Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983 and Other Legislation: NHS Trusts, High Security Psychiatric Hospitals and Private Facilities: 1999-2000

2001 ◽  
Keyword(s):  
Mental Health ◽  
Psychiatric Hospitals ◽  
Mental Health Act ◽  
High Security

scholarly journals A survey of general hospital in-patients detained under Section 5(2) of the 1983 Mental Health Act

1996 ◽  
Vol 20 (12) ◽  
pp. 733-735 ◽  
Author(s):  
Christopher Buller ◽  
David Storer ◽  
Rachel Bennett
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Conversion Rate ◽  
Psychiatric Hospitals ◽  
Patient Characteristics ◽  
Rare Occurrence ◽  
General Hospitals ◽  
Code Of Practice ◽  
Mental Health Act

Detention of general hospital in-patients under Section 5(2) is a rare occurrence. This study of the use of Section 5(2) in general hospitals uncovered a frequent neglect in following the guidelines of The Mental Health Act and The Code of Practice. Surprisingly the conversion rate of Section 5(2) to Section 2 or 3 was similar to that seen in a number of other studies conducted in the quite different setting of large psychiatric hospitals. A number of patient characteristics were identified that appeared to influence whether 5(2)s were converted to an admission Section. Each general hospital needs to develop guidelines to be followed when staff feel that a patient should be detained under Section 5(2) – an example of such a policy is included.

Use of Section 5(2) in clinical practice

1992 ◽  
Vol 16 (01) ◽  
pp. 14-16 ◽  
Author(s):  
Christina Pourgourides ◽  
V. P. Prasher ◽  
Femi Oyebode
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Psychiatric Hospitals ◽  
Annual Basis ◽  
Mental Health Act

The Mental Health Act (1983) came into being eight years ago but few studies into its use have been reported (West, 1987; Sackett, 1987). The Act provided for the setting up of the Mental Health Act Commission to safeguard the interests of detained patients and to monitor the use of the Act. The Commission visits ordinary psychiatric hospitals on an annual basis and writes a report of the visit. The Commission also submits a Biennial Report to Parliament. These reports address important issues but do not provide detailed information on the use of the various sections of the Act in differing hospitals.

scholarly journals Changing patterns in the use of the Mental Health Act 1983 in England, 1984–1996

2000 ◽  
Vol 176 (5) ◽  
pp. 479-484 ◽  
Author(s):  
Matthew Hotopf ◽  
Sharon Wall ◽  
Alec Buchanan ◽  
Simon Wessely ◽  
Rachel Churchill
Keyword(s):  
Mental Health ◽  
Hospital Admissions ◽  
Psychiatric Hospitals ◽  
Home Office ◽  
Mental Health Act ◽  
Department Of Health ◽  
Changing Patterns ◽  
Prison Populations ◽  
Psychiatric Beds ◽  
Near Future

BackgroundThe Mental Health Act 1983 (MHA) is due to be revised by Parliament in the near future.AimsTo explore changes in the use of the Act since its introduction.MethodThe Department of Health and the Home Office routinely collect data on the numbers of patients admitted to psychiatric hospitals under the MHA. We present absolute figures, by year, for the total numbers admitted under each section of the Act. We used the total psychiatric hospital admissions and total prison populations as denominator data.ResultsFormal admissions rose from 16 044 in 1984 to 26 308 in 1996, a 63% increase. Admissions under the MHA have increased as a proportion of all admissions. The increase is mainly accounted for by changes in the use of Part II of the Act, in particular sections 2 and 3. The use of forensic sections (Part III) has also increased, with a marked increase of sections 47 and 48. Use of Part X of the Act (sections 135 and 136) declined in the late 1980s but rose again in the 1990s.ConclusionsFormal admissions are more common than they were in 1984, despite there being fewer psychiatric beds. This is probably due to changes in the provision of psychiatric services, and changing societal pressures on psychiatrists away from libertarianism and towards coercion.

scholarly journals Mental health law in Denmark

2012 ◽  
Vol 9 (4) ◽  
pp. 88-90 ◽  
Author(s):  
Mette Brandt-Christensen
Keyword(s):  
Mental Health ◽  
Psychiatric Hospitals ◽  
Legal Rights ◽  
Compulsory Treatment ◽  
Health Law ◽  
Compulsory Admission ◽  
Trial Period ◽  
Mental Health Law ◽  
Mental Health Act ◽  
Definition Of

In Denmark, the parliament passed the first Mental Health Act (MHA) in 1938. A new Act was passed in 1989, based on a thorough report from the Ministry of Justice. The 1989 Act emphasised the protection of citizens' legal rights in relation to compulsory admission, detention and treatment in psychiatric hospitals. That Act is still in operation, although it has been amended several times. In 2006 the definition of ‘compulsion’ was changed, and a 2010 amendment introduced compulsory treatment in the community for a trial period of 4 years.

scholarly journals Trends in Seclusion Practice in the Newcastle Area

1987 ◽  
Vol 11 (3) ◽  
pp. 82-84 ◽  
Author(s):  
Peter Thompson
Keyword(s):  
Mental Health ◽  
Successful Treatment ◽  
Psychiatric Hospitals ◽  
Open Door ◽  
Mental Health Act

The use of seclusion in psychiatric hospitals has been declining over the last century due to the development of other methods of managing disturbed behaviour and more successful treatment of illnesses predisposing to disturbed behaviour. Pressure from society has come in the form of the ‘open door’ movement and legislation such as the Mental Health Acts of 1959 and 1983 and may also have promoted less restrictive management of patients or simply produced a shift of the site of management from hospitals to prisons. Guidelines from the Mental Health Act Commission have recently been formulated and may continue this process.

scholarly journals Audit of Statutory Urgent Treatment at a High Security Hospital

2014 ◽  
Vol 1 (17) ◽  
pp. 66
Author(s):  
Andy Bickle ◽  
Tarek Abdelrazek ◽  
Anne Aboaja ◽  
Kim Page
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Large Hospital ◽  
Code Of Practice ◽  
Mental Health Act ◽  
High Security ◽  
Wide Range ◽  
Audit Period ◽  
The Subject ◽  
Severe Personality Disorder

<p>The aim of the audit which is the subject of this article was to measure the use of statutory urgent treatment at one of England’s three high security hospitals (Rampton Hospital) against the standards set out in the Code of Practice (2008) and by the Mental Health Act Commission. Rampton Hospital is a large hospital which averaged around 400 beds during the audit period and has a catchment area of approximately one third of England. The hospital accommodates patients who suffer from a wide range of mental disorders, having directorates for mental illness, learning disability, personality disorder, women and (from 2004) ‘Dangerous and Severe Personality Disorder’. All patients are detained under the Mental Health Act 1983. It was submitted that the proper use of statutory urgent treatment is important to Rampton Hospital as an institution which accommodates patients presenting with the highest security needs owing to their risk to others.</p>

Analysis of Episodes of Involuntary Re-admission in Ireland (2007-2010)

2012 ◽  
Vol 29 (3) ◽  
pp. 180-184 ◽  
Author(s):  
Gerry Cunningham
Keyword(s):  
Mental Health ◽  
Empirical Analysis ◽  
Psychiatric Hospitals ◽  
Demographic Characteristics ◽  
National Database ◽  
Involuntary Admission ◽  
Initial Examination ◽  
Mental Health Act ◽  
Rural Counties ◽  
Number Of Patients

AbstractObjectives: Initial examination of data held by the Mental Health Commission indicated a number of patients having repeated involuntary readmissions (defined as patients having three or more involuntary episodes in a calendar year). The Commission sought more empirical analysis of the data relating to these patients, to determine if there were any trends or commonality regarding their demographic characteristics, length of episode, and diagnoses.Methods: From 1 November 2006 the Mental Health Commission has been notified of all involuntary admissions in Ireland under the Mental Health Act (2001). From this national database information on patients who have had three or more involuntary admissions per year was analysed.Results: In the period studied there has been an overall reduction in the number of voluntary and involuntary admissions to Irish psychiatric hospitals and units. However, the use of involuntary admission remains constant at around 10% of all admissions. Seven percent (n=569) of involuntary admission orders in this four year period relate to two percent (n=121) of all involuntary patients. Patients who have experienced repeated involuntary admissions are predominantly male (59%), often have a diagnosis of schizophrenia, or schizotypal and delusional disorders (57%), or mania (20%), are in the age band 22-64 (80%) and more often live in rural counties.Conclusions: Potential appears to exist to significantly reduce the number of involuntary admissions by focusing on the care given to patients who are repeatedly re-admitted. More analysis is needed of voluntary and involuntary re-admissions if inpatient facilities are to be effectively configured.

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