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Mental health of prisoners: themed visit report into prison mental health services in Scotland
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2011
- Pagination:
- 38p.
- Place of publication:
- Edinburgh
This report describes findings on the support and treatment that prisoners with a mental disorder receive in the Scottish Prison system. All fifteen prison governors were written to in order to ascertain basic facts about the mental health facilities in each prison and to identify key contacts for the visits. Of the 101 prisoners who were interviewed, 12 were on remand, 28 were short term and 61 were long term prisoners, of whom 25 had life sentences. The experience of prisoners with mental health problems was very variable, many had good experience of services but others had very different stories to tell. Just over half (55%) of the prisoners had negative comments about support received for their mental health difficulties while in prison; experiences seemed to vary even within the same prisons. Many positive aspects to the care and treatment of prisoners with mental health problems in Scottish prisons were found. A number of prisoners were getting better access to a psychiatrist in prison than they were in the community. However, there were at times delays and difficulties in accessing mental health support and poor response from staff, primarily due to lack of mental health nurses.
Not properly authorised: unannounced visits to people receiving treatment under the safeguards of part 16 of the Mental Health (Care and Treatment) (Scotland) Act 2003
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2011
- Pagination:
- 21p.
- Place of publication:
- Edinburgh
The Mental Welfare Commission visits people with mental illness, learning disability or other mental disorder to ensure that they receive the care and treatment they need and that their treatment is in accordance with the law. This report describes the findings of a targeted monitoring programme to find out more about people receiving treatment under the safeguards of Part 16 of the Mental Health (Care and Treatment)(Scotland) Act 2003. From April 2010 to March 2011 a series of unannounced visits were made to 45 hospitals where people were receiving compulsory treatment under the 2003 Act. The medication prescribed and administered in 672 cases was looked at and compared with the treatment authorised on statutory forms. Where possible, people were interviewed to make sure that, when certificates stated it, they were giving informed consent to treatment. The findings showed that 12% of all the people whose cases were examined were receiving treatment that was not properly authorised or reported under the 2003 Act. Forms were absent, not completed lawfully, or not giving authority for some of the prescribed medication. A total of 15% of people certified as giving informed consent to their treatment were either unable or unwilling to give consent. The article concludes that there is insufficient attention paid to providing lawful treatment under the 2003 Act.
Mental Welfare Commission for Scotland: summary of outcomes from focussed visits 2010-11
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2011
- Pagination:
- 19p.
- Place of publication:
- Edinburgh
Between April 2010 and March 2011, the Commission undertook 87 focussed visits to people receiving care for mental health problems or learning disability in various settings. A total of 301 recommendations for improvement were made following these visits. When followed up, it was found that services had taken satisfactory action in 76% of cases. This paper reports on the main issues emerging from 74 of those visits, and specific examples of improvements made by these services after the visits. These 74 visits were to people receiving treatment in the following types of care settings: intensive psychiatric care and secure units; care facilities for people with learning disability; older people in hospital; older people in care homes; people with mental disorders in prison; young people's care facilities; mental health continuing care and rehabilitation facilities; and adult acute admission wards. Many of the recommendations addressed principles of Scottish mental health and incapacity legislation, the articles of human rights legislation and other international conventions. The most common issues raised were: care environments that did not appear to meet people's right to privacy and dignity; care plans that did not appear to comply with the principles of maximum benefit, participation and the range of options available; and lack of attention to physical health.
Consenting adults? Guidance for professionals when considering rights and risks in sexual relationships involving people with a mental disorder
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2011
- Pagination:
- 44p.
- Place of publication:
- Edinburgh
- Edition:
- Rev. ed.
The Mental Welfare Commission for Scotland is an independent organisation working to safeguard the rights and welfare of people with mental illness, learning disability or other mental disorder. This guidance was produced in response to legal, ethical and practical issues concerning sexual relationships raised with the Commission in its work with people with mental disorder and those involved in their care. The guidance is intended to provide a framework for discussion of issues that need to be considered when assessing risk and considering the need for intervention in a person's sexual life. It covers the legal framework, capacity to consent, significance of a person's diagnosis, sexual risks arising from a person's mental disorder or social situation, staff knowledge and attitudes, family attitudes, cultural or religious values, the living situation and support and protection, statutory investigative duties, intervention following investigation, and legal interventions.