Throughout the world, women involved in criminal justice systems often present with substantial needs and vulnerabilities. Diverting vulnerable people away from prison is government policy in England and Wales, but full psychiatric and social assessments are expensive and hard to access. A screening and quick response initiative ‐ alternatives to custodial remand for women (ACRW) ‐ was implemented across three areas of London (West, South and East) to supplement existing court liaison and diversion services, to assess the feasibility of a supplementary custodial remand service as part of a women's specialist service pathway in the criminal justice system in England. Three mental health trusts and two voluntary sector providers offered this service enhancement – a screening and service link provision in three London boroughs between 2012 and 2014. We conducted a service evaluation using routinely collected service use record data. The service made 809 contacts, of whom 104 had contact on multiple occasions. Many were identified as at risk of self‐harm (46%) or had histories of hospital admission for mental disorder (36%), but few were referred either to the liaison and diversion service or specialist mental health services. The largest group of referrals was to women's community services outside the health service (e.g. counselling, domestic violence or sexual abuse services). 180 women had dependent children and 22 were pregnant, increasing the urgency to find non‐custodial alternatives. As well as confirming high levels of need amongst women entering the criminal justice system, this evaluation confirms the feasibility of working across sectors in this field, providing an extra layer of service that can complement existing liaison and diversion service provision. The service was responsive and most women using it were kept out of custody. Research is now required to understand the appropriateness of the referrals, the extent to which women follow them through and the impact on their mental health and desistance from offending.

中文翻译：

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刑事司法系统中妇女羁押还押的替代办法：多部门方法

在世界范围内，参与刑事司法系统的妇女经常面临巨大的需求和脆弱性。在英格兰和威尔士，将弱势人群转移出监狱是政府的政策，但是全面的精神病学和社会评估费用昂贵且难以获得。筛查和快速反应倡议-妇女保管还押的替代方法（ACRW）-在伦敦的三个地区（西部，南部和东部）实施，以补充现有的法院联络和转移服务，以评估补充羁押还押服务作为刑事司法系统中女性专职服务途径的一部分的可行性在英国。三个精神卫生信托基金和两个志愿部门提供者提供了这项服务增强功能– 2012年至2014年期间在伦敦三个行政区提供了筛查和服务链接。我们使用常规收集的服务使用记录数据进行了服务评估。该服务建立了809位联系人，其中104位曾多次联系。许多人被发现有自残危险（46％）或有精神障碍入院史（36％），但是很少有人被推荐到联络和转移服务或专科精神卫生服务。推荐人数最多的是保健服务之外的妇女社区服务（例如咨询，家庭暴力或性虐待服务）。180名有受抚养子女的妇女和22名孕妇怀孕，这增加了寻找非监护替代品的紧迫性。这项评估不仅确认了进入刑事司法系统的妇女的高度需求，还确认了在该领域跨部门工作的可行性，提供了额外的服务层，可以补充现有的联络和转移服务。该服务反应迅速，使用该服务的大多数妇女都被拘留。现在需要进行研究以了解推荐的适当性，