Malcolm Faulk: forensic psychiatrist whose work bridged the gap between the NHS and prisons

The BMJ Pub Date : 2025-03-07 DOI:10.1136/bmj.r449
Anne Gulland
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Abstract

Malcolm Faulk was a pioneering forensic psychiatrist who was instrumental in the development of regional secure units, which were developed to bridge the gap between prisons and the NHS. In 1972 Faulk was appointed consultant psychiatrist to the Home Office and the Wessex regional health authority—these joint posts were new and they were viewed with suspicion by other staff. Prison doctors saw them as a threat to their authority and NHS psychiatrists worried that their hospitals would be filled with dangerous patients. Faulk and his fellow newly appointed psychiatrists met up regularly, and their self-described “dream” was a system of treatment for disturbed offenders “which would permeate the penal system, dealing with the problems there, supported by clinics and outpatients in the NHS—a unified approach rather than a split one.”1 Faulk described the …
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马尔科姆·福克:法医精神病学家,他的工作弥合了NHS和监狱之间的鸿沟
马尔科姆·福尔克是一位开创性的法医精神病学家,他在地区安全单位的发展中发挥了重要作用,这种单位的发展是为了弥合监狱和NHS之间的差距。1972年,Faulk被任命为内政部和威塞克斯地区卫生局的精神病顾问——这些联合职位都是新设立的,其他工作人员对他们持怀疑态度。监狱医生认为他们是对他们权威的威胁,NHS的精神病医生担心他们的医院里会挤满危险的病人。Faulk和他新任命的精神科医生同事定期会面,他们自称的“梦想”是建立一个治疗精神失常罪犯的系统,“这个系统将渗透到刑事系统中,在nhs的诊所和门诊病人的支持下,处理那里的问题——一个统一的方法,而不是一个分裂的方法。”“1 Faulk描述了……
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