scholarly journals Workload implications of the proposed new Mental Health Act – an audit

2003 ◽  
Vol 27 (02) ◽  
pp. 54-57
Author(s):  
Sean Whyte ◽  
Clive Meux
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
White Paper ◽  
Law Reform ◽  
Clinical Implications ◽  
Health Law ◽  
Forensic Patients ◽  
Mental Health Act ◽  
The Government ◽  
Time Required

Aims and Method To estimate specific time and resource implications for professionals, if proposed changes to the Mental Health Act 1983 (England & Wales) in the Government's white paper were to be implemented unchanged. An audit of time spent on current procedures was extrapolated. Results The amount of time required to comply with the Act will rise substantially (by 27% overall). Social workers and independent doctors will spend 30% and 207% more time respectively, complying with the Act, but psychiatrists providing clinical care to forensic patients should be largely unaffected. Clinical Implications If the Government presses ahead with its plans for mental health law reform as currently proposed, extra resources will be required to provide additional social work and independent medical time – or other services for patients will suffer.

Workload implications of the proposed new Mental Health Act – an audit

2003 ◽  
Vol 27 (2) ◽  
pp. 54-57 ◽  
Author(s):  
Sean Whyte ◽  
Clive Meux
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
White Paper ◽  
Law Reform ◽  
Clinical Implications ◽  
Health Law ◽  
Forensic Patients ◽  
Mental Health Act ◽  
The Government ◽  
Time Required

Aims and MethodTo estimate specific time and resource implications for professionals, if proposed changes to the Mental Health Act 1983 (England & Wales) in the Government's white paper were to be implemented unchanged. An audit of time spent on current procedures was extrapolated.ResultsThe amount of time required to comply with the Act will rise substantially (by 27% overall). Social workers and independent doctors will spend 30% and 207% more time respectively, complying with the Act, but psychiatrists providing clinical care to forensic patients should be largely unaffected.Clinical ImplicationsIf the Government presses ahead with its plans for mental health law reform as currently proposed, extra resources will be required to provide additional social work and independent medical time – or other services for patients will suffer.

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 ‘Offenders, Deviants or Patients’ - Comments on Part Two of the White Paper

2014 ◽  
Vol 1 (5) ◽  
pp. 21
Author(s):  
Herschel Prins
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Good Deal ◽  
Legal Framework ◽  
White Paper ◽  
Green Paper ◽  
Expert Committee ◽  
The Past ◽  
Mental Health Act ◽  
The Government

<p align="LEFT">The Government White Paper Reforming the Mental Health Act follows closely on the heels of the Green Paper - Reform of the Mental Health Act, 1983 which derives from (but also departs from in many respects) the Report of the Expert Committee chaired by Professor Genevra Richardson. One could say, with some justification, that mental health professionals have been ‘deluged’ with paper in this area in the past year or two, so that trying to discern trends has become very difficult. In particular, the material in the White Paper is somewhat closely written and needs to be read with a good deal of care (or, so it seemed to me). To complicate matters further, offender-patients are also discussed in Part I of the White Paper (The Legal Framework) whereas it would have been more logical to have dealt with the proposed provisions for them in Part II. For clarity, I propose to deal with all these matters under one heading.</p>

scholarly journals Foreword

2014 ◽  
Vol 1 (10) ◽  
pp. 5
Author(s):  
Charlotte Emmett
Keyword(s):  
Mental Health ◽  
Health Law ◽  
Mental Health Law ◽  
England And Wales ◽  
Mental Health Act ◽  
Parliamentary Committee ◽  
Second Year ◽  
Deja Vu ◽  
The Government ◽  
Déjà Vu

<p align="LEFT">Those who have been following the progress of the mental health law reforms in England and Wales may be forgiven for experiencing a sense of déjà-vu during the Queen’s Speech last year, as the much anticipated Mental Health Bill was (perhaps not surprisingly) absent from the Government’s parliamentary agenda for the second year running. It would seem that ministers are unable to reach agreement on the exact direction of the new Bill. There are also rumblings that the much needed Mental Health Act reforms are not being afforded sufficiently high priority by the Government. John Reid, the Health Secretary, was quick to respond such criticisms in November, confirming the Government’s intention to bring forward a revised Bill for pre-legislative scrutiny by Parliamentary Committee “as soon as possible”. For the time being however, it remains to be seen when the new reforms will be introduced.</p>

scholarly journals Foreword

2014 ◽  
Vol 1 (5) ◽  
pp. 3
Author(s):  
Charlotte Emmett
Keyword(s):  
Mental Health ◽  
White Paper ◽  
Mental Health Act ◽  
The Government

<p align="LEFT">We begin this issue of the Journal by focusing on Parts I and II of the Government White Paper - Reforming the Mental Health Act, which was published in December last year.</p>

scholarly journals Mental Health and Compulsion

2014 ◽  
pp. 16
Author(s):  
Margaret Pedler
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
European Convention ◽  
Green Paper ◽  
Health Law ◽  
Mental Health Law ◽  
Mental Health Act ◽  
The Government

<p>This article looks at the role of compulsion in mental health law as it applies to civil patients. It starts by setting out the existing position and the Government’s proposals for reform as set out in the current Green Paper “Reform of the Mental Health Act 1983”. It goes on to consider principles which might be relevant to this area of law and the application of these to the Government proposals. Finally, it looks at the relevance of the European Convention on Human Rights.</p>

scholarly journals What psychiatrists think about Part III of the Mental Health Act 1983

1999 ◽  
Vol 23 (12) ◽  
pp. 721-725 ◽  
Author(s):  
Alec Buchanan ◽  
John Gunn
Keyword(s):  
Mental Health ◽  
Response Rates ◽  
Postal Survey ◽  
Clinical Implications ◽  
England And Wales ◽  
Radical Reform ◽  
Mental Health Act ◽  
The Government ◽  
Psychopathic Disorder

Aims and methodThe government has proposed a ‘root and branch’ review of the Mental Health Act 1983 to be conducted by the end of 1999. The aim of the study was to establish the views of general and forensic psychiatrists as to the adequacy of present legislative provision for England and Wales. The study was carried out by postal survey.ResultsThe response rates were 82%, for forensic psychiatrists and 67%, for general psychiatrists. Most respondents considered most of present provision satisfactory. Areas considered in need of amendment were: the term ‘psychopathic disorder’; the requirement for an offence punishable by imprisonment before a hospital order can be made, provision for remands to hospital and the loss of clinical independence consequent upon the making of a restriction order.Clinical implicationsForensic psychiatrists seem more willing than general psychiatrists to see their clinical discretion limited by the courts. Most of the suggestions were for changes to individual aspects of the present legislation rather than radical reform.

The role of the nearest relative in mental health law

2020 ◽  
Vol 29 (21) ◽  
pp. 1296-1297
Author(s):  
Richard Griffith
Keyword(s):  
Mental Health ◽  
Health Law ◽  
Senior Lecturer ◽  
Mental Health Law ◽  
Mental Health Act

Richard Griffith, Senior Lecturer in Health Law at Swansea University, considers the role of the nearest relative, a statutory friend, appointed for patients detained under the Mental Health Act 1983

scholarly journals Adolescent units: a need for change?

2003 ◽  
Vol 27 (8) ◽  
pp. 292-294 ◽  
Author(s):  
Tim Calton ◽  
Jon Arcelus
Keyword(s):  
Mental Health ◽  
Psychiatric Diagnosis ◽  
Adjustment Disorder ◽  
General Purpose ◽  
Clinical Implications ◽  
Violent Behaviour ◽  
Mental Health Act

Aims and MethodTo describe the characteristics and diagnoses of patients admitted to a general adolescent psychiatric in-patient unit. We describe the age, gender and psychiatric diagnosis of the patient, as well as whether the patient exhibited violent behaviour in the ward, whether he/she needed to be transferred to a different service and whether he/she was admitted under a section of the Mental Health Act 1983.ResultsPatients were evenly distributed in terms of gender, with most being 14–16 years old. Diagnoses were varied with adjustment disorder predominating, but could be separated into four main groups. Levels of violence were high, being associated with detention under the Mental Health Act 1983, and often resulted in transfer to another service.Clinical ImplicationsThe needs of certain adolescents admitted to a general-purpose adolescent unit may not be best met in this environment. Current services must change to meet the needs of their patients. There may be a need for greater specialisation.

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