Simon Bratt

Staffordshire University | SU · Department of Policing Forenisc and Policy

Service users with dual diagnosis are perceived as having less recovery capital than other service users within substance misuse and mental health services (Roberts & Bell, 2013). Dual diagnosis service users are stigmatised and a cohesive care package between substance misuse and mental health services is rarely achieved. This means that dual diagnosis service users tend to be seen by one service, rather than both, which reduces the likelihood of success. In Stoke-on-Trent, mental health services are less likely to assess and support service users with addictions. With mental health needs not being addressed effectively, the risk of vulnerability to crime (both as a victim and a perpetrator) increases, as does the likelihood of unnecessary incarceration. The stigma associated with mental health and interaction between a service user and professional is a subject explored within the Sociology of Health (Barry & Yuill, 2012). The links between mental health and crime and punishment are widely discussed within Criminology (Winstone, 2015). Dual diagnosis, however, is a neglected area of research in both disciplines. This issue has also been highlighted by Community Safety Commissioners from Public Health within the Stoke-on-Trent Local Authority. Roberts & Bell (2013) highlight that service commissioning will require innovation and creativity to better meet the needs of dual diagnosis service users. Stoke-on-Trent service commissioners are keen to start this process with underpinning research to better inform commissioning practice. Findings from this doctoral research will contribute to service enhancement and development at a local level and will also provide valuable data to support positive change in other localities at a national level.

Seeking to understand the extent to which sentencers are aware of problem gamblers coming before them in court; their practice when problem gambling is apparent within a case; and to elicit magistrates’ views on the potential for courts to account for problem gambling.