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Winterbourne View: time is running out
- Author:
- TRANSFORMING CARE AND COMMISSIONING STEERING GROUP
- Publisher:
- Association of Chief Executives of Voluntary Organisations
- Publication year:
- 2015
- Pagination:
- 35
- Place of publication:
- London
A review of the progress being made by the Transforming Care programme to act on the recommendations of Winterbourne View - Time for Change, which laid out a new national framework in which commissioners choose community-based provision over hospitals for people with learning disabilities and/or autism. The report argues that the pace of change is slow, while leadership and stakeholders’ engagement remain weak. It also notes that it will be impossible to deliver a closure programme without ensuring robust community provision. A closure programme requires the retraining of staff, the development of community-based facilities, a transition programme and alternative investments to underpin change. The report sets out a series of recommendations to support the strengthening of rights, the delivery of the closure programme and building capacity in the community. (Edited publisher abstract)
User friendly
- Author:
- ETHERINGTON Alice
- Journal article citation:
- Community Care, 24.8.95, 1995, pp.2-3.
- Publisher:
- Reed Business Information
Supporting and listening to care users ensures they get the services they want. Looks at one example of where this is happening and assess the results.
Older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, April 2006, pp.59-64.
- Publisher:
- Community Care
The article reports on a selection of research which examines the physical and mental risks in later life as well as the early detection of them.
Reforming the Mental Health Act
- Authors:
- LAING Judith, GARRATT Katherine
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2022
- Pagination:
- 40
- Place of publication:
- London
This paper discusses the Government's White Paper on Reforming the Mental Health Act 1983, a summary of consultation responses and the Draft Mental Health Bill 2022. The Government's white paper on Reforming the Mental Health Act, published on 13 January 2021, contains wide-ranging proposals to reform the Mental Health Act 1983 (as amended in 2007) in England and Wales. This briefing outlines the background to the reforms, some of the main proposals in the white paper and initial reactions. It also outlines the Government's response to a consultation on the white paper proposals details of the draft Mental Health Bill, published in June 2022 and initial reactions to the Bill. The white paper includes a range of proposals to reform the Act as well as to bring about improvements in policy, practice, and service delivery. The overall aim is to bring the law in line with modern mental health care and ensure that patients are involved more closely in decisions about their care and treatment. The draft Bill contains a number of amendments to the Mental Health Act 1983 which would bring in the following changes: autism and learning disability would not be considered to be conditions for which a person could be subject to compulsory treatment under section 3; changes to the criteria for detention by setting out two new tests with a higher risk threshold; a new definition of "appropriate medical treatment" to require that the treatment must have a reasonable prospect of alleviating, or preventing the worsening of, the patient's mental disorder. (Edited publisher abstract)
Draft Mental Health Bill
- Authors:
- GREAT BRITAIN. Department of Health and Social Care, GREAT BRITAIN. Ministry of Justice
- Publisher:
- Stationery Office
- Publication year:
- 2022
- Pagination:
- 87
- Place of publication:
- London
This draft bill aims to deliver on the government manifesto commitments to reform the Mental Health Act; and to improve the way that people with a learning disability and autistic people are treated in law. This draft legislation is intended to give effect to the policy approaches outlined in Sir Simon Wessely's landmark independent review in 2018. These were subsequently taken forward in the government's white paper Reforming the Mental Health Act in 2021. The draft bill contains a number of amendments to the Mental Health Act 1983 (MHA). It follows, more specifically, the Government's 2017 and 2019 Manifesto commitments to reform the MHA so that: 'patients suffering from mental health conditions... have greater control over their treatment and receive the dignity and respect they deserve'; and 'it is easier for people with learning disabilities and autism to be discharged from hospital, with improvements in how they are treated in law'. The draft Bill includes reforms to: strengthen the voice of patients; improve and expand the roles and powers of people who represent detained patients; limit the detention of people with a learning disability and/or autistic people; revise the criteria for the use of Community Treatment Orders (CTOs), and enhancing the professional oversight required for any CTO; remove police stations and prisons as places of safety under the MHA to ensure people experiencing a mental health crisis or with severe mental health needs are supported in an appropriate setting. (Edited publisher abstract)
Care, Education and Treatment Reviews for children and young people: code and toolkit. A guide for commissioners, panel members and people who provide support
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 59
- Place of publication:
- Leeds
This Code and Toolkit provides framework to ensure that Care, Education and Treatment Reviews (CETRs) for children and young people who either have been, or may be about to be admitted to a specialist mental health or learning disability hospital are delivered to a consistently high standard across England. It also provides commissioners with tools to help them carry out CETRs. It outlines the main principles for delivering CETRs, which include the principles of human rights, child -centeredness and co-production; the standards for each principle; and the criteria used to evaluate the standards in practice. It also outlines the roles of CETR experts by experience and clinical experts; provides a checklist for commissioners and providers to use; and a set of hospital discharge steps and standards to help commissioners navigate through the discharge process. (Edited publisher abstract)
In-patient psychiatric care for individuals with intellectual disabilities: the service users' and carers' perspectives
- Authors:
- LONGO Silvia, SCIOR Katrina
- Journal article citation:
- Journal of Mental Health, 13(2), April 2004, pp.211-221.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Little is known about the experiences of individuals with intellectual disabilities and additional mental health problems who are admitted for inpatient psychiatric care. In the UK such care is delivered in both generic psychiatric and specialised treatment settings. The present study explored service users' and carers' views on in-patient psychiatric treatment received across these two settings. Thirty service users and wherever possible their main carers were interviewed about their views on the psychiatric admission, treatment and discharge process. Data was gathered during semi-structured, one-to-one interviews. Both service users and carers identified positive and negative aspects of the psychiatric admission. For service users lack of control and information, support from staff, or conversely its absence emerged as key themes. For carers concerns about service users' vulnerability, negative staff attitudes and opportunities for involvement emerged as key themes. The accounts of both groups regarding generic psychiatric settings were predominantly negative. In contrast, specialized settings were frequently described as providing a pleasant environment, supportive and caring staff, good information sharing and satisfactory discharge arrangements. Important areas for service improvements are highlighted. Implications in particular for generic settings are considered.
Family involvement in the pre-discharge assessment of long-stay patients with learning disabilities: a qualitative study
- Author:
- BARTON R.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 2(2), June 1998, pp.79-88.
This article focuses on relatives' attitudes to, and feelings about, their involvement in a programme of individual assessments carried out in anticipation of the discharge of adults with learning disabilities from a long-stay hospital. It emerged that although most respondents were reasonably satisfied with the assessment process itself, this did not imply that they were satisfied with their relative's future prospects. It was concluded that although attempts had been made to involve relatives in the assessment process respondents had little sense of working in partnership with professionals.
A lifelong commitment: parental memories and reflections prompted by the impending discharge of long-stay patients with learning disabilities
- Author:
- BARTON R.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 2(1), March 1998, pp.16-22.
This article is based on a series of interviews with parents and relatives of adults with learning disabilities who are expected to be resettled from the long-stay hospital, in which they have spent much of their lives, by the year 2000. A life story approach was used to explore these parents' feelings and experiences over time, and the six key themes emerged that were significant to all of the informants. It was concluded that the sense of marginalisation experienced by these parents at the point of impending institutional discharge mirrored their feeling of exclusion around the time of admission, reflecting continuing confusion, conflict and uncertainty over parental roles, rights and responsibilities in relation to adults with learning disabilities.
It works!
- Author:
- THOMAS Peter
- Journal article citation:
- Care Weekly, 30.9.93, 1993, p.12.
A project in Somerset to move people with learning disabilities from three long-stay hospitals into the community was completed a year ahead of schedule and on budget. The project was based on the principle that users preferences should be listened to and then built into the new services.