scholarly journals ‘Role Over’ or Roll Over? Dirty Work, Shift and Mental Health Act Assessments

2019 ◽  
Vol 49 (8) ◽  
pp. 2187-2206 ◽  
Author(s):  
Sarah Vicary ◽  
Alys Young ◽  
Stephen Hicks
Keyword(s):  
Mental Health ◽  
Sociological Theory ◽  
Doctor Who ◽  
Dirty Work ◽  
Medical Assessment ◽  
Mental Health Act ◽  
The Social ◽  
Independent Review ◽  
Using Data ◽  
Verbatim Quote

Abstract The rise in numbers of applications for people being formally detained in hospital is one of the reasons given for the independent review of the Mental Health Act in England and Wales. These figures have led to concerns that the legislation might be flawed, including in relation to the process of Mental Health Act Assessments. Discussed in this article are two of the roles involved: the doctor who is responsible for conducting a medical assessment and the Approved Mental Health Professional (AMHP) who is responsible for assessing the social circumstances and in addition making the application. Using data from a study into AMHPs and the lens of the sociological theory ‘dirty work’, we discuss shift, an aspect of dirty work not yet applied in this context. We focus on AMHPs’ perceptions of the behaviour of doctors as encapsulated in the verbatim phrase ‘role over’. We argue that AMHPs, including social workers, justify or, to play on the words of the verbatim quote, roll over. This finding adds to the understanding of behaviour as it is understood within psychiatric occupations, including social work, during Mental Health Act Assessments.

Social comparison orientation and mental health: The mediating role of psychological capital

2020 ◽  
Author(s):  
Guoliang Yang ◽  
Zhihua Wang ◽  
Weijiong Wu
Keyword(s):  
Mental Health ◽  
Social Comparison ◽  
Psychological Capital ◽  
Mediating Effect ◽  
Mediating Role ◽  
The Social ◽  
Social Comparison Orientation ◽  
Using Data ◽  
The Impact ◽  
The Relationship

Little is known about the relationship between social comparison orientation and mental health, especially in the psychological capital context. We proposed a theoretical model to examine the impact of ability- and opinion-based social comparison orientation on mental health using data from 304 undergraduates. We also examined the mediating effect of the four psychological capital components of hope, self-efficacy, resilience, and optimism in the relationship between social comparison orientation and mental health. Results show that an ability (vs. opinion) social comparison orientation was negatively (vs. positively) related to the psychological capital components. Further, the resilience and optimism components of psychological capital fully mediated the social comparison orientation–mental health relationship. Our findings indicate that psychological capital should be considered in the promotion of mental health, and that the two social comparison orientation types have opposite effects on psychological capital.

7. Mental Health Law

Medical Law ◽  
2019 ◽  
pp. 351-419
Author(s):  
Emily Jackson
Keyword(s):  
Mental Health ◽  
Community Treatment ◽  
Health Law ◽  
Persons With Disabilities ◽  
Mental Health Law ◽  
Mental Health Act ◽  
Independent Review ◽  
History Of ◽  
Human Rights Act ◽  
The Uk

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter discusses mental health law in the UK. It begins with a brief history of mental health law and policy. This is followed by discussions of: admission to the mental health system; treatment of the mentally ill under the Mental Health Act 1983; Deprivation of Liberty Safeguards (DoLS) and Cheshire West, and Community Treatment Orders. It also looks at the implications of the Human Rights Act and the UN Convention on the Rights of Persons with Disabilities (UNCRPD) for mental health law. It also considers the conclusions of the Independent Review of the Mental Health Act 1983.

scholarly journals Theresa May Wants to Stop ‘Unnecessary Detentions’ with New Mental Health Act

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Elizabeth Maitland
Keyword(s):  
Mental Health ◽  
Fair Trial ◽  
Human Right ◽  
Mental Health Act ◽  
Assistance Dogs ◽  
Independent Review ◽  
The Law ◽  
The Moment ◽  
Danger To Others ◽  
Theresa May

At RECOVERY Assistance Dogs we filled in an Independent Review of the 2007 Mental Health Act by February 28, 2018. The review was about when a person can be admitted, detained, and treated in hospital without their agreement. We made our point that people should have the Human Right to a Fair Trial before they can be locked up against their will. The Law says that only people who are a danger to others or themselves should be detained involuntarily. Yet at the moment people are have to submit to ‘unnecessary detentions’ for being ‘high’, unable to answer the question correctly or other reasons that a Court of Law would dismiss

scholarly journals Managing restricted patients in acute, non-secure in-patient services: clinical, ethical and resource implications of long waits for a response from the Ministry of Justice

2021 ◽  
pp. 1-6
Author(s):  
Gunjan Sharma ◽  
Penelope Brown ◽  
Ijaz Ur Rehman ◽  
Edward Chesney
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Clinical Implications ◽  
Mental Health Act ◽  
The Mean ◽  
Using Data

Aims and method In-patients subject to Section 37/41 of the Mental Health Act 1983 (MHA) require permission from the Ministry of Justice (MoJ) for leave, transfer and discharge. This study aimed to quantify the time spent waiting for the MoJ to respond to requests, using data on restricted patients recalled to a non-forensic unit over 8 years. Results Eleven admissions were identified. The mean total time waiting for response was 95 days per admission, with an estimated cost of £40 922 per admission. Clinical implications Current procedures may contribute to considerable increases in length of stay. This goes against the principles of the MHA, as non-secure services rarely provide the range of interventions which justify prolonged admission. We suggest several ways to resolve this issue, including broadening the guidance for the use of voluntary admissions and civil sections, and allowing clinicians to make decisions on leave and transfer where there is little risk.

scholarly journals Measuring positive mental health in Canada: construct validation of the Mental Health Continuum—Short Form

2017 ◽  
Vol 37 (4) ◽  
pp. 123-130 ◽  
Author(s):  
Heather Orpana ◽  
Julie Vachon ◽  
Jennifer Dykxhoorn ◽  
Gayatri Jayaraman
Keyword(s):  
Mental Health ◽  
Factor Model ◽  
Short Form ◽  
Well Being ◽  
Positive Mental Health ◽  
Psychological Well Being ◽  
Adequate Model ◽  
The Social ◽  
Using Data ◽  
Three Factor

Introduction Positive mental health is increasingly recognized as an important focus for public health policies and programs. In Canada, the Mental Health Continuum—Short Form (MHC-SF) was identified as a promising measure to include on population surveys to measure positive mental health. It proposes to measure a three-factor model of positive mental health including emotional, social and psychological well-being. The purpose of this study was to examine whether the MHC-SF is an adequate measure of positive mental health for Canadian adults. Methods We conducted confirmatory factor analysis (CFA) using data from the 2012 Canadian Community Health Survey (CCHS)—Mental Health Component (CCHS-MH), and cross-validated the model using data from the CCHS 2011–2012 annual cycle. We examined criterion-related validity through correlations of MHC-SF subscale scores with positively and negatively associated concepts (e.g. life satisfaction and psychological distress, respectively). Results We confirmed the validity of the three-factor model of emotional, social and psychological well-being through CFA on two independent samples, once four correlated errors between items on the social well-being scale were added. We observed significant correlations in the anticipated direction between emotional, psychological and social well-being scores and related concepts. Cronbach’s alpha for both emotional and psychological well-being subscales was 0.82; for social well-being it was 0.77. Conclusion Our study suggests that the MHC-SF measures a three-factor model of positive mental health in the Canadian population. However, caution is warranted when using the social well-being scale, which did not function as well as the other factors, as evidenced by the need to add several correlated error terms to obtain adequate model fit, a higher level of missing data on these questions and weaker correlations with related constructs. Social well-being is important in a comprehensive measure of positive mental health, and further research is recommended.

Institutional Ethnography: A Method for Showing How the Context Shapes Practice

1996 ◽  
Vol 16 (3) ◽  
pp. 179-199 ◽  
Author(s):  
Elizabeth Townsend
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Organizational Context ◽  
Sociological Theory ◽  
Institutional Ethnography ◽  
Occupational Therapists ◽  
Feminist Methodology ◽  
The Social ◽  
Day Programs ◽  
Context Shapes

The article illustrates the sociological theory and method of institutional ethnography by describing a study of occupational therapy's mental health practice. Over almost 6 months, the author collected data through observation, interviews, and review of documents. Data describe the practice of occupational therapy in seven adult mental health day programs with at least one site in each of the four provinces of Atlantic Canada. The question asked was, What are the possibilities and constraints for occupational therapists to enable the empowerment of adults who attend mental health day programs? Although developed as a feminist methodology for displaying the social organization of patriarchy, institutional ethnography is used in this study to show how the organizational context invisibly shapes occupational therapy practice. Through this method, occupational therapy ideas about occupation can be seen to be organizationally subordinated. Occupational therapists' work in enabling empowerment through occupations such as “chores” is relegated to the background to make practice fit prevailing medical and psychologic ideas about health.

Sign in / Sign up

Export Citation Format

Share Document