Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 14
It's purely professional
- Author:
- GULLAND Anne
- Journal article citation:
- Nursing Times, 25.2.98, 1998, pp.12-13.
- Publisher:
- Nursing Times
Reports on the ethical dilemmas of mental health nurses when defining the boundaries in their relationship with a patient.
Mental capacity in psychiatric patients: systematic review
- Authors:
- OKAI David, et al
- Journal article citation:
- British Journal of Psychiatry, 191(10), October 2007, pp.291-297.
- Publisher:
- Cambridge University Press
Mental capacity is central to legal and ethical debates on the use of compulsion in psychiatry. The aim was to describe the clinical epidemiology of mental incapacity in patients with psychiatric disorders, including interrater reliability of assessments, frequency in the psychiatric population and associations of mental incapacity. Cross-sectional studies of capacity to consent to treatment for psychiatric patients were systematically reviewed from Medline, EMBASE and PsycInfo databases. Information on the reliability of assessments, frequency and associations of mental incapacity was extracted. Out of 37 papers reviewed, 29 different capacity assessment tools were identified. Studies were highly heterogeneous in their measurement and definitions of capacity. Interrater reliabilities between tools were high. Studies indicate incapacity is common (median 29%) but the majority of psychiatric in-patients are capable of making treatment decisions. Psychosis, severity of symptoms, involuntary admission and treatment refusal were the strongest risk factors for incapacity. Mental capacity can be reliably assessed. The majority of psychiatric in-patients have capacity, and socio-demographic variables do not have a major impact but clinical ones do.
A guiding hand
- Authors:
- CURRAN Christopher, GRIMSHAW Catherine, HEWITT David
- Journal article citation:
- Community Care, 8.7.99, 1999, pp.28-29.
- Publisher:
- Reed Business Information
Explains how a revised code of practice to the Mental Health Act 1983 aims to bring social care practitioners up-to-date on best practice to safeguard patient's rights.
Deprivation of liberty safeguards: code of practice to supplement the main Mental Capacity Act 2005 code of practice: laid before Parliament in draft June 2008, pursuant to sections 42 and 43 of the Act
- Author:
- GREAT BRITAIN. Ministry of Justice
- Publisher:
- Stationery Office
- Publication year:
- 2005
- Pagination:
- 120p.
- Place of publication:
- London
The Deprivation of Liberty Safeguards were inserted into the Mental Capacity Act 2005 by the Mental Health Act 2007. They protect against the arbitrary detention of people who lack the capacity to consent to the arrangements made for their care or treatment and who need to be deprived of their liberty, in their own best interests and for their own safety, in either hospitals or care homes. They will rectify the breach of Article 5 of the European Convention on Human Rights identified by the European Court of Human Rights in HL v UK 2004 (the 'Bournewood' case).Section 42 of the Mental Capacity Act 2005, requires the Lord Chancellor to issue a Code of Practice to provide information and guidance on how the safeguards will work in practice. A draft version of the Code was published for full public consultation in 2007. 110 individuals and organisations responded and many of the suggestions and comments received have been incorporated into the final version. The Act requires a range of people to 'have regard' to the Code, for example anyone acting in a professional or paid role in relation to someone who lacks capacity, but it particularly focuses on those who have a duty of care to a person who lacks the capacity to consent to the care or treatment that is being provided, where that care or treatment may include the need to deprive the person of their liberty. The Code is intended to provide valuable information and guidance to all those covered by the Act and has been written to meet the needs of this wide and varied audience.
Mental incapacity and consent to treatment: the Scottish experience
- Author:
- CRICHTON John
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.457-464.
- Publisher:
- Routledge
The paper describes the current state of the law in Scotland relating to the management of adults who do not have the ability to consent to treatment. There are important differences in the nature and content of the common law relating to this subject between Scotland and England, which are described. This is a confusing area of law, which is acknowledged to be in need of reform. The Adults with Incapacity (Scotland) Act 2000 addresses the issue. Briefly describes and discusses the Act.
Providing information to carers of people admitted to psychiatric hospital
- Author:
- BRENNAN Geoff
- Journal article citation:
- Mental Health Care, 1(6), February 1998, pp.196-198.
- Publisher:
- Pavilion
Relatives have an increasingly important role in providing care in the community to people with mental health problems, yet numerous studies have highlighted a lack of support from health care professions. Describes the findings of a study to investigate the information provided to relatives of patients in one trust, and suggests solutions to the ethical and professional dilemmas raised.
Acting in error
- Author:
- ELLISTON Sarah
- Journal article citation:
- Community Care, 24.4.97, 1997, p.25.
- Publisher:
- Reed Business Information
Reports on how serious concern has been voiced about the recent use of the Mental Health Act 1983 to force medical treatment 'for their own good' on people who do not have mental health problems. Explains the legal implications.
Citizens in detention: the role of the Mental Health Act commission in protecting the rights of detained patients
- Author:
- BARNES Marian
- Journal article citation:
- Local Government Studies, 22(3), Autumn 1996, pp.28-46.
- Publisher:
- Routledge
In this article the author is concerned with questions of rights and citizenship as they apply to people who have been placed in a situation where their freedom to participate within society has been temporarily curtailed by being compulsorily detained within a psychiatric hospital. Looks at the 1983 Mental Health Act and the impact it has on detained patient.
What factors influence mental health professionals when deciding whether or not to share a diagnosis of dementia with the person?
- Authors:
- KEIGHTLEY J., MITCHELL A.
- Journal article citation:
- Aging and Mental Health, 8(1), January 2004, pp.13-20.
- Publisher:
- Taylor and Francis
This study investigated what influences mental health professionals when deciding whether or not to tell someone with dementia their diagnosis. A qualitative methodology was employed and the data analysed using grounded theory. Currently people with dementia tend not to be told their diagnosis, despite evidence that sharing diagnostic information can improve psychological well-being and adjustment. Why professionals are reluctant to share diagnostic information with people with dementia is unclear, although the literature raises a number of possibilities. Seven professionals were interviewed (two clinical psychologists and five community psychiatric nurses). The main influence on their disclosure practice was uncertainty about whether the person with dementia would want to know the diagnosis, fuelled by a fear that to tell them if they did not want to know would cause harm. Professionals also expressed a strong sense of both hopelessness and helplessness when confronted with dementia. This was then projected onto the person with dementia, which in turn led to the professionals adopting an overly protective stance towards them. If professionals are to resolve their sense of uncertainty about what the person with dementia wants, in terms of diagnostic information, services need to develop ways in which the views of people with dementia can be heard and start to influence service provision and policy.
Issues in the development of advance directives in mental health care
- Authors:
- ATKINSON Jacqueline, et al
- Journal article citation:
- Journal of Mental Health, 12(5), October 2003, pp.463-474.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Interest in advance directives in mental health care is growing internationally. There is no clear universal agreement as to what such an advance directive is or how it should function. The aim was to describe the range of issues embodied in the development of advance directives in mental health care. The literature on advance directives is examined to highlight the pros and cons of different versions of advance directive. Themes emerged around issues of terminology, competency and consent, the legal status of advance directives independent or collaborative directives and their content. Opinions vary between a unilateral legally enforceable instrument to a care plan agreed between patient and clinician. There is immediate appeal in a liberal democracy that values individual freedom and autonomy in giving weight to advance directives in mental health care. They do not, however, solve all the problems of enforced treatment and early access to treatment. They also raise new issues and highlight persistent problems.