Part 1 Introduction: fourteen years on, Nigel Walker. Part 2 The mentally disordered offender in the courts: the trials of psychiatry - insanity in the 20th century, John Gunn; the mentally disordered offender in the criminal process - some research and policy questions, Adrian Grounds; what can a magistrate do, Joy Major; the inadequate offender - a view from the courts, Christopher Stuart-White. Part 3 The mentally disordered offender in prisons: a brief review of the current status of, and provision for, the mentally disordered offender in prison and suggestions for changes, action and research, Rosemary Wool; special unit C Wing, HMP Parkhurst, Sue Evershed; Grendon - the care of acute psychiatric patients - a pragmatic solution, Michael Selby; through cells of madness - the imprisonment of mentally ill people, Stephen Shaw and Adam Sampson. Part 4 The mentally disordered offender in hospitals: a case for hospital treatment, Diana Dickens; the mentally disordered offender in hospital - the role of the Home Office, Robert Baxter; a Department of Health perspective, Clifford Graham; provision for the mentally disordered offender in hospital - suggestions for action and research - a Mental Health Act commissioner's viewpoint, Molly Meacher. Part 5 The mentally disordered offender in the community, James Higgins: time to re-think, Maggie Finder and Herbert Laming; a probation service perspective, Anne Mace; treatment in the community - rhetoric, reality and the rear-view mirror, Ian Byrne.