scholarly journals Services for adults with intellectual disability in Aotearoa New Zealand

2019 ◽  
Vol 16 (03) ◽  
pp. 71-73 ◽  
Author(s):  
Jane McCarthy ◽  
Mhairi Duff
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
New Zealand ◽  
Professional Training ◽  
Public And Private ◽  
Aotearoa New Zealand ◽  
Mental Health Legislation ◽  
Health Professional Training ◽  
Training Schemes ◽  
Health Legislation

Aotearoa New Zealand is a country of just under 5 million people with a diverse population, the main ethnic groups being of European descent and Maori. There are well-developed public and private healthcare systems. As in other countries, Aotearoa New Zealand has closed the large institutions and developed community-based services for people with intellectual disability. Aotearoa New Zealand has specific legislation for people with intellectual disability presenting to the criminal justice system and has unusually and explicitly excluded people with intellectual disability from mental health legislation since 1992. Partly as a result, most health professional training schemes have little focus on issues for people with intellectual and developmental disabilities. Therefore, one of the main challenges over the coming decade will be to ensure there is a sufficient workforce of psychiatrists and other professionals who have the training and expertise to work with people with intellectual disability requiring mental health and forensic services.

scholarly journals Resituating Aotearoa New Zealand mental health legislation in the context of social and occupational justice

2017 ◽  
Vol 29 (3) ◽  
pp. 55-65
Author(s):  
Kirk Douglas Reed ◽  
Brian Field
Keyword(s):  
Mental Health ◽  
Social Work ◽  
New Zealand ◽  
Occupational Therapy ◽  
Aotearoa New Zealand ◽  
Legal Obligations ◽  
Mental Health Legislation ◽  
Values And Beliefs ◽  
Occupational Justice ◽  
Health Legislation

INTRODUCTION: Social work and occupational therapy mental health practitioners face a range of tensions in relation to statutory obligations in the context of maintaining a focus on the ideals of social or occupational justice.APPROACH: The aim of this article is to highlight some of the complexities for social work and occupational therapy practitioners in an environment dominated by a medico-legal worldview. Those complexities include creating and maintaining a therapeutic relationship, adhering to legal obligations; and staying focused on professional values and beliefs. We have explored notions of social justice and occupational justice and undertaken a descriptive chronological review of Aotearoa New Zealand mental health legislation.IMPLICATIONS: We have provided an insight in to some of the key factors that have influenced the development of mental health legislation in this country in relation to social and occupational justice. We have considered how the medico-legal worldview influences staying true to the notions of social and occupational justice and have made suggestions for change relative to practice and the legislation. 

Social deprivation and use of mental health legislation in New Zealand

2011 ◽  
Vol 58 (6) ◽  
pp. 581-586 ◽  
Author(s):  
Anthony John O’Brien ◽  
Robert Kydd ◽  
Christopher Frampton
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Social Deprivation ◽  
Mental Health Legislation ◽  
Health Legislation

scholarly journals Compulsory Community Care in New Zealand Mental Health Legislation 1846-1992

SAGE Open ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 215824401349017 ◽  
Author(s):  
Anthony John O’Brien ◽  
Robert Kydd
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Community Care ◽  
Mental Health Legislation ◽  
Health Legislation

A five decade retrospective review of admission trends in a NHS intellectual disability hospital

2015 ◽  
Vol 9 (3) ◽  
pp. 108-115 ◽  
Author(s):  
Yim Lun Wong ◽  
Rinzi Bhutia ◽  
Khalodoun Tayar ◽  
Ashok Roy
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Retrospective Review ◽  
Autism Spectrum ◽  
Content Type ◽  
Psychiatric Illnesses ◽  
Hyperactivity Disorder ◽  
Mental Health Legislation ◽  
Recent Initiative ◽  
Health Legislation

Purpose – The purpose of this paper is to examine the trend of admissions and inpatient characteristics in a NHS intellectual disability hospital from 1975 to 2013, in particular looking at the effect following the Winterbourne View scandal. Design/methodology/approach – A retrospective review of all admissions over a three-year period (January 2011-January 2013) was completed. This information was compared with admissions to the same hospital in three-year period over the last four decades (1975-1977, 1985-1987, 1995-1997, and 2003-2006). Number of admissions, gender, age, source of admission, length of stay, reasons for admission, type of admission, and diagnosis of psychiatric illnesses were included. Findings – There were 87 admissions (including 29 from out of area) in the study period of 2011-2013. The number of admissions had varied over the years but male admissions were consistently higher than female. A majority of people stayed over six months. For the first time in five decades, there were more formal inpatients than informal ones. The diagnosis of Autism Spectrum Disorder (ASD) and of Attention Deficit Hyperactivity Disorder had increased. Originality/value – This study has examined admission trends over five decades. It has highlighted that the Mental Health Act legislation is being used more frequently and that co-morbid mental disorders, such as ASD are commonly associated with those admitted to hospital. A well planned-out community health care system, as well as adequate social provision are keys to maintain people with intellectual disability in the community. Furthermore, a better understanding of the symptomology of challenging behaviours, and appropriate use of mental health legislation are crucial in providing a high-quality service that has clear treatment goals and values. Some of these issues have contributed to the failure of the recent initiative to reduce the size of the inpatient intellectual disability following Winterbourne View scandal.

scholarly journals Mental health law in New Zealand

2016 ◽  
Vol 13 (2) ◽  
pp. 43-45 ◽  
Author(s):  
Ian Soosay ◽  
Rob Kydd
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Modern State ◽  
Compulsory Treatment ◽  
Health Law ◽  
Mental Health Legislation ◽  
Assessment And Treatment ◽  
History Of ◽  
Constitutional Protections ◽  
Health Legislation

New Zealand has an established history of mental health legislation that sits within a framework of human rights, disability and constitutional protections. We outline a brief history of mental health legislation in New Zealand since its inception as a modern state in 1840. The current legislation, the Mental Health (Compulsory Assessment and Treatment) Act 1992, defines mental disorder and the threshold for compulsory treatment. We describe its use in clinical practice and the wider legal and constitutional context which psychiatrists need to be aware of in their relationships with patients.

Procedures for involuntary admission to public and private psychiatric facilities

1992 ◽  
Vol 9 (2) ◽  
pp. 96-100 ◽  
Author(s):  
Conor Farren ◽  
Declan McLoughlin ◽  
Anthony Clare
Keyword(s):  
Mental Health ◽  
Private Hospital ◽  
Formal Method ◽  
Demographic Data ◽  
Psychiatric Hospitals ◽  
Initial Assessment ◽  
Involuntary Admission ◽  
Public And Private ◽  
Mental Health Legislation ◽  
Health Legislation

AbstractObjective: The aims of this study were to assess the procedures for involuntary admission to both public and private psychiatric hospitals as determined by the Mental Treatment Act, 1945 which is one of the oldest pieces of mental health legislation in the EC. Method: Over a prospective five month period all involuntary admissions to both a public and a private hospital in Dublin were studied. Social-demographic data and clinical features of 54 involuntary admissions were recorded and analysed. Results: 11.2% of public admissions were involuntary as were 3.4% of admissions to the private hospital. The most common diagnoses were schizophrenia and mania. 74.1% of the patients had been previously admitted. 81.5% of the patients were detained in hospital for less than three months although they were committed for a potential six months. There was no formal method of decertification. Conclusions: There appears to be little need nowadays for differentiating between legislation for public and private patients. The duration of the initial reception order should be reduced from six months to a period of forty-eight hours for initial assessment and treatment. If necessary this could be extended to three months. Formal methods for decertification are required. Mental health legislation in Ireland needs to be modernised.

Obtaining consent for non-psychiatric treatment of persons detained under mental health legislation in Australia and New Zealand: is there cross-jurisdictional consistency?

2018 ◽  
Vol 26 (5) ◽  
pp. 486-490
Author(s):  
Tessa Daws
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Surgical Treatment ◽  
Psychiatric Treatment ◽  
Health Issues ◽  
Appropriate Treatment ◽  
Mental Health Legislation ◽  
The Law ◽  
Health Legislation ◽  
Psychiatric Facilities

Objective: It is increasingly recognised that persons with mental illness experience physical health issues at greater rates than the general population and that there are significant barriers to accessing appropriate treatment. One less obvious barrier to appropriate care may be the law. This review examines the legal regimes within Australia and New Zealand that regulate consent for medical and surgical treatment for persons detained under mental health legislation. The review begins with a brief overview of concepts of consent and capacity then examines the law with regards to consent for non-psychiatric treatment for persons detained in psychiatric facilities. The complexity and cross-jurisdictional consistency is considered and potential future directions and possibilities for reform are discussed. Conclusion: Examination of the different laws regarding consent for medical or surgical treatment for persons admitted to psychiatric facilities are complex and demonstrate lack of consistency across jurisdictions. Reform in this area might be considered to achieve greater consistency and clarity for both health professionals and consumers.

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