First Nations Peoples in the forensic mental health system in New South Wales: Characteristics and rates of criminal charges post-release

Background: It is well established that First Nations Peoples in Australia are overrepresented within the criminal justice system. However, First Nations Peoples appear to be comparatively underrepresented in the forensic mental health system, and little is known about their outcomes once released f...

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Bibliographic Details
Published in:Australian & New Zealand Journal of Psychiatry
Main Authors: Dean, Kimberlie, Lyons, Georgia, Johnson, Anina, McEntyre, Elizabeth
Other Authors: Mental Health Commission of New South Wales, National Health and Medical Research Council
Format: Article in Journal/Newspaper
Language:English
Published: SAGE Publications 2023
Subjects:
Online Access:http://dx.doi.org/10.1177/00048674231151594
http://journals.sagepub.com/doi/pdf/10.1177/00048674231151594
http://journals.sagepub.com/doi/full-xml/10.1177/00048674231151594
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Summary:Background: It is well established that First Nations Peoples in Australia are overrepresented within the criminal justice system. However, First Nations Peoples appear to be comparatively underrepresented in the forensic mental health system, and little is known about their outcomes once released from secure care. Objective: To compare the characteristics and rates of repeat criminal justice contact for a criminal charge of First Nations and non-First Nations forensic patients in New South Wales. Methods: Data on the sample were extracted from the New South Wales Mental Health Review Tribunal paper and electronic files matched to the Bureau of Crime Statistics and Research Reoffending Database. Characteristics of First Nations and non-First Nations patients were compared using univariate logistic regression analysis. Univariate and multivariate Cox proportional hazard regression was used to determine predictors of post-release criminal charges. Results: Key differences in the sociodemographic, clinical and forensic characteristics of First Nations compared with non-First Nations forensic patients were identified. The time to first criminal justice contact following release was significantly shorter for First Nations forensic patients ( p < 0.01). Conclusion: The findings of this study confirm that First Nations forensic patients have distinct and complex needs that are apparent at entry to the forensic mental health system and that their poorer criminal justice contact rates following release from secure care indicate that these needs are not being adequately met either during treatment or once in the community. Responses to these study findings must consider the complex and continuing impact of colonisation on First Nations Peoples, as well as the need for solutions to be culturally safe.