This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward.

Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients’ socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more.

Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.

part 1|17 pages


chapter Chapter 1|6 pages

Marginalisation and diversity in forensic mental health care

An introduction
ByJack Tomlin, Birgit Völlm

chapter Chapter 2|9 pages

The US Criminal Justice System

The experience of racially marginalised people
ByBrittany A. Wells, Antoinette Kavanaugh

part 2|52 pages

Marginalised and diverse social characteristics

chapter Chapter 3|9 pages

Intersectional inequalities and women in secure settings

ByJayne Taylor, Tammi Walker

chapter Chapter 4|10 pages

Transitional spaces

Working with transgender prisoners in the United Kingdom
ByJessica Collier, Rebecca Lockwood, Frances Maclennan

chapter Chapter 5|11 pages

Children in custody

The context and impact of incarceration
ByCelia Sadie, Clare Holt, Andrez Harriott, Sophie D'Souza, Javel Watt

chapter Chapter 6|11 pages

Ethnic minority forensic patients in the German Federal State of Baden-Württemberg

ByThomas Ross, María Isabel Fontao, Annette Opitz-Welke, Jan Bulla

chapter Chapter 7|9 pages

Fathers in forensic mental health services

ByMichelle Wells, Sara Morgan, Leigh Gale, Christopher Hartwright

part 3|43 pages

Marginalised and diverse clinical characteristics

chapter Chapter 8|11 pages

Autism in forensic settings

ByEmma Longfellow, Julia Skelding

chapter Chapter 9|10 pages

Learning disability and forensic mental health

ByJulia Skelding, Emma Longfellow

chapter Chapter 10|11 pages

The problematic nature of transitions amongst adolescents with multiple and complex needs in secure care

An overview of institutional transitions
ByMaria Livanou, Vivek Furtado

chapter Chapter 11|9 pages

‘Long-Stay’ in forensic mental health

ByBirgit Völlm

part 4|33 pages

Developing responsive interventions and models of care

chapter Chapter 13|10 pages

The Elders Project

Bringing Black African-Caribbean collectivism in from the outside
ByBeresford Dawkins, Dawn M. Sutherland, Kimberly Sham Ku, Patrick Bennett, Abdullah Mia

chapter Chapter 14|11 pages

Working in multicultural forensic settings

An integrated model of assessment
ByStephane M. Shepherd, Mary O. Madu

part 5|44 pages

Communicating with marginalised groups

chapter Chapter 16|9 pages

Including older forensic service users in research

ByRenske Visser, Janet Parrott, Fiona Houben, Douglas MacInnes

chapter Chapter 17|14 pages

Men in ‘Limbo’

Masculinities in medium-secure care in Scotland
ByChristine Haddow

chapter Chapter 18|10 pages

Carers and forensic services

Towards carers' peer support
ByKaren Machin, Shelagh Musgrave, Karen Persaud, Julie Ridley

part 6|6 pages


chapter Chapter 19|4 pages


Pulling towards justice
ByJack Tomlin, Birgit Völlm