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Nepalese psychiatrists’ struggle for evolution
- Author:
- JHA Arun
- Journal article citation:
- Psychiatric Bulletin, 31(9), September 2007, pp.348-350.
- Publisher:
- Royal College of Psychiatrists
Nepal has a short and slowly developing history of psychiatry. Recent political turmoil has crippled Nepalese healthcare in rural areas. Although the final quarter of the 20th century saw some development of psychiatric services in Nepal, the majority of Nepalese people remain deprived of such services even today. There is no national health programme or Mental Health Act. Psychiatric services are hospital based and most are centralised in the capital. Nepalese psychiatrists need urgent help, but they have been unable to form a strong professional body. This report presents the historical background, current state of affairs and suggestions for modernising mental health services in Nepal.
Psychiatry: back to the USSR
- Author:
- LINDOW Vivien
- Journal article citation:
- Professional Social Work, April 1994, p.13.
- Publisher:
- British Association of Social Workers
Argues that the extension of the Mental Health Act for supervised discharge and the 'at risk' register both bring a loss of freedom and equality for psychiatric patients.
Psychiatrists’ views and experiences of the Mental Health (Care and Treatment) (Scotland) Act 2003
- Authors:
- CARSWELL Christine, DONALDSON Andrew, BROWN Keith
- Journal article citation:
- Psychiatric Bulletin, 31(3), March 2007, pp.83-85.
- Publisher:
- Royal College of Psychiatrists
This study assesses the views and experiences of psychiatrists of the Mental Health (Care and Treatment) (Scotland) Act 2003. A postal questionnaire was sent to 340 consultant psychiatrists and specialist registrars throughout Scotland. A response rate of 76% was achieved (n=257); 31 respondents (12%) felt patient care had improved with the new Act; 167 (65%) felt that informal patients’ care had suffered; 135 (52%) did not consider that tribunals were better than the previous court system; 151 (59%) felt that the out-of-hours workload had increased. An early indication of psychiatrists’ views and experiences of the new Mental Health (Care and Treatment) (Scotland) Act 2003 is given.
The approved social worker's guide to psychiatry and psychiatric medication
- Authors:
- ADSHEAD Gwen, LACEY Ron
- Publisher:
- Bournemouth University
- Publication year:
- 2003
- Pagination:
- 124p.
- Place of publication:
- Poole
This book was written for those on the Mental Health Social Work Award (ASW) courses and those helping to provide placement opportunities for ASW trainees. It will also be of use to practising ASWs, other mental health professionals, service users and carers. Contents include: an overview of psychiatry; psychotic disorders; neuroses, substance abuse and personality disorders; treatment issues in psychiatry; forensic psychiatry and the law; psychiatry of old age; psychiatry and risk assessment; and patients as parents. The main forms of psychiatric medication are then outlined.
Consent quiz: how well would you do?: a survey of the knowledge of CAMHS workers of the law relating to consent to treatment in children
- Author:
- POTTER Rob
- Journal article citation:
- Psychiatric Bulletin, 28(3), March 2004, pp.91-93.
- Publisher:
- Royal College of Psychiatrists
The law relating to consent to treatment in children can be confusing. It is made up of a patchwork of statutory and case law that reflects an ambivalence between respecting the rights and autonomy of the child and the pervading paternalism within the courts and society more generally. This has lead to an ebb and flow of these competing pressures over the years. This survey did not set out to be comprehensive, nor particularly scientific. The primary aim was to test the water to see whether this subject needed to be covered within the in-service teaching programme. However, it uncovered major misconceptions regarding the law and what is meant by ‘legally valid consent’. This small-scale survey suggests that there are basic misperceptions among child and adolescent mental health professionals regarding the legal nature of consent and how the law in this area applies to minors. It is necessary to have a sound knowledge of the law relating to consent in children in general, before considering the treatment of mental disorder without consent.
Child psychiatry, mental disorder and the law: is a more specific statutory framework necessary?
- Authors:
- POTTER R., EVANS N.
- Journal article citation:
- British Journal of Psychiatry, 184(1), January 2004, pp.3-4.
- Publisher:
- Cambridge University Press
Children can be treated for mental disorder without their consent. This is true whether or not the child is competent. The legal framework for this is made up of a patchwork of statutory and case laws mainly formulated without the developmental needs of the child in mind. Moreover, the particular deficiencies and inconsistencies in service provision, and the competing pressures on services, professionals, families and the child, call for special consideration of the needs of this vulnerable group. For those working with children suffering from mental disorder, the current reform of the Mental Health Act 1983 offers an opportunity to improve the way in which the needs of these children are addressed.
Protecting altruism: a call for a code of ethics in British psychiatry
- Authors:
- SARKAR Sameer, ADSHEAD Gwen
- Journal article citation:
- British Journal of Psychiatry, 183(8), August 2003, pp.95-97.
- Publisher:
- Cambridge University Press
The new mental health legislation proposals see the professional role of psychiatry as treating for risk, especially risk to others. Pitted against risk, the interests of the individual patient may come a poor second and ordinary moral claims of patients may be set aside. One can argue that it is ‘good’ for people not to be a risk to others, although this is not an argument that is applied to the general, non-mentally ill population. However, the traditional altruism of the medical role is addressed to patients, not to the public at large. Treatment to make others feel safer risks treating patients merely as a means to an end, in the Kantian sense.
The psychiatrist’s response to imminent violence : have clinical practice guidelines improved practice?
- Author:
- KIDD Brian A.
- Journal article citation:
- Psychiatric Bulletin, 27(8), August 2003, pp.283-284.
- Publisher:
- Royal College of Psychiatrists
Public inquiries have followed the most tragic incidents and all have led to broadly similar conclusions - that these episodes are to some extent preventable and that comprehensive systems of care and risk management might prevent the apparent lapses of care that have often been associated with these tragedies. It was in this context that the Royal College of Psychiatrists produced its first clinical practice guideline, entitled 'Management of Imminent Violence.' It is time to review the impact of this guideline. In the intervening 5 years, psychiatric practice would appear to have come under the spotlight even more with regard to risk assessment. New mental health legislation makes the psychiatrist more responsible than ever before with regard to violent acts.
Legal concepts of childhood
- Editor:
- FIONDA Julia
- Publisher:
- Hart
- Publication year:
- 2001
- Pagination:
- 252p.,bibliogs.
- Place of publication:
- Oxford
This book argues that an identification of legal concepts of childhood can offer insights into our treatment of children, the capacities which we expect of them and the extent of any protection which they can expect from those charged with the responsibility for their welfare. Each essay focuses on a particular legal discipline which centrally involves children. The object of the analysis is to assess how children are regarded by lawyers in each discipline. In order to make comparisons the substantive part of the book will also include essays on the perspectives on childhood at the core of other disciplines including sociology, psychology, philosophy and literature. Particular subjects covered include, youth justice, tort, housing law, medical treatment, education and social security.
The Dualeh Regulations
- Author:
- LUCAS Richard
- Journal article citation:
- Psychiatric Bulletin, 27(6), June 2003, pp.225-226.
- Publisher:
- Royal College of Psychiatrists
The Government has recently added an amendment to the section of the Disability Living Allowance and Disability Working Allowance Act 1991 relating to lower rate mobility. For the first time, a differentiation has been made in the approach to assessment between those with severe mental disability, from those with severe physical disabilities. The amendment has become known as the Dualeh Regulation. The background history is described and the wider implications considered. The lower rate mobility component (LRMC) of the living allowance, currently at £14.90 a week, is for people who can walk but because of severe mental or physical disabilities need guidance or supervision from another person when walking outdoors in unfamiliar places. It is to this section of the Act that the amendments were added.