1 Introduction |
1. People who experience mental illness, like everyone
else, can come into contact with the police for a wide variety
of reasons, the common ones being they might be suspected of having
committed a crime, they
might have been the victim of a crime,
they might be reported as missing,
or they might experience a mental health crisis, where they may
be so ill that their safety, or the safety of others, could be
at risk. Lord Adebowale, Chief Executive of Turning Point, admitted
that when he was invited to chair the Independent Commission on
Mental Health and Policing, he thought mental health would have
little to do with policing. In the report published at the end
of his review, he said that mental health is core police business.
One in four people will suffer from mental health illness at some
point, and their illness brings with it a vulnerability that makes
it likely they will come into contact with the police. This vulnerability
is particularly relevant in a mental health crisis, and when they
do so, it should be considered primarily as a health matter, so
they can seek and receive support from a mental health team, or
if they call 999 to ask for help, the first responders should
be health professionals.
2. Unfortunately, mental health services are not
always available. The
Rt Hon Norman Lamb MP, Minister of State for Care and Support
at the Department of Health, has said that only 25% of young people
with mental health problems had access to mental health services,
services he described as "dysfunctional and fragmented".
Mental health services have deteriorated over many years and under
successive governments. There is evidence that some people, particularly
from black and ethnic minority communities, are reluctant to engage
with mental health services if they have previously had a poor
experience. This can
lead to treatment being avoided or delayed, and people seeking
help only when it reaches crisis point.
3. Access to mental health crisis care is limited,
particularly at night.
Where people do not have access to appropriate emergency healthcare,
the police have become the de facto "first aid response
to mental distress."
Many of the people that come into contact with the police in this
way are already known to the health servicesas many as
two-thirds of those detained by the police under s. 136 of the
Mental Health Act are already in receipt of mental health care.
And yet the police are not confident they are qualified or the
right people to be dealing with such situations.
This inquiry is largely focused on what happens in those situations
when the police are called to someone in crisis.
Contact with the police
4. Sir Peter Fahy, Chief Constable of Greater Manchester,
has described mental health as "the number one issue"
for most frontline police officers.
Estimates vary, but we were given a range of between 20% and 40%
for the amount of police time which involved a mental health element.
Custody Sergeant Ian Kressinger of Devon and Cornwall Police,
told us that about 40% of the people passing through his custody
suite had some kind of illness, personality disorder, depression,
anxiety, or were taking medication for something similar.
And it was Devon and Cornwall Police Federation who first brought
this to our attention when they proposed that health authorities
accept their responsibility for the mentally ill, either within
their own premises or a Police Station.
5. There is a clear feeling that the police are being
asked to do things that they are not trained for.
Rt Hon Mike Penning MP, Minister of State for Policing, Criminal
Justice and Victims at the Home Office and Ministry of Justice,
told us that:
If you have a mental health issue, you will invariably
come into contact with the police, as the professional involved.
That cannot be right. It is not the job of the police to be that
first point of contact; they should be the last resort.
6. Police forces work with all members of the
communities they serve. Working with those with mental health
problems will always be a core part of that work. However, we
are concerned by the extent to which frontline officers are increasingly
spending their time helping people with mental health problems.
For many people experiencing an acute health crisis, a police
officer is not the professional best placed to help them, nor
is dealing with acute health crises the best use of police officers'
time and skills. We believe that the police should not be filling
gaps in mental health services.
1 The Prison Reform Trust estimate that 10% of men
and 30% of women in prison have had a previous psychiatric admission Back
Mind and Victim Support, At risk, yet dismissed, 2013. People
who suffer from mental ill health are three times more likely
to be a victim of crime than those who do not, and people who
suffer from mental ill health are less likely to report crime. Back
See Mental health and missing, www.missingpeople.org.uk Back
Independent Commission on Mental Health and Policing, Report,
May 2013; Q 122; MIND (PMH0027) Back
Police Federation of England and Wales (PMH0036) Back
BBC News, Mental health services a car crash, 24 June 2014. Royal
College of Nursing, Frontline First: Turning back the clock? RCN report on mental health services in the UK,
November 2014; Mental health services cuts are putting patients at risk, BMA told,
The Guardian, 25 June 2014 Back
Q 284 Back
College of Paramedics (PMH0047) Back
Q 7 [MacAttram] Q 196 [Kressinger] Q 152 [Davis]; Police and Crime Commissioner for Cheshire (PMH0033);
Self Help Services (PMH0020); College of Emergency Medicine, An investigation into care of people detained under Section 136 of the Mental Health Act who are brought to Emergency Departments in England and Wales,
October 2014 Back
Q 4 Back
Health and Social Care Information Centre, Inpatients formally detained in hospitals under the Mental Health Act 1983, and patients subject to supervised community treatment: Annual report, England, 2013/14,
October 2014 Back
Q 331 The Police Foundation (PMH0028) Back
INQUEST (PMH0042) Back
Q 89 [Michael Brown]; ACPO National Mental Health Policing Lead (PMH0013);
Association of Police and Crime Commissioners (PMH0015); BBC,
Staffordshire reveals cost of policing mental illness, 15 October
Q 194 Back
Association of Police and Crime Commissioners (PMH0015) Back
Q 318 Back