ABSTRACT

In the previous chapter we discussed the developments of forensic services and saw how the major thrust was concerned with broadening and extending the surveillance mechanisms throughout society. Early forensic psychiatry may well have started with the pathology of the monstrous and their incarceration into criminal lunatic asylums, but the contemporary forensic concern now involves a plethora of minor infractions alongside the heinous crime. As the forensic 'net' has been cast wider to capture more disorder so the large-scale service has been fragmented to penetrate the social body. Now forensic services include forensic psychiatric outpatient departments, forensic community psychiatric nurses, and forensic social workers who are dealing with the political and professional issues of service development such as supervision registers, care programme approach and compulsory treatment in the community. At the time of writing we are witnessing a break up of the large forensic institutions with recommendations for more small-scale establishments (Reed, 1992) which is underpinned by this penetration of small services into society itself.