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The prevalence and correlates of capacity to consent to a geriatric psychiatry admission
- Authors:
- MUKHERJEE S., SHAH A.
- Journal article citation:
- Aging and Mental Health, 5(4), November 2001, pp.335-339.
- Publisher:
- Taylor and Francis
Reports on a study to ascertain the prevalence and correlates of the lack of capacity to consent to geriatric psychiatry inpatient admission. All consecutive acute inpatient admissions to a geriatric psychiatry unit over a six-month period were examined by an independent research psychiatrist (SM). The overall prevalence of lack of capacity to consent to geriatric psychiatry inpatient admission was 48%. It was associated with a diagnosis of dementia, increased severity of cognitive impairment, reduced insight and detention under the Mental Health Act. These findings require replication in a larger multi-centre study. A large number of psychiatric patients are informally admitted despite lacking the capacity to consent to the admission because they do not dissent. These patients do not enjoy the safeguards available under the Mental Health Act.
Time for an incapacity act? The case against another Mental Health Act
- Author:
- SULLIVAN Danny
- Journal article citation:
- Young Minds Magazine, 52, May 2001, p.17.
- Publisher:
- YoungMinds
Argues that the Government's plans for a new Mental Health Act are inherently discriminatory and suggests it is time, instead, for an Incapacity Act applicable to everyone, not just those with a mental illness.
Patients' advocacy: the development of a service at the State Hospital Carstairs Scotland
- Authors:
- ATKINSON Jacqueline M., MacPHERSON Kirstine
- Journal article citation:
- Journal of Mental Health, 10(6), December 2001, pp.589-596.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article describes the development of an advocacy service and explores the issues involved in advocacy in a maximum secure environment. Using a model of citizen advocacy the service was started in September 1997. Patient involvement throughout the hospital was high with approximately 88% of patients having some contact with the service by January 2000. Most of the issues raised by patients are similar to those in any mental health advocacy project. Entrapment is a particular issue for some patients. Safety and security issues influence every aspect of the service. This ranges from advocates having to do more for patients rather than enable them to do things for themselves (e.g. make telephone calls) to the principle of the patients' wishes being paramount being tempered by security demands.
Feeling the way: childhood mental illness and consent to admission and treatment
- Authors:
- FORD Tamsin, KESSEL Anthony .
- Journal article citation:
- British Journal of Psychiatry, 179, November 2001, pp.384-386.
- Publisher:
- Cambridge University Press
Editorial which summarises the history and legal framework of consent, and discusses the developmental issues affecting capacity, and the ethical and clinical implications in relation to children with psychiatric disorder.
A clear voice, a clear vision: the advocacy reader
- Editors:
- MULLINS Gillian, WOOD Patrick
- Publisher:
- UK Advocacy Network
- Publication year:
- 2001
- Pagination:
- 93p.,bibliog.
- Place of publication:
- Sheffield
Advocacy is important to people with a wide range of problems and the experiences of advocacy are reflected in a variety of settings. This report describes some of the most important issues concerned in the establishment and successful running of advocacy projects as well as the principles involved and standards of good practice. Contents include: advocacy and the Mental Health Act; consideration in advocacy provision; advocacy in different situations; running the advocacy project; standing together; employees and volunteers.