Section 29

1963 ◽  
Vol 109 (459) ◽  
pp. 202-205 ◽  
Author(s):  
H. F. Paterson ◽  
A. R. Dabbs
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Mental Hospital ◽  
Psychiatric Ward ◽  
Compulsory Admission ◽  
Mental Health Act ◽  
Medical Recommendation

The wording of the Mental Health Act, 1959 makes it clear that an application under Section 29 replaces both the old Urgency Order and the D.A.O.'s three-day order as a means of compulsory admission to a mental hospital or the psychiatric ward of a general hospital. It was intended to be limited to cases where the patient's mind is so acutely deranged as to make him a grave and immediate danger to himself or others, so that the delay in obtaining a second medical recommendation required for admission under Section 25 might spell disaster.

scholarly journals Compulsory admission to mental hospital in Thailand and England

1989 ◽  
Vol 13 (7) ◽  
pp. 355-357
Author(s):  
P. Kupituksa ◽  
J. F. Macmillan ◽  
K. L. Soothill
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Mental Hospital ◽  
Compulsory Admission ◽  
Patients Rights ◽  
Mental Hospitals ◽  
Mental Health Act ◽  
Legal Provisions ◽  
National Differences

There are national differences relating to compulsory admission to mental hospitals. As a visitor from Thailand, it was of interest to me (PK) to compare procedures relating to admission, treatment and aftercare of the mentally ill in England and Thailand. In Thailand there is no equivalent of the Mental Health Act 1983. Although there are some legal provisions affecting patients' rights in Thai law, there are no legal provisions concerning ‘detained’ patients in mental hospitals.

scholarly journals Who should act as the second medical recommendation for Sections 2 and 3 of the Mental Health Act?

1993 ◽  
Vol 17 (8) ◽  
pp. 466-468 ◽  
Author(s):  
E. K. Ung
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Clinical Judgement ◽  
Compulsory Admission ◽  
Medical Practitioners ◽  
Hospital Managers ◽  
Mental Health Act ◽  
Medical Recommendations ◽  
Medical Recommendation

Since 1959, the responsibility to detain a patient in hospital compulsorily has been given to doctors, social workers and hospital managers. The 1983 Mental Health Act stipulates that medical recommendations are made by two medical practitioners (one an “approved” doctor) for compulsory admission for assessment (Section 2) and compulsory admission for treatment (Section 3). When this was debated in Parliament, the importance of the independence of the two doctors making medical recommendations was stressed. This was to avoid collusion, influence or interference with clinical judgement (Bluglass, 1983).

The law

2009 ◽  
pp. 459-498
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Compulsory Admission ◽  
Sexual Offences ◽  
Disability Discrimination ◽  
Mental Health Act ◽  
Assessment And Treatment ◽  
Human Rights Act ◽  
Disability Discrimination Act ◽  
Health Review

Mental Health Act 1983 460 Mental Health Act 2007 462 Compulsory admission to hospital for assessment and treatment 464 Emergency holding powers 466 Mental Health Review Tribunals 468 The Mental Health Act Commission 470 Sexual Offences Act 472 Disability Discrimination Act 2005 474 Human Rights Act ...

Suicide Prevention

1992 ◽  
Vol 160 (2) ◽  
pp. 149-153 ◽  
Author(s):  
H. G. Morgan
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Suicide Prevention ◽  
Mental Hospital ◽  
Community Care ◽  
District General Hospital ◽  
Residential Area ◽  
Psychiatric Services ◽  
Local District ◽  
Health Centres

In 1989 a crisis occurred in a West Country seaside town. Its psychiatric services had been regarded as a vanguard of community care, having been fully established some three years previously when the in-patient facilities which had been based in a mental hospital some 15 miles away were closed. The framework of the new-style service consisted of five mental health centres scattered throughout the residential area and a 60-bed in-patient unit, based in the grounds of the local district general hospital.

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.

scholarly journals Discrepancies and inaccuracies in statistics for detained patients

1995 ◽  
Vol 19 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Teresa Nemitz ◽  
Philip Bean
Keyword(s):  
Mental Health ◽  
Mental Hospital ◽  
Regional Health ◽  
Mental Hospitals ◽  
Mental Health Act ◽  
Health Authorities ◽  
Government Planning ◽  
Regional Health Authorities

While conducting a study on the nature and extent of compulsory admissions to mental hospitals within the four London regional health authorities, discrepancies and inaccuracies were revealed in many of those mental hospital in-patient statistics. The nature and extent of some of these are examined. It is suggested that the value of such statistics for government planning must be questioned as is their value for research. It is recommended that a centralised system of collecting and collating such data be introduced as a matter of priority and that such a system be operated by the Mental Health Act Commission.

Inner London Collaborative Audit of Admissions in Two Health Districts

1994 ◽  
Vol 165 (6) ◽  
pp. 743-749 ◽  
Author(s):  
P. E. Bebbington ◽  
S. T. Feeney ◽  
C. B. Flannigan ◽  
G. R. Glover ◽  
S. W. Lewis ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Male ◽  
Challenging Behaviour ◽  
Compulsory Admission ◽  
Mental Health Act ◽  
Black Caribbean ◽  
Key Variables ◽  
Log Linear ◽  
Best Fit ◽  
Health Districts

BackgroundTwenty-six per cent of patients in two Inner London districts were admitted to acute wards under the provisions of the Mental Health Act. Compared with those not under compulsion, they were young, male, more likely to be of black Caribbean origin, and to have a diagnosis of schizophrenia of short duration. The hypothesis is tested that ethnicity determines rates of compulsory admission independently of the other factors.MethodSampling and data collection methods were described in the first paper. Statistical analyses included a log-linear analysis of six key variables: compulsory admission, challenging behaviour, diagnosis, ethnicity, age, and sex.ResultsThere were no substantial differences between districts. Analysis provided two similar statistical models. In both, admission under the Act was strongly associated with challenging behaviour and diagnosis of schizophrenia. In the model of best fit there was no significant interaction term for ethnicity and compulsion. In the second model there was a weak association.ConclusionsEthnicity did not appear to be of outstanding importance in decisions to use the Mental Health Act. There was a strong link between ethnicity and diagnosis, independent of compulsion. Differences between the districts made no major contribution to the rates of compulsory admission.

Referrals and outcomes of assessment for compulsory admission under the mental health act 1983 in Norfolk, England

2017 ◽  
Vol 41 (S1) ◽  
pp. S353-S353
Author(s):  
J.N. Beezhold ◽  
D. Fothergill ◽  
L. Jervis ◽  
G. Mosa ◽  
A. Pandey ◽  
...  
Keyword(s):  
Mental Health ◽  
Observational Study ◽  
Social Services ◽  
Living Alone ◽  
Compulsory Admission ◽  
Total Patient ◽  
Admission Rates ◽  
Mental Health Act ◽  
Competing Interest ◽  
Published Research

IntroductionA significant number of people are not detained in hospital following assessment under the Mental Health Act 1983 (MHA) for possible detention. However, since amendments in 2007, some studies show an increase in total patient detentions. There is currently a lack of published research describing both outcomes and their affecting variables.ObjectivesTo determine rates, outcomes and affecting variables of MHA assessments in Norfolk, 2001–2011.MethodsThis observational study involved data collection from all 11,509 referrals for detention assessment under the MHA. Data was collected by Norfolk Social Services from 2001–2011 including age, gender and marital status.ResultsFollowing assessment, 6903 (60.0%) were admitted; of those, 1157 (16.8%) were voluntary and 5746 (83.2%) were detained; 4606 (40%) were not admitted. Admission rates for males (50.4%) and females (49.5%) were similar. Detention rates increased with age: 37.6% of < 18s; 47.1% of 18–64s and 61.4% of 65+. A greater proportion of married (57.5%) and widowed patients (58.2%) were detained, compared with patients who were single (48%). Accommodation status showed 52% of those living with other were detained versus 43.9% of those with no fixed abode.ConclusionsThe finding that a higher proportion of married than single people, and of those living with others versus living alone, were detained following assessment is unexpected but significant and needs further investigation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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