scholarly journals The Care Programme Approach and the end of indefinitely renewable Leave of Absence in Scotland

2014 ◽  
Vol 1 (11) ◽  
pp. 101
Author(s):  
Jacqueline Atkinson ◽  
Helen C Garner ◽  
W Harper Gilmour ◽  
James A T Dyer
Keyword(s):  
Mental Health ◽  
Patient Care ◽  
Community Care ◽  
Multiple Methods ◽  
Care Programme ◽  
Mental Health Patients ◽  
Leave Of Absence ◽  
Negative Comments ◽  
The Relationship ◽  
Difficult Situations

<strong><strong></strong></strong><p align="LEFT"><strong>Objective</strong></p><strong></strong><p align="LEFT">To consider the relationship between the restriction of leave of absence (LOA) to 12 months, the introduction of community care orders (CCOs) and the implementation of the Care Programme Approach (CPA).</p><strong><strong></strong></strong><p align="LEFT"><strong>Design</strong></p><strong></strong><p align="LEFT">Multiple methods were employed: scrutiny of Mental Welfare Commission for Scotland (MWC) records; questionnaire to consultant psychiatrists and mental health officers (MHOs) regarding attitudes; survey of psychiatrists in respect of outcomes for named patients.</p><strong><strong></strong></strong><p align="LEFT"><strong>Setting</strong></p><strong></strong><p align="LEFT">Scotland</p><strong><strong></strong></strong><p align="LEFT"><strong>Subjects</strong></p><strong></strong><p align="LEFT">Two hundred and sixty six patients who were affected by the changes introduced by the Mental Health (Patients in the Community) Act 1995.</p><p align="LEFT"><strong>Results</strong></p><p>Information was available for 195 (73%) patients in relation to CPA. Of these 113 (58%) were included on CPA and for 63/113 (56%) (63/195 (32%)) CPA was considered to have enhanced patient care.</p><p>Where CPA was considered useful it was because it was seen as bringing people together, enhancing the patient’s role in treatment and managing difficult situations. Negative comments regarding CPA were that it was unnecessary as the patient’s needs were straightforward, it duplicated current practices or it was too bureaucratic.</p><p><strong>Conclusions</strong></p><p>Despite concerns expressed by professionals about the restriction to LOA and the guidance that patients should be on CPA, for only a minority of patients was CPA described as enhancing care. Questions are raised about the low use of CCOs and CPA by psychiatrists for patients who reached the new limits of LOA.</p>

scholarly journals The introduction and evaluation of Community Care Orders following the Mental Health (Patients in the Community) Act 1995

2002 ◽  
Vol 11 (4) ◽  
pp. 417-429 ◽  
Author(s):  
Jacqueline M. Atkinson ◽  
Helen C. Garner ◽  
W. Harper Gilmour ◽  
James A. T. Dyer
Keyword(s):  
Mental Health ◽  
Community Care ◽  
Mental Health Patients

scholarly journals The end of indefinitely renewable leave of absence in Scotland: the impact of the Mental Health (Patients in the Community) Act 1995

2002 ◽  
Vol 13 (2) ◽  
pp. 298-314 ◽  
Author(s):  
Jacqueline M. Atkinson ◽  
Helen C. Garner ◽  
W. Harper Gilmour ◽  
James A. T. Dyer
Keyword(s):  
Mental Health ◽  
Mental Health Patients ◽  
Leave Of Absence ◽  
The Impact

scholarly journals Understanding community care law in England and Wales

2009 ◽  
Vol 15 (6) ◽  
pp. 428-433 ◽  
Author(s):  
Danny Allen
Keyword(s):  
Mental Health ◽  
Community Care ◽  
Mental Health Problems ◽  
Case Law ◽  
Mental Capacity ◽  
Care Provision ◽  
Care Programme ◽  
England And Wales ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act

SummaryAlthough psychiatrists in England and Wales are generally familiar with the Mental Health Act 1983 and the Mental Capacity Act 2005, there is a body of law that is available to assist patients in the community with which they are generally less familiar. There are two main reasons for this. The first is that it is a rather confused amalgam of different statutes and case law affecting each other in ways that are less than clear. The other is that the care programme approach (CPA) was meant to cut through all this and make care provision straightforward. In fact, the latter has never been the case and community care law has always sat uneasily alongside the CPA, but in October 2008 the CPA was withdrawn from some patients with mental health problems. This article explains what is meant by community care law and how psychiatrists can use it to help their patients.

THE RELATIONSHIP OF PSORIASIS TO SUICIDE: LITERATURE REVIEW

2020 ◽  
Vol 24 (2) ◽  
Author(s):  
Margarita Slabadienė ◽  
Karolina Minikavičiūtė ◽  
Jolanta Sauserienė
Keyword(s):  
Mental Health ◽  
General Population ◽  
Literature Review ◽  
Adverse Effects ◽  
Skin Condition ◽  
Review Articles ◽  
Mental Health Patients ◽  
Chronic Skin ◽  
Relationship Of ◽  
The Relationship

Psoriasis is a chronic skin condition that affects almost 3% of world’s population and is associated with potential adverse effects on mental health. Patients with psoriasis have a higher risk of depression, anxiety and suicide than the general population. The aim is to review articles published in 2010–2019 based on relations of psoriasis and suicide and to provide recommendations for physicians most frequently confronted with psoriasis.

scholarly journals Consultants' views of Leave of Absence and Community Care Orders in Scotland

1997 ◽  
Vol 21 (2) ◽  
pp. 91-94 ◽  
Author(s):  
Jacqueline M. Atkinson ◽  
W. Harper Gilmour ◽  
James A. T. Dyer ◽  
Fiona Hutcheson ◽  
Lesley Patterson
Keyword(s):  
Mental Health ◽  
Community Care ◽  
General Psychiatry ◽  
Mental Health Legislation ◽  
Leave Of Absence ◽  
Health Legislation

Following consultation in 1994, changes were proposed to mental health legislation. In Scotland these included the limitation of Leave of Absence (LOA) to 12 months and the introduction of Community Care Orders (CCOs). All consultants in general psychiatry in Scotland were surveyed regarding their views on LOA and CCOs. The results of our survey showed that the majority of consultants use LOA and extended LOA, giving lack of insight and threat of stopping medication as the main reasons. Consultants reject both CCOs and the limitations on LOA. Those who have been consultants for more than 16 years are significantly more likely to agree with restriction of LOA than others.

scholarly journals The consultant psychiatrist and community care

1993 ◽  
Vol 17 (9) ◽  
pp. 513-516 ◽  
Author(s):  
Matt Muijen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Social Services ◽  
Care Management ◽  
Community Care ◽  
Care Programme ◽  
Lead Agency ◽  
Consultant Psychiatrist ◽  
Health Centres

It cannot be ignored that community care is now a fact, and not merely an issue. Some mental hospitals have closed and the number of mental illness beds have been reduced overall by about 40% over the last decade and a range of hostels, multidisciplinary rehabilitation teams and community mental health centres have been launched. The move towards well integrated and well coordinated community care has been urged by a large number of reports, white papers and policies including the second Griffiths report, Working for Patients, Caring for People, The Health of the Nation, the Care Programme Approach and care management, with social services becoming the lead agency in community care.

scholarly journals Guardianship – a case for wider use

1993 ◽  
Vol 17 (5) ◽  
pp. 276-278 ◽  
Author(s):  
R. L. Symonds
Keyword(s):  
Mental Health ◽  
Royal College ◽  
Community Care ◽  
Community Treatment ◽  
Care Programme ◽  
Mental Health Act ◽  
The Future ◽  
Treatment Order ◽  
Community Treatment Order

Few psychiatrists have had much experience of guardianship (Section 7, Mental Health Act, 1983). The two cases described have been successful and suggest wider use of this section. It seems apposite in view of the Royal College of Psychiatrists' advice on discharge of patients from hospital, and discussion on a community treatment order; the continuing drive to community care, as codified in the ‘Care Programme Approach’; and the need in the future to treat increasingly disturbed individuals in the community as envisaged in the Reed report.

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