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Gethin Rees, Stephanie Mulrine, Mwenza Blell, Iain McKinnon - Care Detained, Häftad

Häftad, Engelska, 2026

Care Detained

A Critical Analysis of Healthcare Delivery in Police Custody Suites

Av Gethin Rees, Stephanie Mulrine, Mwenza Blell, Iain McKinnon

Del i serien Routledge Studies in Policing and Society

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Beskrivning
Care Detained draws on the findings of the first interdisciplinary study of the delivery of healthcare within police custody in England to illuminate the ways that the funding structure results in poor quality care and treatment for detained persons. The book traces the transition from police doctors to Healthcare Professionals (predominantly nurses and paramedics working in police custody) and the ways that they have developed strong teamworking relationships with police staff. Given low rates of investment, HCPs are increasingly spread across multiple custody suites, making it harder to deliver care to all who need it and generating compassion fatigue. In this way, stigmatised attitudes about detainees take hold, which results in healthcare practices that produce harm. Care Detained also highlights how the underfunding of NHS Health and Social Care results in persons with significant mental health conditions being detained in police custody, although all parties (including police and mental health teams) acknowledge that custody is harmful. In the absence of hospital beds, sick people continue to be detained in police custody. The book concludes with a call for more joined-up thinking between healthcare and criminal justice institutions (and budgets) to provide improved healthcare for people detained by the State. This book will therefore be of interest to students and scholars of criminology and policing studies, as well as sociology, anthropology and public health. It will also be a useful resource for policing practitioners, healthcare professionals, and policymakers engaged in these areas
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Gethin Rees is Senior Lecturer in Sociology at Newcastle University. He is interested in the intersection of criminal justice and medicine and has previously published on the forensic medical responses following sexual violence, sleep medicine expert evidence and healthcare delivery in police custody suites. Stephanie Mulrine is Senior Lecturer in Medical Sociology at the School of Medicine, University of Sunderland. Her research interests include experience of care and health inequalities, marginalised groups, social class, neurodiversity and death and bereavement. Mwenza Blell is Reader in the School of Geography, Politics and Sociology at Newcastle University. Her research spans the UK, the Nordics, South Asia, East Africa, and Latin America. Her research uses ethnography to examine intransigent, often invisible structures of injustice. Iain McKinnon is a Consultant Psychiatrist and Senior Lecturer in Psychiatry at Newcastle University. His research interests include the treatment of offenders with mental disorders, and the interface between health and criminal justice systems. He redeveloped health screening procedures for people in police custody, which have recently been adopted nationally in England and Wales.

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Police custody is of growing scholarly and practical importance, yet healthcare delivery within it remains under explored. Care Detained offers a compelling and critical examination of this neglected field, from funding and risk assessment to interagency working and detainees’ experiences of stigma. Essential reading for policing and healthcare scholars and students.Layla Skinns, Professor of Criminology and Criminal Justice, University of SheffieldCare Detained is a powerful, deeply troubling account of healthcare in police custody. Its exceptional combination of ethnographic fieldnotes, interviews, custody records and statistical analysis exposes missed vulnerability, stigmatisation and failures in mental healthcare and care for substance users. It makes an urgent, compelling case for policy and practice change.Kat Smith, Professor of Public Health Policy, University of StrathclydeCare Detained reveals how care, control and risk are co-produced in police custody, and how practices meant to protect can cause harm - unsettling what we mean by care itself and asking difficult questions about whose knowledge matters. Grounded in England and Wales, its insights resonate beyond, not least in Australia.Shelley Walker, Research Fellow, National Drug Research Institute, Curtin University

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