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Written question asked by Lord Howie of Troon (Labour), in the House of Lords. It was answered by Lord Bach (Labour) on Monday, 12 January 2009.


Prisoners: Mental Health

Question
To ask Her Majesty's Government how many prisoners in England and Wales were on suicide watch or special observation as a result of severe mental illness, including depression, in each of the past five years.
Answer

Information on suicide watch or special observation as a result of severe mental illness is not available centrally and could be obtained only at disproportionate cost. Prisons have a broad, integrated and evidence-based suicide prevention strategy. A prisoner focused care planning system for at risk prisoners, called Assessment, Care in Custody and Teamwork, (ACCT), was introduced across the prison estate between 2005 and 2007 in partnership with the Department of Health. Its key benefits include: a faster first response and assessment; the provision of flexible, individual, accountable care; and a multi disciplinary approach. As part of the ACCT process decisions are taken about how the individual will be managed to reduce the risks that they will harm themselves, including the frequency of conversations and observations. Levels of observation will differ in each case and will change over time. Constant supervision is a temporary arrangement where a prisoner is supervised by a designated member of staff on a one to one basis, remaining within eyesight at all times and within a suitable distance to be able to physically intervene quickly. It is required when it is believed that the prisoner could, at any time. make an attempt to kill themselves. Acute suicidal crisis may be temporary and the case management approach afforded by ACCT provides the opportunity to reduce the level of supervision progressively, substituting alternative supports. as the prisoners' condition improves. While not being able to answer the specific question posed, I can provide information on the numbers of ACCT plans, (and its predecessor), which were opened in each of the past five years.

Measure 2003 2004 2005 2006 2007
Total Plans opened 34091 29583 31371 28463 29666
Total Individuals 26749 22544 23386 21137 22236

Secondary information

Type
Written question
Reference
250; 706 c120-1WA
Session
2008-09
Subjects
Mental illness Prisoners Suicide
Contains statistics
Yes
Link
View this Written question on www.publications.parliament.uk