Reflections on systemic barriers for ethnic minorities in accessing community-based forensic services for people with intellectual disabilities and autism

Mercedez Coleman
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Abstract

Purpose Community-based forensic support services (CBFSSs) were commissioned nationally by National Health Service (NHS) England in 2017 in response to “Building the Right Support” (NHS England, 2015). CBFSSs provide multidisciplinary support to adults with intellectual disabilities and/or autism who are in (or at risk of) contact with the criminal justice system and those transitioning from inpatient secure care. This paper aims to highlight potential systemic barriers to accessing community forensic services for people from an ethnic minority background. in one CBFSSs in Northern England. Design/methodology/approach This paper provides preliminary reflections on potential systemic barriers within the criminal justice system and health-care services that have implications for service users from ethnic minority backgrounds accessing CBFSSs. Findings There is a paucity of data, policy and literature that focuses on people with intellectual disabilities and autism with forensic needs from ethnic minority backgrounds. This lack of data obstructs further reforms to meet the needs of this population. Originality/value CBFSSs are commissioned across England. While some regional variation is to be expected, services should be aware of the systemic barriers people from ethnic minority backgrounds within their region face. These barriers should be considered and addressed when evaluating service efficacy and delivery. Recommendations are made to review and address issues of under-representation of ethnic minorities within CBFSSs.
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关于少数民族在为智力残疾和自闭症患者提供基于社区的法医服务方面存在的系统性障碍的思考
2017年,为响应“建立正确的支持”(英国国民健康服务体系,2015年),英国国民健康服务体系在全国范围内委托了基于社区的法医支持服务(CBFSSs)。cbfss为与刑事司法系统接触(或有接触风险)的智力残疾和/或自闭症成年人以及从住院安全护理过渡的成年人提供多学科支持。本文旨在强调少数民族背景的人获得社区法医服务的潜在系统性障碍。在英格兰北部的一个cbfss中设计/方法/方法本文初步思考了刑事司法系统和保健服务中潜在的系统性障碍,这些障碍对少数民族背景的服务使用者获得cbfss有影响。研究结果关注少数民族背景的智力残疾和自闭症患者的司法需求的数据、政策和文献都很缺乏。数据的缺乏阻碍了进一步改革以满足这一人口的需求。创意/价值ecbfss在英国各地被委托使用。虽然预计会有一些区域差异,但服务部门应该意识到其区域内少数民族背景的人面临的系统性障碍。在评估服务效能和提供时,应考虑并解决这些障碍。建议审查和解决cbfss内少数民族代表性不足的问题。
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