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A matter of life or death: a rapid review assessment of London's safeguarding adults reviews to inform the future of mental health adult social care under a new Mental Health Act
- Authors:
- GREEN Caroline Emmer De Albuquerque, MANTHORPE Jill, MARTINEAU Stephen
- Publisher:
- NIHR Policy Research Unit in Health and Social Care Workforce, The Policy Institute, King's College London
- Publication year:
- 2021
- Pagination:
- 36
- Place of publication:
- London
Safeguarding Adult Reviews (SARs) can be a valuable source of learning to improve mental health care. In light of the government's commitment to reform the Mental Health Act 1983, this report summarises the qualitative learning from 77 SARs published across 24 London boroughs covering the period January 2017 to November 2020. The premise of this report is that the reform of the Mental Health Act will also prompt a 'wake up' of the entire mental health system in London and the rest of England in which parity of social care with health care becomes the 'new normal'. The SARs analysed for this report tell the stories of Londoners who experienced mental health problems and came to harm or died as a consequence of their condition despite having been in contact with mental health care services and others. From the rapid analysis of the SARs case clusters emerged, with similarities in the individuals' stories and outcomes. These clusters show that there might be groups of people who require particular attention when it comes to reforming the Mental Health Act - and with it the mental health social care 'offer'. The stories of these individuals also raise some concerns around human rights, equality and inclusion with the question: Is enough being done to protect the rights of vulnerable people with mental health problems who receive mental health social care and who may rely on social care to respect these rights? The analysis further suggests that there are two major problem areas across virtually all the cases and clusters - professional knowledge and usage of the Mental Capacity Act 2005 and inter-agency working and communication. (Edited publisher abstract)
The nature of gambling-related harms for adults at risk: a review
- Authors:
- BRAMLEY Stephanie, NORRIE Caroline, MANTHORPE Jill
- Publisher:
- King's College London. Social Care Workforce Research Unit
- Publication year:
- 2017
- Pagination:
- 64
- Place of publication:
- London
This scoping review looks at the prevalence of gambling-related harm affecting people described as adults at risk, including people with dementia, people with mental health problems, people with learning disabilities and other cognitive impairments. The review includes literature on the risks from regulated gambling; the risk of harm from scams and fake lotteries; and where gambling is cited as explanation among perpetrators for causing neglect or abuse to vulnerable adults. The first section sets the context for the review, and looks at the prevalence of problem gambling, defining gambling related harm and the challenges of protecting vulnerable people from harm while allowing gambling to take place in local communities. The second section presents the review methodology and key findings. The review focuses on four areas to examine extent to which gambling is a safeguarding issue for those working in social care and for local authority adult services: the evidence of gambling participation among adults at risk; the impact of gambling participation for adults at risk; evidence that perpetrators of abuse against adults at risk are committing these acts or crimes to fund gambling addictions; and how social work and adult safeguarding teams manage gambling related harm. (Edited publisher abstract)