Details to follow
Mental health; forensic; nurse; paramedic; police; justice; vulnerability
Rape-not an isolated issue:
Sexual violence and multiple types of abuse
St Mary’s Centre 16th Annual Conference will provide valuable insight and understanding of how sexual violence can feature in many different types of abuse including domestic violence, physical abuse and psychological abuse.
The conference main plenary sessions and workshops will be of interest to those working in the field of rape and sexual violence particularly police and decision makers, police officers, forensic physicians, health professionals and those working in safeguarding.
The conference is aimed at, among others, social care providers, police, doctors, nurses, counsellors, the legal profession, the third sector, forensic physicians and scientists. Proposals will be reviewed and feedback provided.
The FFLM will be holding a training day on Mental Healthcare Issues in Custody on Saturday 11 November 2017 at the Birmingham Conference and Events Centre. The day will cover topics such as:
- Assessing and managing the learning disabled detainee, acute psychiatric disorder in working age adults and psychiatric disorder in the older detainee;
- Liaison and Diversion and its affect on the role of the forensic medical examiner;
- Non-natural deaths following police custody.
Confirmed speakers include:
- Professor Loraine Gelsthorpe (Professor of Criminology and Criminal Justice, University of Cambridge);
- Dr Muthusamy Natarajan (Consultant Psychiatrist, St Andrew’s Healthcare, Northampton);
- Dr Derek Tracy (Consultant Psychiatrist, Oxleas NHS Trust);
- Dr Benjamin Walden (Consultant Psychiatrist, Norfolk and Suffolk NHS Trust).
On 23 July 2015 the then Home Secretary, the Rt. Hon Theresa May MP announced a major review into deaths and serious incidents in police custody.
The review has looked at the major issues surrounding deaths and serious incidents in police custody. This included the events leading up to such incidents, as well as existing protocols and procedures designed to minimise the risks. It looked at the immediate aftermath of a death or serious incident, and the various investigations that ensue. Most importantly it examined how the families of the deceased are treated at every stage of the process.
It has also identified areas for improvement and developed recommendations to ensure humane institutional treatment when such incidents occur. There are several recommendations that will have to be considered by Government, the police, the Independent Police Complaints Commission (IPCC), the Crown Prosecution Service (CPS) and the Coroner as well as other agencies with an involvement in these issues. While acknowledging that it would not be possible to entirely eradicate deaths and serious incidents in police custody, these recommendations are, I believe, necessary in order to minimise as far as possible the risks of such incidents occurring in future. They will also ensure that when such incidents do occur, the procedures in place are efficient, effective, humane, and command public confidence.
Increasing or higher risk drinkers
In England, 10.4 million people consume alcohol at levels above the UK CMOs’ low-risk guideline and increase their risk of alcohol-related ill health.
Alcohol misuse contributes (wholly or partially) to 200 health conditions leading to hospital admission, due either to acute alcohol intoxication or to the toxic effect of alcohol misuse over time. Conditions include:
- cardiovascular conditions
- liver disease
There are nearly 22,500 alcohol-attributable deaths per year. In 2015 to 2016, there were 1.1 million admissions related to alcohol consumption, of which alcohol was the main reason for admission for about 339,000 cases.
The economic burden of alcohol is estimated between 1.3% and 2.7% of annual GDP. Around three-quarters of the cost to the NHS is incurred by people who are not alcohol dependent, but whose alcohol misuse causes ill health.
Alcohol identification and brief advice (IBA) can identify and influence patients who are increasing or higher risk drinkers, but the level of implementation is varied across the country and nowhere near the optimal large-scale delivery required to significantly impact on population health.
Loperamide (Imodium): reports of serious cardiac adverse reactions with high doses of loperamide associated with abuse or misuse
There have been reports of cardiac events including QT prolongation, torsades de pointes, and cardiac arrest in patients who have taken high or very high doses of loperamide as a drug of abuse or for self-treatment of opioid withdrawal.
Advice for healthcare professionals:
• serious cardiovascular events (such as QT prolongation, torsades de pointes, and cardiac arrest), including fatalities, have been reported in association with large overdoses of loperamide
• Healthcare professionals are reminded that if symptoms of overdose occur, naloxone can be given as an antidote
• Since the duration of action of loperamide is longer than that of naloxone (1–3 hours), repeated treatment with naloxone might be indicated; patients should be monitored closely for at least 48 hours to detect possible CNS depression
• as for all medicines, pharmacists should remind patients not to take more than the recommended dose on the label
• report all suspected adverse reactions, including those associated with abuse or misuse, to the Yellow Card Scheme
The National Police Cheif’s Council ‘Working Group on Less Lethal Weapons’ has updated it’s Taser advice. Due to the recent authorisation of the Taser X2 CED for operational use, it has been necessary to revise and reissue the forms that previously only applied to the Taser X26 (circulated in national circular 11LL’2016 of 2 November 2016).
The UKAFN team are already working hard to make next years Conference another great event. As always we are keen to hear from you, the members, about what you want the conference to focus on. Our aim is the create an exciting, interesting & informative conference that meets the needs of you, as frontline healthcare professionals.
The FFLM have liaised with Elsevier and the following articles from the Encyclopedia of Forensic and Legal Medicine (Second Edition) have been made available, free of charge:
• Mental Health: Suicide in the Criminal Justice System – Prevalence, Risk Factors, Prediction, and Prevention –http://bit.ly/2x2PUGw
• Terrorism: Terrorism – Medicolegal Aspects – http://bit.ly/2wr5hF5.
Access will be free for three months.
The FFLM hope you will enjoy reading them and that you will consider buying the Encyclopedia.