ABSTRACT

This chapter explores the treatment and management of the mentally disordered offender but from a social perspective rather than from a purely psychiatric or psychological approach. It set out the main points in the debate between punishment and therapy in which the treatment of prisoners is contrasted with the punishment of the mentally ill. Social therapy will then be discussed in relation to whether it is the social that is considered the cause of sickness or the source of therapy. The chapter highlights some main issues in the forensic social structures of supervision registers, compulsory treatment in the community, supervised after-care orders, assertive and passive outreach, and case management of mentally disordered offenders. The debate on the treatment and management of the mentally disordered offender crystallises into several dimensions. The first dimension involves notions of the effectiveness of such therapeutics and regulation. A second domain involves the question of which treatment and management model should be applied.