scholarly journals PMH14 - SOCIAL FUNCTIONING AT ADMISSION IN PATIENTS WITH MENTAL ILLNESS HOSPITALIZED COMPULSORILY BY PREFECTURAL GOVERNORS IN ACCORDANCE WITH THE PROVISIONS OF ARTICLE 29 OF THE JAPANESE MENTAL HEALTH ACT.

2018 ◽  
Vol 21 ◽  
pp. S277
Author(s):  
A. Inagaki ◽  
H. Seto ◽  
T. Shimada ◽  
T. Otsuka ◽  
H. Iwanaga ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Functioning ◽  
Mental Health Act

R v Westwood (Thomas): diminished responsibility and disposals under the Mental Health Act 1983

2021 ◽  
Vol 72 (2) ◽  
Author(s):  
Sean Mennim
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
England And Wales ◽  
Mental Health Act ◽  
Court Of Appeal ◽  
Diminished Responsibility

This is a commentary on R v Westwood (Thomas), where the Court of Appeal of England and Wales held that the judge had erred in assessing Westwood’s ‘retained responsibility’ as medium to high under the Sentencing Council Guideline for manslaughter by reason of diminished responsibility. Although the sentencing judge concluded that the offending was caused by Westwood’s anger, the Court of Appeal found the psychiatric evidence clearly indicated that the most significant factor was Westwood’s mental illness and that his anger at the time of the offence was a manifestation of his mental illness. Westwood’s responsibility was low, and it was appropriate to impose both a hospital and restriction order.  

scholarly journals Does having been on a ‘section’ reduce your chances of getting a job?

2003 ◽  
Vol 27 (05) ◽  
pp. 177-178 ◽  
Author(s):  
John Fenton ◽  
Dee O'Hanlon ◽  
Danny Allen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Potential Effect ◽  
Job Applicants ◽  
Small Companies ◽  
Medical Opinion ◽  
Mental Health Act ◽  
History Of ◽  
Fitness To Work ◽  
Job Prospects

Aims and Method To ascertain employers' attitudes to interviewing and hiring job applicants with a history of mental illness and, in particular, to assess the potential effect on job prospects for applicants with a history of admission under the Mental Health Act 1983. A postal tick-box questionnaire was sent to 174 companies; there was a 32% response rate. Results The main factors influencing employers' hiring decisions were medical opinion regarding an applicant's fitness to work and their employment and sickness records. In about three-quarters of small companies and half of large companies, questions about mental illness are simply never asked. Clinical Implications Approved social workers have no reason to caution people assessed under the Mental Health Act 1983 that being detained could harm their job prospects.

scholarly journals The social adjustment of people with severe mental illness in São Paulo, Brazil

2005 ◽  
Vol 27 (4) ◽  
pp. 309-314 ◽  
Author(s):  
André Gulinelli ◽  
Lilian R C Ratto ◽  
Paulo Rossi Menezes
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Functioning ◽  
Social Adjustment ◽  
Psychiatric Symptoms ◽  
Sao Paulo ◽  
Mental Illnesses ◽  
São Paulo ◽  
The Social

OBJECTIVE: To investigate the social adjustment of individuals with severe mental illness living in the community in a large urban center of a developing country, and the characteristics associated with poor social functioning. METHOD: A cross-sectional study was performed in the city of Sao Paulo. Eligible subjects were residents of a defined geographic area, aged between 18 and 65, with a diagnosis of functional psychosis who had had contact with any public psychiatric service during a defined period. Structured assessments were used to obtain information on social-demographic characteristics, diagnosis (ICD-10), psychiatric symptoms (PANSS), and social adjustment (DAS). RESULTS: One hundred and eighty-eight subjects were included, of whom, 120 (63.8%) had some degree of impairment in social functioning. The most frequently affected areas of social functioning were work performance and sexual role. Twenty-four patients (12.8%) showed poor or very poor social adjustment in the month prior to the interview. Negative symptoms, number of previous admissions and general symptoms showed statistically significant associations with global social adjustment scores. CONCLUSIONS: The proportion of patients showing any degree of impairment in social adjustment was as high as in more developed societies. In order to successfully implement the new mental health policy in Brazil, better provision of community-based mental health services for those with severe mental illnesses is needed.

Section 48: an underused provision?

1992 ◽  
Vol 16 (2) ◽  
pp. 97-98 ◽  
Author(s):  
Tim Exworthy ◽  
Janet M. Parrott ◽  
Paul K. Bridges
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Treatment ◽  
Mental Impairment ◽  
The Past ◽  
Mental Health Act ◽  
Secretary Of State

Section 48 of the Mental Health Act, 1983 (MHA) permits the Secretary of State to authorise the removal to hospital of an unsentenced prisoner who is ‘suffering from mental illness or severe mental impairment of a nature or degree which makes it appropriate for him to be detained in a hospital for medical treatment and that he is in urgent need of such treatment’. (Mental Health Act, 1983). Its common usage in the past has been in transfers of unsentenced prisoners from prison to hospital.

scholarly journals The Mental Health Act 1983

1999 ◽  
Vol 23 (9) ◽  
pp. 534-536 ◽  
Author(s):  
Vijay Bhatti ◽  
Jeremy Kenney-Herbert ◽  
Rosemarie Cope ◽  
Martin Humphreys
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Clinical Practice ◽  
Random Sample ◽  
Clinical Implications ◽  
The West ◽  
Mental Health Act ◽  
West Midlands

Aims and methodA one-in-five random sample (n=104) of practitioners approved under Section 12(2) of the Mental Health Act 1983 in the West Midlands was selected. Opinions were sought on issues relating to current law and potential reform.ResultsEighty-three (80%) doctors were interviewed. Over half (52%) stated that the term ‘mental illness' in the Act was unsatisfactory. Two-thirds (68%) specified the need for a review of legislation relating to treatment in the community.Clinical implicationsThere was a diversity of views. This is likely to be reflected in the clinical practice of those interviewed. Many respondents believed that there was a need for reform in specific areas of the Act.

scholarly journals Competency and use of the Mental Health Act – a matrix to aid decision-making

2002 ◽  
Vol 26 (3) ◽  
pp. 104-106
Author(s):  
Jacinta Tan ◽  
Martin Elphick
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Illness ◽  
Good Practice ◽  
Clinical Situation ◽  
Clinical Implications ◽  
Clear Understanding ◽  
Mental Health Act ◽  
Aid Decision

Aims and MethodCompetence in patients with mental illness is an issue of growing importance. We present a matrix that provides a new tool to separate the elements involved.ResultsThis matrix is compatible with, and makes explicit, the Richardson Committee's suggestions concerning the incorporation of a test of capacity in Mental Health Act assessments.Clinical ImplicationsWe suggest that use of this matrix may offer practical help to clinicians in arriving at a clear understanding of each clinical situation and guide good practice in the use of the Mental Health Act, particularly in problematic cases.

scholarly journals Why it’s time to stop saying “mental illness”:  A commentary on the revision of the Irish Mental Health Act

2021 ◽  
Vol 4 ◽  
pp. 28
Author(s):  
Malcolm MacLachlan ◽  
Rebecca Murphy ◽  
Michael Daly ◽  
Philip Hyland
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
United Nations ◽  
Mental Disorder ◽  
Best Practice ◽  
Mental Health Problems ◽  
World Health ◽  
Persons With Disabilities ◽  
Mental Health Act ◽  
The United Nations

The Irish Mental Health Act (2001) is undergoing revision.  In 2014 an Expert Review Group recommended that the term currently used in the act “mental disorder”, should be replaced with the term “mental illness”.  We argue that the proposed change, while well intentioned, contradicts the internationally adopted terminology of “mental disorder” used by the United Nations, World Health Organisation and European Commission. The term “mental illness” is atavistic, it implies an unsupported cause, it contravenes the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), and it is associated with concerns regarding stigma and reduced self-efficacy.  Furthermore, the term “mental illness” is not used in any internationally accepted diagnostic or classification system in the mental health field. While any term used to describe mental health problems, may be contested, Ireland should not revert to using archaic terminology.  In accordance with international best practice, and perhaps in lieu of a willingness to accept more progressive alternatives, Ireland should continue to use cause-neutral terminology, such as “mental disorder”, in the revised Mental Health Act.

scholarly journals The hidden cost of not having a dual diagnosis team (an audit looking at inpatient admissions for Redbridge Community Recovery Team West)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S65-S66
Author(s):  
Madeeha Bandukda ◽  
Muhammad Aadil Bhenick ◽  
Najam Chaudry ◽  
Henok Getachew
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Dual Diagnosis ◽  
Drug Screening ◽  
Substance Misuse ◽  
Drug Misuse ◽  
Urine Drug Screen ◽  
Mental Health Act ◽  
Urine Drug ◽  
Urine Drug Screening

AimsCo-existing mental illness and substance misuse is highly prevalent within the UK, with approximately 40% of people diagnosed with psychosis having a history of substance misuse. However, in Redbridge we currently do not have access to a dual diagnosis team or integrated care.This audit aims to assess the health and social implications of fragmented care, plus the effectiveness of mental health services in assessing patients with dual diagnosis and referring to specialist misuse teams. We used the NICE guidelines on co-existing severe mental illness and substance misuse [CG120] to help guide our recommendations.MethodWe identified 50 out of 359 patients within our service who were admitted to psychiatric hospital over a one year period (between 01/11/2019- 01/11/2020).We looked at medication compliance, use of the Mental Health Act and accommodation status to compare between those with and without known dual diagnosis. We used frequency and length of admission as indicators of how successfully patients were being managed in the community and the cost to the hospital trust. Urine drug screening and referral to substance misuse services were chosen as markers of whether patients were being appropriately managed on admission.ResultA higher percentage of patients with dual diagnosis were detained under the Mental Health Act compared to those without substance misuse (89% versus 72%). They were more likely to have no fixed abode (28% versus 13%) and be non-compliant with treatment pre-admission (83% versus 56%). Patients with dual diagnosis also had a higher number of hospital admissions, with a greater proportion having 3 admissions that year (11% versus 3%).Only 50% of patients with known dual diagnosis had a urine drug screen performed on admission and just 25% of patients who were currently misusing substances were referred to specialist services by the inpatient team.ConclusionOur audit found that there are overall poorer outcomes for patients with dual diagnosis versus a psychiatric illness only. It is evident that integration of services will improve the care we are able to provide and reduce costs associated with multiple admissions to hospital.We identified three key areas for improvement. Firstly, we advised on the need to improve documentation. Additionally, we recommend ensuring assessment of current drug misuse is done on admission, including performing simple tests such as urine drug screening. Finally, we highlighted the need to improve discussions about substance misuse with patients, within teams and between services, aiming for integrated and holistic care.

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