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Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability or autism: interim report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 43
- Place of publication:
- Newcastle upon Tyne
Interim findings from a review of the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism. The review focuses on the experiences of 39 people in segregation on a learning disability ward or a mental health ward for children and young people. It also draws on information from a request sent to 92 registered providers of services for people with a mental health problem, a learning disability and or autism. The report describes emerging themes about the pathway that these people have followed, their current care and treatment and what prevents them from leaving hospital. The findings show that: a high proportion of people in segregation had autism; some of the wards did not have a built environment that was suitable for people with autism; many staff lacked the necessary training and skills; and several people visited were not receiving high quality care and treatment. In the case of 26 of the 39 people, staff had stopped attempting to reintegrate them back onto the main ward, usually due to concerns about violence and aggression. Some people were also experiencing delayed discharge from hospital due to there being no suitable package of care available in a non-hospital setting. The report makes a number of recommendations for the health and care system. They include for the care, safeguarding and discharge plan of every person with learning disabilities or autism held in segregation be examined, as well as that of children detained on mental health wards. (Edited publisher abstract)
Checking how the Mental Health Act is used: easy read
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 30p.
- Place of publication:
- London
This document is the easy read version of the first report into the work of the Care Quality Commission on monitoring the use of the Mental Health Act. It covers the period from April 2009 until March 2010. It describes the findings of these visits, listing aspects that need to be improved. It considers the following: taking people into hospital and keeping them there; children or young people; safe places; general hospitals; what things are like for people who are kept in hospital under the Mental Health Act; locked wards; low secure services; involving patients and looking after their rights; Independent Mental Health Advocates; Mental Health Tribunals; people being stopped, held or kept away from others; patients agreeing to treatment; Second Doctors; electro-convulsive therapy; and supervised community treatment. It concludes that services need to get better at involving patients who are kept in hospital in their care and treatment, checking whether patients understand and can agree to treatment, and treating people as individuals and making sure rules to keep people safe do not take away everyone’s rights.