Evaluation of the sensitivity of the Health Screening of People in Police Custody (HELP-PC) tool in Northumbria Police, UK

IF 1.4 4区医学 Q1 LAW

International Journal of Law and Psychiatry Pub Date : 2025-06-23 DOI:10.1016/j.ijlp.2025.102101

Thomas Cranshaw , Helena Austin , John Moore , Evelyn Evans , Salma Rauf , Faye Groom , Ellie Mannix , Ellen Whitehouse , Iain McKinnon

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Abstract

This paper presents an evaluation of a novel health screening tool implemented in 2016 by Northumbria Police, in the North East of England, United Kingdom. The aim of the study was to determine the sensitivity of the tool in detecting physical and mental health conditions. Secondary aims were to produce useful data on the prevalence of these conditions and onward referrals within custody. The tool was compared to a clinical interview carried out within the custody suite by research psychiatrists. Researchers spent a total of 64 days within the custody suite and interviewed 177 participants. The tool performed variably, with 100 % sensitivity for diabetes, epilepsy and psychosis, however in other areas the sensitivity was lower such as for opioid dependency (18 %). When compared to the pilot study of the tool there is a non-significant trend towards improved sensitivity, with no areas in which sensitivity has reduced. In comparison to a previous evaluation of an alternative tool, this tool has improved sensitivity for asthma (92 vs 49 %, p < 0.001), cardiovascular complaints (38 vs 2 %, p < 0.0001), head injury (72 vs 17 %, p = 0.004) and intellectual disability (82 vs 25 %, p = 0.016).

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英国诺森比亚警察局在押人员健康筛查（HELP-PC）工具敏感性评估

本文介绍了2016年由英国英格兰东北部诺森比亚警察局实施的一种新型健康筛查工具的评估。该研究的目的是确定该工具在检测身体和精神健康状况方面的敏感性。次要目的是就这些情况的普遍程度和在拘留期间的后续转诊提供有用的数据。研究人员将该工具与精神病学家在监护病房内进行的临床访谈进行了比较。研究人员在拘留室里呆了64天，采访了177名参与者。该工具的表现各不相同，对糖尿病、癫痫和精神病的敏感性为100%，但在其他领域的敏感性较低，如阿片类药物依赖（18%）。与该工具的初步研究相比，灵敏度提高的趋势并不显著，没有任何灵敏度降低的区域。与之前对替代工具的评估相比，该工具提高了对哮喘的敏感性(92% vs 49%, p <；0.001)，心血管疾病(38 vs 2%, p <；0.0001)，头部损伤（72% vs 17%, p = 0.004）和智力残疾（82% vs 25%, p = 0.016）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Law and Psychiatry Multiple-

CiteScore

4.70

自引率

8.70%

发文量

审稿时长

41 days

期刊介绍： The International Journal of Law and Psychiatry is intended to provide a multi-disciplinary forum for the exchange of ideas and information among professionals concerned with the interface of law and psychiatry. There is a growing awareness of the need for exploring the fundamental goals of both the legal and psychiatric systems and the social implications of their interaction. The journal seeks to enhance understanding and cooperation in the field through the varied approaches represented, not only by law and psychiatry, but also by the social sciences and related disciplines.