Joint Homelessness Team Mental Health Act 1983 Kathryn Andrews & Andy Knight Westminster Homeless Health Co-ordination project 02/02/2016 Mental Health Act 1983 - Guiding Principles Least restrictive option and maximising independence Empowerment and involvement Respect and dignity Purpose and effectiveness Efficiency and equity
Statutory Roles under the Mental Health Act 1983 Approved Mental Health Professional (AMHP) Registered Medical Practitioner Doctor Approved Clinician/Responsible Clinician Psychiatric Nurse Police constable
Mental Health Act 1983 - Section Two And the patient ought to be Application for detained in the interests of admission for the persons own health or assessment safety or for the protection Up to 28 days of other people Assessment may be The section will involve an followed by treatment approved mental health For admission the
professional and two person must suffer from doctors a mental disorder Mental Health Act 1983 - Section Three Admission for treatment For up to 6 months Must be suffering from a mental disorder and Such treatment is necessary in the interests of the patients health or safety or for the protection of others and
Appropriate medical treatment is available Application by Approved Mental Health Professional and two registered doctors Can be renewed for further six months and then yearly Only includes learning disability if associated with abnormally aggressive or seriously irresponsible conduct Mental Health Act 1983 - Section 136
Empowers a constable to remove a person from a PUBLIC place to a place of safety in the interests of that person or for the protection of others if it is considered that the person appears to be a) suffering from a mental disorder AND b) in immediate need of care and control To be assessed for care or treatment A person may be detained for up to 72 hours Section 135(1) - a warrant to search for and remove a person If there is reasonable cause to suspect that a person believed to be suffering from mental disorder Has been, or is being, ill-treated, neglected or kept
otherwise than under proper control, in any place, or being unable to care for himself, is living alone in any such place A warrant may be issued by a magistrate on information given by an ASW which allows entry by a policeman, if need be, to enter, by force, any premises in which the person is believed to be and remove him to a place of safety where they can be detained for up to 72 hours in which time an assessment can take place. The policeman must be accompanied by an AMHP and doctor Mental Health Act 1983 - Section 117 Applies to people detained under sections 3, 37, 47, and 48 of the Act Patients are entitled to a discharge meeting to establish a care plan
The patient, health and social service representatives must attend and other parties e.g. housing, carer etc A 117 worker (care co-ordinator) will be appointed to ensure the care plan is implemented in the community All services provided are free of charge The 117 continues until health and social services agree that it should end Community Treatment Order For high risk and revolving door patients who have been on a section 3. Must be suffering from a mental disorder for which they require treatment and
Treatment is necessary in the interests of the patients health or safety or for the protection of others and The treatment can be provided in the community and It is necessary for the RC to have the power to recall the patient to hospital appropriate medical treatment is available Application by Responsible Clinician must have
agreement of AMHP Can be renewed for further six months and then yearly Community Treatment Order Conditions Conditions are attached to a CTO Mandatory conditions must be available to see the RC to consider extension of CTO and to be seen by the second opinion doctor. Other conditions typically relate to where someone lives, the treatment they receive and engaging with support services. Breaching conditions does not lead to recall but may indicate need for recall.
Section 7 - Guardianship Order Guardianship orders are made where it is necessary in the interests of the welfare of the patient or the protection of other persons. The guardian has three powers a) to require the patient to reside at a place specified b) to attend at places for medical treatment, occupation or training and c) to require the patient to give access to them Approved Mental Health Professional AMHP To receive and process requests for assessment under the Mental Health Act To co-ordinate the mental health assessment e.g. arrange times, liaise
with the doctors, police, ambulance To interview the person in a suitable manner. To ensure communication is possible with the aid of an interpreter or signer To satisfy themselves that having taken into account all the circumstances of the case that admission to hospital is the most appropriate way of providing the person with care and medical treatment To make an application for compulsory admission under the act if they are satisfied that the criteria is met and there is no other alternative Rights for Patients under MHA Nearest Relative their identity is clearly prescribed in MHA usually a close family member. They have certain rights e.g. they can request discharge & object to section 3. Independent Mental Health Advocate IMHA - provide additional safeguard for those under the MHA, to help patients exercise
their rights and participate in decisions about their care and treatment. Tribunal independent panel decides whether detention should continue on the evidence of the patient and various professionals involved. Takes place as soon as possible during section 2 detention. Patient receives free legal advice. Hospital managers hearing similar to tribunal Planning for MHA Assessment Making referrals record facts, observations and concerns clearly Refer to Mental Health Service Interventions for Rough Sleepers Tools and Guidance http:// www.scie-socialcareonline.org.uk/mental-health-service-interventions-for-rou
gh-sleepers-tools-and-guidance/r/a11G000000Avk3fIAB MHA assessment on homeless people are usually complex and AMHP is likely to need assistance locating and identifying, carrying out assessment safely, managing practicalities On-going support during and after admission hospital visits, discharge planning, accommodation and support options Further information/contacts http://www.mind.org.uk/
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