ABSTRACT

This chapter considers the changing needs of the population who are in contact with the criminal justice system in relation to the growing need for speech and language therapy across the criminal justice system. Information is offered on ageing populations, communication-friendly environments, communication group interventions, eating and swallowing needs, and community services as an alternative to custody. The health needs of people in prison are compared and contrasted with the health needs of people in secure hospitals.

Special consideration is given to people who have attracted an indeterminate sentence of Imprisonment for Public Protection (IPP) and who may have additional and complex speech, language and communication needs.

Health literacy needs are reflected upon, and a case is made for why speech and language therapists may have a role in this area.

Black, Asian and Minority Ethnic groups in prison are discussed, including the presentation of evidence relating to over-representation within the criminal justice system. The chapter explains that Black, Asian and Minority Ethnic groups in prison are often overlooked for care and treatment when compared to white peers, and argues why the speech and language therapist has a role in supporting this client group.