rights to enjoy as normal and independent a life as possible. The Madison Model of Community-Based Risk Management provides assertive outreach and continuing treatment for high-risk clients. The goal is to meet clients’ needs for food, clothing, and accommodations and then to prepare them for subsequent mental health treatment. This is seen as an effective way of managing risk and providing public security. Figure, references
Main Term(s): Mentally ill offenders
Index Term(s): Effectiveness; Mental health services; Model programs; Offender mental health services; Planning-programming-budgeting system; Program design; Services effectiveness
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