Inadequacies in the Mental Health Act, 1983 in relation to mentally disordered remand prisoners

There are widely recognized problems regarding access to NHS facilities for mentally disordered remand prisoners (Robertson et al., 1994). The Bentham Unit was set up in February 1994 to provide the earliest possible hospital admission for mentally disordered remand prisoners. Over the first twelve months of the service's operation we assessed 150 and admitted 62 remand prisoners: a full description of the service is in preparation. Because admission is restricted to remand prisoners, the inadequacies of current legislation in allowing effective, uninterrupted care for remand transfers have become very apparent. There have been recent proposals to review the 1983 Mental Health Act (Murphy, 1995) and we suggest that provisions for assessment and treatment of mentally disordered remand prisoners should be revised in this context.