| Literature DB >> 35932097 |
Betony Clasby1,2,3, Brigit Mirfin-Veitch3,4, Rose Blackett5, Sally Kedge6, Esther Whitehead7,8.
Abstract
Recent research has highlighted that a high prevalence of young adults who have various forms of neurodivergence come into contact with the criminal justice system. Currently, many courts are not designed to respond to neurological differences often seen in young people who engage with them. The aim of this study was to identify ways to make locality courts more accessible, engaging, and ultimately more responsive to neurodivergence. A panel of neurodivergence specialists reviewed the general district courtroom environment of a new specialised young adult list court in Aotearoa New Zealand to identify potential barriers to accessibility and to highlight areas for improvement. The methodology involved naturalistic observation of a typical morning in the courtroom. We identified a series of recommendations with the potential to improve the court experience and increase access to justice for neurodivergent young adults. This study identified specific need for neurodiversity education and screening within the court environment.Entities:
Keywords: accommodations; courtroom; intervention; neurodevelopmental; neurodiversity; support
Mesh:
Year: 2022 PMID: 35932097 PMCID: PMC9540328 DOI: 10.1002/cbm.2239
Source DB: PubMed Journal: Crim Behav Ment Health ISSN: 0957-9664
Recommendations
| Universal supports (Tier 1) | Targeted supports (Tier 2) | Individualised support (Tier 3) | |
|---|---|---|---|
| Introduction to courtroom |
Reflect cultural practices. (e.g., karakia/blessing). Introduce key individuals in court to young adult. Reassure that other individuals are in the courtroom to support other people. Give family/whānau clear direction (or providing a navigator) on where they can sit prior to them entering court. |
If the young adult is particularly anxious or has experienced previous trauma, give whānau/family the opportunity to be in a position where they can better support them (e.g. seated beside them). | |
| Location and physical attributes of the courtroom |
Seat young adults next to their defence lawyer/support person as opposed to separately in a dock. Provide a chair for the young adult. Consider removing any dock barriers. Ensure signage is easy read with images alongside wording. Place signage where young adult can see for example, side of chairs, or keep on back for rest of court and give easy read identity label for chest so young adult can see who is who. If possible, reduce number of people in courtroom (particularly in cases where anxiety or sensory difficulties present). A horseshoe layout would be more engaging and less imposing for the young adult. A smaller courtroom. Judges and lawyers should avoid formal clothing. |
Provide inflatable seat cushion to assist those with sensory processing and attention issues. Reduce lighting to reduce sensory burden for those who need it. Opportunity to participate via a CCTV camera would be important to provide for highly anxious young adults. | |
| Engagement with courtroom |
Provide means for young adults to engage with the courtroom officials. From a limited resource perspective, this could be through an agreed signal so that young adults can indicate when they want to contribute, when they do not understand, or when they do not feel comfortable talking in front of the court (e.g., green card/red card/blue card to hold up and show their lawyer or the judge discreetly). Give extra thinking time. Responses from the young adults (such as a simple ‘yes’ or nod) may be their attempt to mask a lack of understanding. The young adult may still be processing information or may not have fully understood proceedings. Give praise and encouragement for effort, for asking questions, and for completing tasks. Always try to build on success. If someone has completed all tasks necessary and no longer needs to continue coming to court, acknowledge this accomplishment by asking them what they are going to do next in their life, and congratulate them for starting to turn their life around. Find a way to capture the strengths and motivations of the young adult as these can be used as a motivational tool. This could be completed at screening or by the duty lawyer prior to their court session, if there is time. This allows the young adult to better engage in the courtroom and feel recognised for what they are good at alongside getting help working on aspects which they find more difficult. |
Show choices or pathways visually ‐ for example, if you choose A then B will happen. There are often complex processes involved that require young adults to consider many different potential outcomes, and the implications of potential decisions can be hard to understand. These discussions can be much easier if the young adult can 'see' the options laid out on paper, (rather than needing to keep track of being only 'told' the information). A highly relevant choice to show visually would be as follows: for example, follow the guidance of the courtroom's plan for you and *this* will happen, do not and *this* will happen). Present with very clear choices. Have an easy read schedule available for their day at court. This could simply be a paper flow chart with images that the lawyer could notate to show where the young adult is in the courtroom process. As the courtroom is developing a court plan for a young adult, provide this in visual form (preferably with images and minimal written words) so the young adult can see what they have completed and what they have to do and have that available to all while it is being discussed. Include pictures of the court and of the dock in each information booklet if possible. Set of guidelines for courtroom staff and stakeholders to use a range of effective communication strategies that result in active engagement and allow them to check the YA's understanding (not yes and no questions). Avoid saying ‘do you understand?’ as most people will say yes to that question. Instead, say, ‘I've just given a lot of information here, I need to make sure I've explained it properly. Tell me what you understand/tell me what is going to happen next/tell me what you need to do now’. Recap the key points before the young adult leaves and ideally provide them with the key information in written form, for example ‘you probably were following along, but just to make sure, the things you need to do now are…./what we decided today was…../the next thing that will happen is ….’ Spoken and narrated media for the YA would be helpful, so that audio and video options are enabled. Many neurodiverse young adults will prefer access to information, without the need for strong literacy skills, and use alternative modes to access information. Develop a web‐based or app‐based interactive version of booklet in addition to providing a paper‐based copy. Develop easy read interactive webpage detailing what will happen on the day they go to court. Provide other information prior to entry into courtroom for example, create a visual map outside the courtroom to display who does what and how to engage with the process. A TV with a case study in the form of an age‐appropriate animation, could be useful. Make available different modes of information including audio and visual, immediately prior to accessing the court | |
| Engage with multi‐disciplinary team |
Support agencies could follow a co‐location of services model, and then a court coordinator could be employed to liase with the court, young adult, and the multidisciplinary support agencies who go on to provide targeted support for example, in the context of substance misuse. Multi‐disciplinary team available to include: Neurodiversity NGOs; cultural support services; bail support officers; youth community workers; forensic nurses; drug and alcohol specialists; and police prosecutors. |
If, during screening, further queries are raised then additional general support may be provided by neurodiversity NGOs. Although formal assessment will be needed to determine most appropriate service. | |
| Effective communication |
Ensure that all courtroom staff and stakeholders use agreed straightforward terminology – try to use as familiar and easy vocabulary as possible. If difficult terminology such as 'discharge without conviction' is used, make sure to explain what it means in lay terms to young adult before they leave court, and is provided in an easy‐read booklet. Speak literally (without similes, metaphors, acronyms, or idioms) for example: ‘you are ‘you can remain ‘you are not Avoid preamble and legalese for example, ‘my learnt friend’. Ensure pace is slower, volume clear, and the content is expressed clearly to reduce barriers to the young adult engaging and participating in the process. Speak directly to the young adult. Adapt communication style according to the needs of each young adult and check in (sensitively) with the young adult to see whether it is working for them. If legal terms are required, then give a brief lay explanation (e.g., released at large, that means you are free to go now). |
Give young adults the opportunity to also contribute to court proceedings beforehand by discussing with their defence lawyer what is going to be talked about on their day in court. It would be helpful for their defence lawyer to make sure any plan the young adult is working on is available to look through so they can see what they have completed and what is to be completed, or they can see where they are within the court process and what the next step is. For instance: Today is about putting in pleas, next step is getting reports and then sentencing, etc. These plans (as suggested elsewhere) would be best in easy‐read with images. |
Access to communication assistants (see the MOJ's communication assistant quality framework in New Zealand |
| Wellbeing |
Ensure water is available. Try to keep proceedings to a minimum. Some young people may not have access to breakfast/food. Perhaps enquire if there is a local company that could donate/sponsor snacks in the waiting area. |
Ask the defence lawyer to raise the option of having fewer people in the courtroom with the young adult beforehand, if sensitive information may be discussed or there is previous trauma. this can be done with a script of verbal prompts given to the duty lawyers to aid this difficult conversation. These suggestions are reliant on trauma‐informed education (understanding how traumatic events can influence current behavioural presentation and de‐escalation) and also the development of a script of verbal prompts (this would only require a few brief simple prompts which could be included in the training to give staff a guide as to how to talk about trauma). Typically people find it a very challenging topic to raise. Provide a space/quiet area/specific room outside of the courtroom to decompress either before or after court. This space should feel calm, have lower lighting and some soft furnishings, where possible. |
Develop a response pathway for those who present as anxious/overwhelmed/triggered by seeing police or other professionals. This would require education for staff and stakeholders involved in the response pathway. Be aware that anxiety can manifest as agitation, anger, and frustration and that this is a call for help. It may signal lack of understanding. Anxiety and stress further debilitate comprehension and communication, so minimising stress is the ultimate goal. Remain calm and supportive, regardless of presentation of young adult. Always remember that each and every behaviour is a response to a stimulus (which may not be immediately obvious to the court, but may be very troubling to the young adult). Without the stimulus identified and fixed, the behaviour will not change. Reschedule if needed or hold a closed court. Consider assigning someone in the courtroom to be responsible for checking up on the presentation of the young adult and deciding whether they need assistance or follow up. Targeted training for these assigned individuals would be helpful for them to best identify how to support young adults in the moment by recognising behaviours. |
| Executive functioning supports |
Try to help develop strategies to prevent lost, forgotten, or damaged items. For instance: Provide young adults with important information in both digital (text/email) and paper‐based formats (for example the paper slips given when exiting the courtroom). Courtroom plan support person: Work with young adult to allocate key member from multidisciplinary team or family/whānau to support carrying out administrative challenges relating to courtroom plan, assist with management of paper‐based documents, follow‐ups and reminders for young adult, and scheduling of and help adhering to appointments. Important information should be provided to the young person in multiple formats (text/email/paper‐based), as well as to their allocated courtroom plan support person and other |
Ensure the young adult has access to both a computer and in‐person support for writing tasks for example, apology letters. If possible, think of other creative ways of undertaking tasks such as pursuing restorative justice that do not involve writing and are suited to those with theory of mind difficulties. |
Proactive advocacy for digitalisation in other agencies for example, Driving Authorities to make processes to gain licence available through an online easy‐read portal and more accessible for those who are neurodivergent. |
| Training |
Training for all courtroom staff and judiciary on neurological difficulties (and neurodiversity broadly), how they may present, factors that might intersect, understanding behavioural presentations, and establishing strategies to support someone who may be struggling. Long term ideally much of this training would be inbuilt in legal education, that of forensic nurses, and other courtroom staff. |
Be aware of sensory issues – what they are and why they can be a problem. Try to keep background noise to a minimum. For example, Keys jangling; people eating; doors opening/closing; whispering; rustling paper; lights flickering; too warm/too cold; visually people entering and leaving the court during session. Keep materials out of view when not in use. Try to have a specific place for everything and reduce loose documents. Regarding sensory issues: Utilise the sound systems in place and provide a noise‐cancelling headset/frequency modulation system in each courtroom to help reduce background noise and increase clarity of those speaking. | |
| Screening |
Brief systematic screening for neurodiversity amongst all those who interact with the justice system would help criminal justice workers to identify who may be in need to more targeted, and also more specialised support. This screening would help to frame the different tiers of accommodations and could be carried out prior to engagement with the courtroom; preferably at first interaction with the justice system (e.g. by police). Create a central Internet repository for all neurodiversity guidance, documentation, support maps, information booklets etc., which can be readily accessed for all employees and those attending court. Create a series of easy‐read documents with infographics to support tasks in most common offence pathways. For example, Driving offences > steps to get licence etc. |
Specific accommodations could be linked to certain responses on the screening tool, enabling a smoother process of providing more targeted support without requiring this to be fully individualised at this stage. |
Referrals to specialist for comprehensive assessment and potential specialist support. |
Abbreviations: MOJ, Ministry of Justice; NGOs, non‐government organisations; YA, Young Adult.
FIGURE 1Tiered support model for accommodations provision in the CJS. YA, Young Adult