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A VIEW FROM THE FRONTLINE SAMH CONFERENCE 23 November 2010

A VIEW FROM THE FRONTLINE SAMH CONFERENCE 23 November 2010. Mr Patrick Shearer President ACPOS & Chief Constable Dumfries & Galloway Constabulary. Alcohol use in Scotland. In 2009, there were 1,282 alcohol-related deaths Male mortality rates doubled due to liver cirrhosis

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A VIEW FROM THE FRONTLINE SAMH CONFERENCE 23 November 2010

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  1. A VIEW FROM THE FRONTLINESAMH CONFERENCE 23 November 2010 Mr Patrick Shearer President ACPOS & Chief Constable Dumfries & Galloway Constabulary

  2. Alcohol use in Scotland • In 2009, there were 1,282 alcohol-related deaths • Male mortality rates doubled due to liver cirrhosis • Youth Alcohol abuse increasing • 17,021 alcohol licenses • 1 license for approximately every 240 people

  3. Alcohol use in Scotland • Victim Perception • 62% of offenders of violent crime were under the influence of alcohol, 12% higher than England • 30% of violent crime victims stated that they had consumed alcohol a short time before the incident. • the total cost of alcohol misuse to Scotland is estimated to be around £2.25 billion • in 2006-7 – over £500 per year for every adult living in Scotland

  4. Social Harm of Alcohol • Anti Social Behaviour • Mental Health • Domestic Abuse • Deaths • Self Harm • Road Safety

  5. National Issues • Mental Health (Care & Treatment) (S) Act 2003. • Diagnosis of mental illness. • Economic climate.

  6. ACPOS - Mental Health Group2010/2011 Priorities • To support the development and delivery of mental health and suicide awareness training within the Scottish Police Service • Develop an ACPOS Suicide Prevention Strategy for the Scottish Police Service, thus fully contributing to the National Suicide Prevention Strategy in Scotland • Ensure the Scottish Police Service is part of a partnership approach to responding effectively to the challenges associated with psychiatric emergencies  • To identify relevant key performance indicators which will assist the Scottish Police Service measure performance in relation to policing mental health

  7. WHY DO WE ARREST Person is a danger to themselves Danger to others To provide for basic physical needs in order to protect him/herself from serious harm. Lack of other options Offence may have been committed OPTIONS Hospital Admission Informal options POLICE AND MENTAL HEALTH - WHY DO WE ARREST?

  8. Hospital Admission • Lack of beds • Seriously ill – not delusional or suicidal • Mentally unstable , alcoholic or categorised by hospital staff as dangerous, not welcome in hospital • Under the influence • Previous behaviour

  9. Arrest • Care and Custody • Suitable place ???? • Resources • Costs • Training • Medical Provision

  10. Other Considerations • Neighbourhood characters • Troublemakers • Quiet , Unobtrusive

  11. Under Reporting • Difficulty in approaching the police • do not know how to complain; • are afraid they will not be believed or will be perceived as a nuisance; • have difficulty in communicating; • have low self-esteem; • are unaware of their rights; • are afraid of having to cope with a stressful situation (eg being in a police station).

  12. Mental Health and the Future • Evolve and meet future challenges • Address funding mental health issues in the community • More integrated system • More adequate training for police officers • Creative budgeting • Multi Agency Approach and better collaborative working

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