Work

Unmet needs: analysing the Fixated Threat Assessment Centre’s fulfilment of the public health approach, and its value for violence prevention

Year: 2025

Type: article

Abstract: The Fixated Threat Assessment Centre (FTAC) operates with a public health approach, through catalysing mental health treatment for those with mental health needs unidentified, untreated, or sub-optimally managed by mainstream services. While much literature examines mental illness’s role in fixated threats, unmet mental health needs garner less attention. This paper evaluates the value and fulfilment of safeguarding within FTAC, through analysing whether (1) FTAC identifies and successfully refers into treatment those with unmet needs, and (2) unmet needs are related to concerning behaviours. Two measures of unmet needs are analysed: disengagement from mental health services, and unidentified mental illness. Data comprise FTAC referrals from 2012 to 2016, and methods include chi-squared tests and logistic regressions. Results indicate FTAC does safeguard individuals referred. Over a quarter of referrals (where previous mental healthcare information is available) have unmet needs, predominantly psychotic illnesses. These are directed to (mental) health-based interventions, reducing concern levels. Safeguarding is useful for violence prevention, as unmet needs isolate a subgroup exhibiting disproportionately concerning behaviours (approach, problematic approach, breaching security barriers). Findings imply unmet mental health needs should be given more attention in research as a variable, and in threat assessment as a risk indicator for assessments of levels of concern.

Source: Psychology Crime and Law

DOI: 10.1080/1068316x.2025.2581795