scholarly journals A snap-shot of ‘long-term’ section 17 use in South-West England

2014 ◽  
Vol 1 (17) ◽  
pp. 75
Author(s):  
Bob Jones ◽  
Mat Kinton
Keyword(s):  
Mental Health ◽  
Community Treatment ◽  
The South ◽  
Community Based ◽  
Mental Health Act ◽  
South West ◽  
Statutory Duty ◽  
Leave Of Absence ◽  
South West England

<p>The Mental Health Act Commission (MHAC) does not have a culture of visiting patients in the community, having a primary statutory duty of visiting detained patients in hospital, and no remit over patients placed under Guardianship or Supervised Discharge (s.25A). The MHAC’s statutory remit does, however, encompass patients who remain liable to be detained but are granted leave of absence from hospital, and will extend to patients who are subject to supervised community treatment upon the implementation of SCT powers in October 2008.</p><p align="LEFT">In an attempt to get a better understanding of patient and process issues that are likely when visiting community-based patients, the MHAC has been running some exploratory visits to detained patients on long-term section 17 leave. These visits have been carried out under the MHAC’s statutory remit. This is a brief account of one such exercise in the South-West of England.</p>

Clinical stability in the community associated with long-term approved leave under the Mental Health Act 2001

2014 ◽  
Vol 31 (2) ◽  
pp. 143-148 ◽  
Author(s):  
E. Bainbridge ◽  
F. Byrne ◽  
B. Hallahan ◽  
C. McDonald
Keyword(s):  
Mental Health ◽  
Case Report ◽  
Community Treatment ◽  
Residential Setting ◽  
Community Treatment Orders ◽  
Psychotic Illness ◽  
Persistent Symptoms ◽  
Mental Health Act ◽  
Clinical Stability

IntroductionWe present the case of a 27-year-old man with a background diagnosis of treatment resistant schizophrenia and absent insight who for the last 3 years has been residing in a high support residential setting on approved leave under the Mental Health Act (MHA) 2001. The case demonstrates how this man achieved clinical stability in the community with the assistance of long-term involuntary admission under the MHA 2001, in contrast to the previous years of his illness in which he had suffered multiple relapses of his psychotic illness with ssociated distress, poor self-care and repeated in-patient re-admissions. We discuss the equivalent use of community treatment orders in other jurisdictions and how the judicious use of approved leave under the MHA 2001 may be used as an alternative in Ireland where community treatment orders are not currently available.MethodCase Report.ConclusionThe case report highlights how the use of long-term approved leave under the MHA2001 may be used as alternative in Ireland to mimic CTOs for certain difficult to treat patients with psychotic illness who would benefit from ongoing treatment, but lack capacity to engage in such treatment due to persistent symptoms and lack of insight.

scholarly journals The social, relational and mental health characteristics of justice-involved men in the south-west England

2016 ◽  
Vol 27 (6) ◽  
pp. 835-852 ◽  
Author(s):  
Alexandros Georgiadis ◽  
Richard Byng ◽  
Ross Coomber ◽  
Cath Quinn
Keyword(s):  
Mental Health ◽  
The South ◽  
South West ◽  
The Social ◽  
South West England

7. Mental Health Law

Medical Law ◽  
2019 ◽  
pp. 351-419
Author(s):  
Emily Jackson
Keyword(s):  
Mental Health ◽  
Community Treatment ◽  
Health Law ◽  
Persons With Disabilities ◽  
Mental Health Law ◽  
Mental Health Act ◽  
Independent Review ◽  
History Of ◽  
Human Rights Act ◽  
The Uk

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter discusses mental health law in the UK. It begins with a brief history of mental health law and policy. This is followed by discussions of: admission to the mental health system; treatment of the mentally ill under the Mental Health Act 1983; Deprivation of Liberty Safeguards (DoLS) and Cheshire West, and Community Treatment Orders. It also looks at the implications of the Human Rights Act and the UN Convention on the Rights of Persons with Disabilities (UNCRPD) for mental health law. It also considers the conclusions of the Independent Review of the Mental Health Act 1983.

scholarly journals Implementation of stepped care for patients with chronic fatigue syndrome in community-based mental health care: outcomes at post-treatment and long-term follow-up

2019 ◽  
Vol 47 (5) ◽  
pp. 548-558 ◽  
Author(s):  
Anthonie Janse ◽  
Arno van Dam ◽  
Coby Pijpers ◽  
Jan F. Wiborg ◽  
Gijs Bleijenberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Fatigue ◽  
Post Treatment ◽  
Stepped Care ◽  
Community Based ◽  
Fatigue Syndrome ◽  
Specialist Centre ◽  
Long Term Follow Up

AbstractBackground:Cognitive behavioural therapy (CBT) is an evidence-based treatment for chronic fatigue syndrome (CFS). Stepped care for CFS, consisting of a minimal intervention followed by face-to-face CBT, was found efficacious when tested in a CFS specialist centre. Stepped care implemented in a community-based mental health centre (MHC) has not yet been evaluated.Aims:(1) To test the effectiveness of stepped care for CFS implemented in a MHC at post-treatment and at long-term follow-up; and (2) compare post-treatment outcomes of implemented stepped care with treatment outcomes of a CFS specialist centre.Method:An uncontrolled study was used to test effectiveness of stepped care implemented in a MHC (n = 123). The outcomes of implemented care were compared with the outcomes of specialist care reported in previous studies (n = 583). Data on outcomes from implemented stepped care were gathered at post-treatment and at long-term follow-up. Mixed models were used as method of analysis.Results:Fatigue decreased and physical functioning increased significantly following implemented stepped care (both p < .001). The follow-up was completed by 94 patients (78%) within 1–6 years after treatment. Treatment effects were sustained to follow-up. Patients in the MHC showed less improvement directly following stepped care compared with patients in a CFS specialist centre (p < .01).Conclusion:Implemented stepped care for CFS is effective with sustained treatment gains at long-term follow-up. There is room for improvement when compared with outcomes of a CFS specialist centre. Some suggestions are made on how to improve stepped care.

scholarly journals Mental health law in Ghana

2017 ◽  
Vol 14 (2) ◽  
pp. 38-39 ◽  
Author(s):  
George Hudson Walker ◽  
Akwasi Osei
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health System ◽  
Mental Health System ◽  
Mental Healthcare ◽  
Health Law ◽  
Community Based ◽  
Mental Health Law ◽  
Mental Health Act ◽  
New System

In 2012 Ghana passed a new Mental Health Act, which aimed to create a new system of mental healthcare in Ghana. The Act includes provisions for the creation of a modern, community-based mental health system and for the protection of the rights of persons with mental disorders. This article discusses the implications of the Act and the progress which has been made towards its implementation.

scholarly journals Repeated Police Mental Health Act Detentions in England and Wales: Trauma and Recurrent Suicidality

2019 ◽  
Vol 16 (23) ◽  
pp. 4786
Author(s):  
Claire Warrington
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Mental Health Problems ◽  
Police Intervention ◽  
England And Wales ◽  
Mental Health Act ◽  
Self Harm ◽  
South East England ◽  
National Police

Most police Mental Health Act (Section 136) detentions in England and Wales relate to suicide prevention. Despite attempts to reduce detention rates, numbers have risen almost continually. Although Section 136 has been subject to much academic and public policy scrutiny, the topic of individuals being detained on multiple occasions remains under-researched and thus poorly understood. A mixed methods study combined six in-depth interviews with people who had experienced numerous suicidal crises and police intervention, with detailed police and mental health records. A national police survey provided wider context. Consultants with lived experience of complex mental health problems jointly analysed interviews. Repeated detention is a nationally recognised issue. In South East England, it almost exclusively relates to suicide or self-harm and accounts for a third of all detentions. Females are detained with the highest frequencies. The qualitative accounts revealed complex histories of unresolved trauma that had catastrophically damaged interviewee’s relational foundations, rendering them disenfranchised from services and consigned to relying on police intervention in repeated suicidal crises. A model is proposed that offers a way to conceptualise the phenomenon of repeated detention, highlighting that long-term solutions to sustain change are imperative, as reactive-only responses can perpetuate crisis cycles.

scholarly journals Observations on the mental health of a civilian population living under long-term hostilities

2000 ◽  
Vol 24 (2) ◽  
pp. 69-70 ◽  
Author(s):  
John P. Tobin
Keyword(s):  
Mental Health ◽  
United Nations ◽  
Mental Health Problems ◽  
Buffer Zone ◽  
Government Control ◽  
The South ◽  
Civilian Population ◽  
Military Conflict ◽  
The United Nations

The civilian population of southern Lebanon has endured military conflict, civil war, and two invasions since the foundation of the State of Israel in 1948. Currently part of the south is under Israeli occupation forming a buffer zone between Israel and the hostile forces of the Hizbollah and Amal militias. The Israeli Defence Forces are aided by the South Lebanese Army which is the remnants of a Christian militia. The Hizbollah is supported by Iran and Syria and is the dominant force outside the occupation zone. In the south of Lebanon there is a United Nations mandate force which is attempting to return Lebanese government control over the south, decrease hostilities, protect the civilian population and provide humanitarian aid. This is part of the humanitarian mandate of the United Nations Interim Force in Lebanon (UNIFIL) that I had the opportunity to observe and to treat the mental health problems of the civilian population who were living under long-term artillery bombardment and living with continuous fluctuating conflict. Under such circumstances, rigorous scientific methodology in assessing the mental health of the population is extremely difficult. In order to operate effectively, as well as my own rudimentary Arabic, a translator was required. A translator does more than just translate language they also translate custom, culture and provide a valuable source of local information. Utilising my own observations and those of my valued translator, Basima, I did my best to assess how the civilian population coped with what was difficult circumstances. These assessments are value laden and I suppose are in many ways personal. My position as a military psychiatrist in the United Nations allowed me access to both the occupation zone and unoccupied Lebanon.

Prehistoric Roads and Tracks in Somerset, England: 2. Neolithic

1970 ◽  
Vol 36 ◽  
pp. 125-151 ◽  
Author(s):  
John M. Coles ◽  
F. Alan Hibbert ◽  
Colin F. Clements
Keyword(s):  
Sea Level ◽  
The South ◽  
The West ◽  
The Third ◽  
The North ◽  
South West ◽  
Extensive Region ◽  
Peat Deposits ◽  
Third Millennium ◽  
South West England

The Somerset Levels are the largest area of low-lying ground in south-west England, covering an extensive region between the highlands of Exmoor, the Brendon Hills and the Quantock Hills to the west, and the Cotswold and Mendip Hills to the east (Pl. XXIII, inset). The Quantock Hills and the Mendip Hills directly border the Levels themselves, and reach heights of over 250 metres above sea level. The valley between extends to 27 metres below sea level, but is filled to approximately the height of the present sea by a blue-grey clay. The Levels are bisected by the limestone hills of the Poldens, and both parts have other smaller areas of limestone and sand projecting above the peat deposits that cap the blue-grey clay filling. In this paper we are concerned with the northern part of the Levels, an area at present drained by the River Brue.The flat, peat-covered floor of the Brue Valley is some six kilometres wide and is flanked on the north by the Wedmore Ridge, and on the south by the Polden Hills (Pl. XXIII). In the centre of the valley, surrounded by the peat, is a group of islands of higher ground, Meare, Westhay, and Burtle. These islands, which would always have provided relatively dry ground in the Levels, are linked together by Neolithic trackways of the third millennium B.C. Several of these trackways formed the basis of a paper in these Proceedings in 1968 (Coles and Hibbert, 1968), which continued the work of Godwin and others (Godwin, 1960; Dewar and Godwin, 1963).

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