Multiple agencies with diverse goals

This chapter charts the relationships between three large areas of background knowledge and professional practice, at the intersection of which everyday work in forensic mental health takes place. We describe the three underpinning models (biomedical, psychological, and sociological) the differences between them in training and in outlook, and the relationship of each to the legal context in which all must operate. Representing different models of human problems and distress, we recognize that sometimes there is friction between them. Their diverse perspectives notwithstanding, these models can be integrated, and they all have an indispensable part to play in how we understand and respond to the difficulties of working with people with mental health problems who also break the law. We illustrate this with reference to how services are delivered, and conclude by discussing the role played by Multi- Agency Public Protection Arrangements (MAPPA) in England and Wales.