scholarly journals Aftercare under the 1983 Mental Health Act

1995 ◽  
Vol 19 (3) ◽  
pp. 158-160 ◽  
Author(s):  
Ellen Wilkinson ◽  
Hayley Richards
Keyword(s):  
Mental Health ◽  
Patient Group ◽  
Discharge Planning ◽  
Psychiatric Patients ◽  
Mental Health Act ◽  
Vulnerable Patient ◽  
The Media ◽  
Audit Cycle ◽  
Vulnerable Patient Group

The aftercare of psychiatric patients discharged from hospital is currently under debate among clinicians and in the media. Our study audited the planning of aftercare for detained patients discharged under section 117 of the 1983 Mental Health Act. Our completed audit cycle showed how discharge planning can be improved yet underlines the difficulties encountered in providing for this vulnerable patient group.

Compulsory Treatment for Anorexia Nervosa: Compassion or Coercion?

1993 ◽  
Vol 162 (5) ◽  
pp. 679-680 ◽  
Author(s):  
Jane Tiller ◽  
Ulrike Schmidt ◽  
Janet Treasure
Keyword(s):  
Mental Health ◽  
Anorexia Nervosa ◽  
Clinical Experience ◽  
Media Coverage ◽  
Compulsory Treatment ◽  
Mental Health Act ◽  
The Media ◽  
Court Of Appeal ◽  
Legal Opinion

Compulsory treatment for anorexia nervosa was recently once again a topic for discussion following the case of J, a 16-year-old girl who unsuccessfully applied to the Court of Appeal to refuse treatment for her anorexia nervosa. In this instance legal opinion was sought in order to clarify the Children Act 1989. However, much of the media coverage focused on the controversy surrounding the compulsory treatment of anorexia nervosa, under the provisions of the Mental Health Act 1983. There is a lack of research into the compulsory treatment of anorexia nervosa, so debate has to be informed by clinical experience.

Reasons for Involuntary Commitment in Manitoba and Ontario

1983 ◽  
Vol 28 (5) ◽  
pp. 358-361 ◽  
Author(s):  
R. A. Richert ◽  
A. H. Moyes
Keyword(s):  
Mental Health ◽  
Psychiatric Hospitalization ◽  
Psychiatric Patients ◽  
Civil Commitment ◽  
Involuntary Commitment ◽  
Necessary Condition ◽  
Mental Health Act ◽  
Explicit Reference ◽  
Self Harm

This paper concerns itself with the question of involuntary commitment of psychiatric patients in southwestern Manitoba. The purpose was to survey the reasons given for involuntary psychiatric hospitalization by a group of Manitoba physicians in 1979, and to compare these reasons with those given by their Ontario counterparts, as described in the Page and Yates (1) and Page and Firth (2) studies. Particularly, the aim was to compare the relative emphasis given to dangerousness / self-harm reasons, in view of the fact that Manitoba's Mental Health Act makes no explicit reference to the dangerousness criterion, while Ontario's legislation has increasingly specified this factor as a necessary condition for civil commitment.

Unmet Needs of Remand Prisoners

1998 ◽  
Vol 38 (3) ◽  
pp. 233-236 ◽  
Author(s):  
Tim Hardie ◽  
Kamaldeep Bhui ◽  
Phillip M Brown ◽  
James P Watson ◽  
Janet M Parrott
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Needs Assessment ◽  
Unmet Needs ◽  
Discharge Planning ◽  
Unmet Need ◽  
Assessment Protocol ◽  
Mental Health Act ◽  
Discharge Plan ◽  
Do So

A needs assessment protocol which examines 11 problem areas was devised. This was administered to 277 prisoners on remand at Brixton Prison. We found high levels of unmet need for housing, treatment of substance abuse and neurotic symptoms. Twenty-nine per cent were transferred to hospital under the provisions of the Mental Health Act and about a third of those at liberty to do so complied with a discharge plan. Diversion and discharge planning can potentially meet the unmet needs of remand prisoners.

scholarly journals Effect of the 1983 Mental Health Act on the management of psychiatric patients.

BMJ ◽  
1987 ◽  
Vol 295 (6612) ◽  
pp. 1529-1532 ◽  
Author(s):  
L Webster ◽  
C Dean ◽  
N Kessel
Keyword(s):  
Mental Health ◽  
Psychiatric Patients ◽  
Mental Health Act

scholarly journals A new appraisal of Mental Health Review Tribunals

1989 ◽  
Vol 13 (6) ◽  
pp. 299-300 ◽  
Author(s):  
A. T. Grounds
Keyword(s):  
Mental Health ◽  
Psychiatric Patients ◽  
Civil Liberties ◽  
Home Office ◽  
The Public ◽  
Mental Health Act ◽  
European Court ◽  
The Right ◽  
Prime Function ◽  
Health Review

Mental Health Review Tribunals were introduced in the Mental Health Act (1959) to safeguard psychiatric patients against unjustified detention in hospital. The powers of tribunals form “an important part of the fabric of civil liberties” (Wood, 1974). However, in exercising their prime function of preventing unjust detention, tribunals in practice also have to take into account patients' clinical needs and the protection of the public. Further weight was added to this complex burden of decision making following a judgement by the European Court of Human Rights in 1981 which upheld the right of all detained patients to a periodic judicial review of their detention. As a result of this judgement the Mental Health Act (1983) extended tribunal powers to include the release of offender patients sentenced by Crown courts and given hospital orders with restrictions on discharge. Such individuals may have been convicted of grave criminal offences, and their discharge or transfer from hospital would otherwise require the consent of the Home Office.

What it says in the papers: an audit

2001 ◽  
Vol 18 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Alison O'Connor ◽  
Patricia Casey
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Print Media ◽  
Psychiatric Patients ◽  
International Studies ◽  
International Literature ◽  
The Past ◽  
The Media ◽  
Over Time

AbstractObjectives: There have been concerns in the international literature that the manner in which psychiatry and psychiatric patients is portrayed in the print media is negative and sensational. If correct this has serious implications for the stigma and prejudice that our patients will suffer. This study was designed to evaluate the content and tone of articles relating to psychiatry. It was compared with a broadly similar study published in 1995 and will form the base from which to measure changes in psychiatric coverage over time.Method: All the daily broadsheets, one daily tabloid and three Sunday broadsheets were examined for a six month period in 1999 and all articles, letters or headlines incorporating psychiatry-related material were examined. Using specific definitions, articles and headlines were examined for tone and content as well as for the contribution of mental health professionals.Results: Overall 0.65 articles per newspaper per day were found. News items and feature predominated, with forensic issues receiving the greatest attention. The tone of the articles was either neutral or positive and the improvement in the tone of articles in the tabloids was particularly noticeable when compared with an earlier study. This is very different from the findings of international studies. However, the headlines were more sensational in tone than the contents of the articles themselves. Increasingly the opinion of health professionals was sought but contributions from psychiatrists remained low, writing just two articles and constituting 15% of health professionals whose opinions were sought. Nine per cent of items constituted misuse of terms.Conclusions: The Irish print media are not hostile to psychiatry and there has been an improvement in tone and type of article in the past five years. Greater involvement of psychiatrists in the media and particularly more direct engagement with editors is required if there is to be a shift from coverage of forensic matters in favour of informative articles as well as improvement in the headline tone.

scholarly journals Synthetic Material Abdominal Swabs Reduce Activation of Platelets and Leukocytes Compared to Cotton Materials

Biomolecules ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1023
Author(s):  
Katharina Gerling ◽  
Lisa Maria Herrmann ◽  
Christoph Salewski ◽  
Melanie Wolf ◽  
Pia Müllerbader ◽  
...  
Keyword(s):  
Patient Group ◽  
Plasma Proteins ◽  
Natural Material ◽  
Synthetic Materials ◽  
Heart Lung Machine ◽  
Vulnerable Patient ◽  
Vulnerable Patient Group ◽  
First Time ◽  
Lung Machine

During surgical procedures, cotton abdominal swabs with their high absorptive capacity and malleability are used to retain organs and absorb blood or other body fluids. Such properties of the natural material cotton are advantageous for most operations, but in cardiopulmonary bypass (CPB) surgery, a high blood volume can accumulate in the thoracic cavity that is quickly retransfused via the heart–lung machine (HLM). This common practice is supposed to be safe due to the high anticoagulation. However, in vitro analyses showed that blood cells and plasma proteins were activated despite a high anticoagulation, which can propagate especially an inflammatory response in the patient. Thus, we investigated patients’ blood during CPB surgery for inflammatory and coagulation-associated activation after contact to the HLM and either cotton or synthetic abdominal swabs. Contact with cotton significantly increased thrombocyte and neutrophil activation measured as β-thromboglobulin and PMN-elastase secretion, respectively, compared to synthetic abdominal swabs. Both inflammatory cytokines, interleukin (IL) 1β and IL6, were also significantly increased in the cotton over the synthetic patient group, while SDF-1α was significantly lower in the synthetic group. Our data show for the first time that cotton materials can activate platelets and leukocytes despite a high anticoagulation and that this activation is lower with synthetic materials. This additional activation due to the material on top of the activation exerted by the tissue contact that blood is exposed to during CPB surgery can propagate further reactions in patients after surgery, which poses a risk for this already vulnerable patient group.

scholarly journals Something less than ready access to the courts: Section 139 & Local Authorities

2014 ◽  
pp. 75
Author(s):  
David Hewitt
Keyword(s):  
Mental Health ◽  
Psychiatric Patients ◽  
Legal Practice ◽  
Local Authorities ◽  
High Court ◽  
Legal Proceedings ◽  
Mental Health Act ◽  
Political Events ◽  
Ready Access

<p align="LEFT">Psychiatric patients who wish to bring legal proceedings against those responsible for their detention or treatment can face an obstacle of which better-favoured litigants are free: because of a provision contained in section 139 of the Mental Health Act 1983 they will often have to obtain the prior leave of the High Court.</p><p align="LEFT">This paper will consider the origins of that provision. It will then focus on two of its key elements - the requirement for leave itself and the exceptions to it - and will analyse their impact upon subsequent caselaw and upon current legal practice.</p><p align="LEFT">In so doing, this paper will describe an anomaly which continues to bedevil intending claimants, and will assess the extent to which it is attributable to the legal and political events of a generation ago, and to a legislative impulse which is even more keenly felt today.</p>

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