Audit of transfers under the Mental Health Act from prison – the impact of organisational change

2002 ◽  
Vol 26 (10) ◽  
pp. 368-370 ◽  
Author(s):  
Sarah Isherwood ◽  
Janet Parrott
Keyword(s):  
Mental Health ◽  
Organisational Change ◽  
Government Policies ◽  
Care Provision ◽  
Mentally Disordered Offenders ◽  
Average Delay ◽  
Mentally Disordered ◽  
Mental Health Act ◽  
Prison Health ◽  
The Impact

AIMS AND METHODTo describe the change in the number of referrals of prisoners and the delay in transfer to hospital under the Mental Health Act following a change in the prison health care provision. The transfer time (time from referral to transfer to psychiatric hospital) of prisoners has been audited previously over 1996 and 1997.RESULTSThere has been an increase in the number of prisoners transferred. Both transfers under Section 48 of the Mental Health Act and the proportion of transfers to high security have increased. The average delay in transfer remains lengthy and there is a trend of increasing delay with increasing level of placement security.CLINICAL IMPLICATIONSDespite Government policies to facilitate the transfer of mentally disordered offenders, we found an increase in the delay to hospital compared with previous audits.

Interim Hospital Order — A Regional Secure Unit experience

1994 ◽  
Vol 34 (3) ◽  
pp. 233-236 ◽  
Author(s):  
A Kaul
Keyword(s):  
Mental Health ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Mental Health Act ◽  
Secure Unit ◽  
Psychopathic Disorder

The Mental Health Act, 1983, provides certain new provisions for the disposal of mentally disordered offenders, including the Interim Hospital Order. This Order allows the appropriateness of an eventual Hospital Order to be assessed. However, there is a wide variation in the use of the Interim Hospital Order. This paper examines the use of this Order in the Trent Regional Secure Unit, where it seems to have been used principally to assess the treatability of patients under the category of psychopathic disorder.

The impact on clinical practice of the 2015 reforms to the New South Wales Mental Health Act

2016 ◽  
Vol 25 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Christopher James Ryan ◽  
Sascha Callaghan
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Clinical Practice ◽  
Persons With Disabilities ◽  
Mental Health Act ◽  
Recovery Movement ◽  
South Wales ◽  
Management Plans ◽  
Decision Making Model ◽  
The Impact

Objectives: The Mental Health Act 2007 (NSW) ( MHA) was recently reformed in light of the recovery movement and the United Nations Convention on the Rights of Persons with Disabilities. We analyse the changes and describe the impact that these reforms should have upon clinical practice. Conclusions: The principles of care and treatment added to the MHA place a strong onus on clinicians to monitor patients’ decision-making capacity, institute a supported decision-making model and obtain consent to any treatment proposed. Patients competently refusing treatment should only be subject to involuntary treatment in extraordinary circumstances. Even when patients incompetently refuse treatment, clinicians must make every effort reasonably practicable to tailor management plans to take account of any views and preferences expressed by them or made known via friends, family or advance statements.

scholarly journals Reforming the Mental Health Act 1983: ‘Joined Up Compulsion’

2014 ◽  
Vol 1 (5) ◽  
pp. 5
Author(s):  
Philip Fennell
Keyword(s):  
Mental Health ◽  
Learning Disabled ◽  
Legal Framework ◽  
White Paper ◽  
Best Interests ◽  
Mentally Disordered ◽  
Mental Health Act ◽  
Risk Patients ◽  
The Government ◽  
Personality Disordered

<p>This article discusses the two volume White Paper <em>Reforming the Mental Health Act</em> issued by the Government in December 2000. The two volumes are separately titled <em>The New Legal Framework</em> and <em>High Risk Patients</em>. The foreword to the White Paper appears above the signatures of the Secretary of State for Health, Alan Milburn, and the Home Secretary, Jack Straw. This is heralded as an example of ‘joined up government’, and indeed one of the themes of the White Paper is the need for closer working between the psychiatric and criminal justice systems. The primary policy goal of the proposals is the management of the risk posed to other people by people with mental disorder, perhaps best exemplified in Volume One of the White Paper which proclaims that ‘Concerns of risk will always take precedence, but care and treatment should otherwise reflect the best interests of the patient.’ This is a clear reflection of the fact that the reforms are taking place against the background of a climate of concern about homicides by mentally disordered patients, whether mentally ill, learning disabled, or personality disordered.</p>

scholarly journals Service innovations: the Orchard Clinic: Scotland's first medium secure unit

2003 ◽  
Vol 27 (03) ◽  
pp. 105-107 ◽  
Author(s):  
D. Nelson
Keyword(s):  
United Kingdom ◽  
Forensic Psychiatry ◽  
Psychiatric Care ◽  
Government Policies ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Care Services ◽  
The United Kingdom ◽  
Secure Unit ◽  
The Government

The development of forensic psychiatry provision in Scotland lags behind that in other parts of the United Kingdom. Until recently, there were no medium secure units in the country and mentally disordered offenders (MDOs) requiring such care had to be managed in intensive psychiatric care unit (IPCU) settings. In November 2000, The Orchard Clinic, a medium secure unit sited at the Royal Edinburgh Hospital, was opened. This paper discusses the background to this development, the government policies setting out plans for the care, services and support of MDOs in Scotland, progress and work of the new unit to date and plans for developments in other parts of Scotland.

Service innovations: the Orchard Clinic: Scotland's first medium secure unit

2003 ◽  
Vol 27 (3) ◽  
pp. 105-107 ◽  
Author(s):  
D. Nelson
Keyword(s):  
United Kingdom ◽  
Forensic Psychiatry ◽  
Psychiatric Care ◽  
Government Policies ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Care Services ◽  
The United Kingdom ◽  
Secure Unit ◽  
The Government

The development of forensic psychiatry provision in Scotland lags behind that in other parts of the United Kingdom. Until recently, there were no medium secure units in the country and mentally disordered offenders (MDOs) requiring such care had to be managed in intensive psychiatric care unit (IPCU) settings. In November 2000, The Orchard Clinic, a medium secure unit sited at the Royal Edinburgh Hospital, was opened. This paper discusses the background to this development, the government policies setting out plans for the care, services and support of MDOs in Scotland, progress and work of the new unit to date and plans for developments in other parts of Scotland.

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