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6 J. Forensic Psychiatry & Psych. 1 (1995)

handle is hein.journals/jnlofncpy6 and id is 1 raw text is: 






EDITORIALS


         Homicide and care in the

                       community


                     DAVID TIDMARSH



In 1982, concerned at the admission to Broadmoor in quick succession of three
psychotic patients, all of whom had killed relatives after being refused admission
to hospital, I wrote to The Times (Tidmarsh, 1982) suggesting that the recently
proposed Mental Health Act  Commission  should have a duty to investigate
incidents in which psychiatric patients had caused serious harm and that the
confidential enquiries into maternal deaths conducted by the Department of
Health would be a suitable model (Department of Health, 1994). This suggestion
received no support at all and the 1983 Mental Health Act laid no such duty on
the new commission or indeed on anyone else.
  Incidents continued but public, or more accurately political, attitudes were
slow to change, the prevailing dogma being that mental illness could not lead to
serious harm. These  attitudes were perhaps exemplified by the extreme
reluctance and the 2½-year delay which preceded the setting-up of the inquiry
into the death of Isabel Schwarz, a social worker killed by one of her clients
(Spokes, 1988). The report of this inquiry prompted the National Schizophrenia
Fellowship to ask the Department of Health to set up systematic enquiries into
all such homicides. Discussions were started but were overtaken by widespread
press reports of the killing of a young girl by a recently discharged schizophrenic
woman  (Trent Health Authority, 1991) and the sudden decision by Mr Stephen
Dorrell, the Parliamentary Under-Secretary of State, in October 1991 to set up
an inquiry covering not only homicides but deaths by suicide among psychiatric
patients, a very much wider remit. The inquiry is directed by Dr William Boyd,
formerly the vice-chairman of the Mental Welfare Commission for Scotland, and
his preliminary report on homicide has now been published (Boyd, 1994).
  In the meantime there had been significant developments. In the autumn of

The Journal of Forensic Psychiatry Vol 6 No 1 May 1995 1-5
©Routledge 1995                                            ISSN 0958-5184

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