Challenges and concerns

The ACDT process has been criticised by Medical Justice as flawed as it is run by custodial staff and not healthcare professionals and so is therapeutically inadequate . A further aspect of concern is the use of segregation powers for people distressed and at risk of self-harm and suicide, given the mental health impacts of the Use of Segregation. The Brook House Public Inquiry also heard evidence of people under ACDT being inappropriately placed in segregation conditions which in turn increased distress and the risk of suicidal thoughts.

Nonsensically, the process of information gathering and assessment of risk of suicide and self-harm for the individuals under ACDT is not required to engage with safeguarding mechanisms for reviewing detention such as Rule 35 process or the Adults at Risk policy.