scholarly journals The Commission for Health Improvement (CHI) review of North Birmingham Mental Health Trust: What can we hope for from the CHI?

2002 ◽  
Vol 180 (1) ◽  
pp. 6-7 ◽  
Author(s):  
Tom Burns
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Health Improvement ◽  
Multidisciplinary Teams ◽  
Health Advisory ◽  
Advisory Service ◽  
Mental Health Act ◽  
Audit Commission ◽  
Health Trust

If you are working in mental health, you get used to being inspected and commented upon – the Mental Health Act Commission, Audit Commission, Social Services Inspectorate, Health Advisory Service (HAS, as was) and public inquiries into patient homicides. Working in multidisciplinary teams has made us used to operating with a variety of perspectives and for most of us this is a necessary and welcome part of the job. Few psychiatrists, however, are so sanguine about the former HAS or about homicide inquiries. The repeated complaint has been their inconsistency. Their quality and tone (potentially as damaging as their findings) have varied to quite an indefensible degree.

scholarly journals Aftercare: who attends section 117 meetings?

1995 ◽  
Vol 19 (2) ◽  
pp. 106-107
Author(s):  
Rosemary Lethem
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Patient Care ◽  
Social Services ◽  
Local Health ◽  
Hospital Department ◽  
Health And Social Services ◽  
Mental Health Act ◽  
Department Of Health ◽  
Legal Duty

The purpose of aftercare is to enable patients to return to their home or accommodation other than a hospital or nursing home, and to minimse the need for future in-patient care. Under section 117 of the Mental Health Act 1983, local health and social services authorities have a legal duty to provide aftercare for certain categories of patients when they leave hospital (Department of Health and Welsh Office, 1993).

scholarly journals CHEAF (Child Health and Education Assessment Forum): a multi-disciplinary powwow for children

1999 ◽  
Vol 23 (2) ◽  
pp. 104-106 ◽  
Author(s):  
Christine Williams ◽  
Barry Wright ◽  
Rob Smith
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Child Health ◽  
Health Services ◽  
Child And Adolescent ◽  
Health Advisory ◽  
Education Assessment ◽  
Professional Boundaries ◽  
Advisory Service ◽  
Specialist Services

It has been recommended that child and adolescent mental health services operate on four tiers (NHS Health Advisory Service, 1995). Tier three represents specialist teams, where professionals work together to provide specialist services. Since additional resources have not been forthcoming to support such developments, existing teams frequently restructure themselves in order to operate in this way. One way of rationalising existing resources effectively is to establish interagency links so that multi-disciplinary working is not limited by professional boundaries. This can occur across as well as within teams.

scholarly journals Tier 2 CAMHS and its interface with primary care

2000 ◽  
Vol 6 (5) ◽  
pp. 388-396 ◽  
Author(s):  
Peter Appleton
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Social Services ◽  
Mental Health Problems ◽  
Health Department ◽  
Tier 2 ◽  
Care Level ◽  
Primary Care Level ◽  
Department Of Health ◽  
Audit Commission

During the past decade, increasing attention has been paid to the primary care level of service for children and adolescents with mental health problems. In particular, a number of national reports have advised service commissioners and providers to increase the amount of specialist child and adolescent mental health services (CAMHS) support to primary care colleagues (Department of Health/Department for Education/Social Services Inspectorate, 1995; National Health Service (NHS)/Health Advisory Service (HAS), 1995; Audit Commission, 1999).

Demographic and referral patterns of people detained under Section 136 of the Mental Health Act (1983) in a south London Mental Health Trust from 2005 to 2008

2010 ◽  
Vol 50 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Rohan D Borschmann ◽  
Steven Gillard ◽  
Kati Turner ◽  
Kath Lovell ◽  
Norman Goodrich-Purnell ◽  
...  
Keyword(s):  
Mental Health ◽  
Referral Patterns ◽  
Mental Health Act ◽  
Health Trust

scholarly journals The impact of COVID-19 on an inpatient mother and baby unit: a service evaluation

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S316-S316
Author(s):  
Joanna Cranshaw ◽  
Gertrude Seneviratne ◽  
Ranga Rao ◽  
Julia Ogunmuyiwa ◽  
Rebecca McMillin ◽  
...  
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Social Services ◽  
Unit Length ◽  
Perinatal Period ◽  
Service Evaluation ◽  
Psychotic Illness ◽  
Mental Health Act ◽  
Mother And Baby Unit ◽  
The Impact

AimsUnique challenges have been faced by women in the perinatal period during the COVID-19 pandemic and the impact of this is compounded for women suffering from mental illness. This service evaluation looked at different aspects of the treatment pathway on a specialist inpatient psychiatric Mother and Baby Unit during the pandemic to identify what changes occurred.MethodData were collected for all admissions to the unit between January 2019 and October 2020, with the beginning of the pandemic being defined as on or after 1st March 2020. Information was collected retrospectively from electronic clinical notes on ethnicity, length of stay, diagnosis, mental health act use and restrictive practice, medication, psychology, occupational therapy and social services involvement.ResultThere were 114 admissions to the MBU during the study period. 4 were parenting assessments rather than acute psychiatric admissions and were excluded from the analysis, giving a sample of 110 women. 58% (62/110) were classed as “pre-pandemic” and 43.6% (48/110) were “during pandemic”. 95.45% (105/110) of women were postpartum 4.55% (5/110) were pregnant. Mean length of stay was shorter during the pandemic at 44 days, compared to 61 pre-pandemic. There was greater use of the mental health act during the pandemic: only 43.75% of patients were informal throughout admission, compared to 70.97% pre-pandemic. Mean duration of detention was shorter at 25 days (32 pre-pandemic). Psychotic illness made up a greater proportion of diagnoses during the pandemic: 56% (27/48) compared to 44% (27/62) pre-pandemic. The next most common diagnostic group was mood and anxiety disorders, which made up 29% (14/48) of diagnoses during the pandemic, but 43% (27/62) pre-pandemic. Outcomes as measured using the Health of the Nation Outcome Scale showed a mean improvement between admission and discharge of 6.65, compared to 5.15 pre-pandemic. HONOS scores were higher on admission during the pandemic (12.83, vs 10.88), suggesting a higher level of acuity.ConclusionDuring the COVID-19 pandemic on this Mother and Baby Unit, length of stay was shorter, a greater proportion of patients were detained under the mental health act (although length of detention was shorter) and psychotic illness was more prevalent. This study demonstrates that there were differences in this perinatal inpatient population during the pandemic and this may be a reflection on the wider impact of COVID-19 on perinatal mental health.

scholarly journals A survey of psychiatrists' views of the use of the Children Act and the Mental Health Act in children and adolescents with mental health problems

2001 ◽  
Vol 25 (8) ◽  
pp. 304-306 ◽  
Author(s):  
Alex Mears ◽  
Adrian Worrall
Keyword(s):  
Mental Health ◽  
Children And Adolescents ◽  
Social Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Children And Young People ◽  
Project Report ◽  
Mental Health Act ◽  
Department Of Health ◽  
Consent To Treatment

Aims and MethodTo identify psychiatrists' concerns relating to the use of legislation in children and young people with mental health problems. Four hundred and eighty members of the child and adolescent faculty of the Royal College of Psychiatrists were asked to list their main concerns.ResultsTwo hundred and fifty-eight members responded. The four most reported themes were: choosing between the Mental Health Act and the Children Act; general issues around consent to treatment; issues with social services departments; and the stigma associated with using the Mental Health Act.Clinical ImplicationsThe range of themes identified from this survey have served to focus the evaluation of the use of the Children Act and the Mental Health Act in Children and Adolescents in Psychiatric Settings (CAMHA-CAPS), and informed the design of subsequent data collection tools. The project report has now been submitted to the Department of Health for consideration.

Une Approche Pro-Active D'intervention Communautaire en Milieu Rural

1993 ◽  
Vol 12 (1) ◽  
pp. 177-200 ◽  
Author(s):  
Denis Chabot ◽  
Céline Mercier ◽  
Jérome Guay
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Service Management ◽  
Local Community ◽  
Collaborative Work ◽  
Health Centre ◽  
Evaluation Study ◽  
Multidisciplinary Teams ◽  
Intervention Design ◽  
Self Help

This paper reports an evaluation study of a pilot project held in a “CLSC” (Local Community Health Centre) located in a rural community. The intervention design is based on multidisciplinary teams created to meet specific local community needs. Mental health intervention is part of community-based approach open to all kinds of requests for support. Practitioners in the field give support not only to the individual with a mental health problem, but also to existing self-help networks in the community. The intervention is also designed to change the relationship between a professional, seen as the one who provides services, and a client, defined as a consumer. The term “client” gains a wider meaning, and collaborative work with informal self-help networks induces a closer relationship between the community and the practitioner. The practitioner is more open to local community values and adjusts his or her practice to match variable contexts. The evaluation study has expanded knowledge on this type of intervention design, on its impact upon service demand, intervention modalities, and service management and organization. This project was coupled with a similar project in an urban environment and was financed by the Health and Social Services Ministry in Québec.

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.

scholarly journals The College's Recommendations

1981 ◽  
Vol 5 (7) ◽  
pp. 132-132
Keyword(s):  
Mental Health ◽  
Patient Care ◽  
Royal College ◽  
National Development ◽  
Community Services ◽  
Health Advisory ◽  
Development Team ◽  
Mentally Disordered ◽  
Advisory Service ◽  
Health Review

The Royal College of Psychiatrists recommends the formation of a Mental Health Commission or Commissions. These will be independent bodies to look after the welfare of individual mentally disordered persons. They may be the appropriate bodies to deal with matters of individual patient care which are not the responsibility of other bodies, such as the Health Advisory Service, which deals with hospitals and some community services, Mental Health Review Tribunal's which are concerned with detained patients only, the National Development Team which deals with the mentally handicapped and the Court of Protection which is concerned with the administration of patients' affairs and property.

scholarly journals Community-Based Mental Health Care in Britain

2020 ◽  
Vol 1 (2) ◽  
pp. 14-20
Author(s):  
T. Burns
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Services ◽  
Multidisciplinary Teams ◽  
Outpatient Psychotherapy ◽  
Family Doctors ◽  
Assertive Outreach ◽  
Admission Rates ◽  
The Uk

Community mental health care in the UK was established by two influential mental health acts (MHAs). The 1930 MHA legislated for voluntary admissions and outpatient clinics. The 1959 MHA required hospitals to provide local follow- up after discharge, required them to work closely with local social services and obliged social services to help with accommodation and support. An effect of this was to establish highly sectorized services for populations of about 50,000. These were served by multidisciplinary teams (generic CMHTs), which accepted all local referrals from family doctors. Sector CMHTs evolved a pragmatic approach with an emphasis on skill-sharing and outreach, depending heavily on community psychiatric nurses. The NHS is funded by central taxation, with no distortion of clinical practice by per-item service fees. It is highly centrally regulated, with a strong emphasis on evidence-based treatments.Since 2000, generic sector teams have gradually been replaced or enhanced by Crisis Resolution Home Treatment teams, Assertive Outreach Teams and Early Intervention Teams. Assertive Outreach Teams were resorbed into CMHTs, based on outcome evidence. The last decade has seen a major expansion in outpatient psychotherapy (Improving Access to Psychological Treatments (IAPT) services) and in specialist teams for personality disorders and perinatal psychiatry. The traditional continuity of care across the inpatient-outpatient divide has recently been broken. During the last decade of austerity, day care services have been decimated, and (along with the reduction in availability of beds) compulsory admission rates have risen sharply. Mental health care is still disadvantaged, receiving 11% of the NHS spend while accounting for 23% of the burden of disease.

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