Search results for ‘Subject term:"severe mental health problems"’ Sort:
Results 1 - 7 of 7
How we protect the rights and interests of people who are detained in hospital
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 16
- Place of publication:
- Nottingham
This leaflet is for anyone who is detained in hospital or in other mental health services under the Mental Health Act 1983. It describes how the Care Quality Commission acts to protect the interests of people whose rights are restricted under the Mental Health Act. The Mental Health Act Commissioners visit all wards where patients are detained in order to meet them and make sure that the staff are using the Mental Health Act properly. During this time, patients have the opportunity to discuss their concerns about care and treatment with the Commissioner. This leaflet describes: what a Commissioner does when they visit; what they do not have legal rights to do; the patient’s rights about taking medication both within the first 3 months and after that time; treatment in urgent situations; things to remember about consent to treatment; making a complaint; what is done with personal information held about patients; and how patients can contact a Mental Health Act Commissioner.
Mental Health Act: the rise in use of the MHA to detain people in England
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 27
- Place of publication:
- Newcastle upon Tyne
This review looks at the rise in use of the Mental Health Act (MHA) to treat people in hospitals and gathers the views of patients, carers and staff on the possible reasons for this increase. The review involved site visits to NHS trusts, independent mental health service providers and local authorities; and engagement with service users. It identifies four areas that that might influence the rates of detention across four broad groups: changes in mental health service provision and bed management, including more frequent re-admissions and loss of specialist community teams; demographic and social change; legal and policy developments influencing practice; and data reporting and data quality. The report also includes examples of what sites have done to monitor the impact of the MHA, counter the rising rates of detention and use information about the MHA to improve services for patients. It concludes there is no single cause for the rise in rates of detention. It argues that action is needed to address underlying problems and that reform of mental health legislation on its own is unlikely to reduce the rate of detention. (Edited publisher abstract)
Rights of the "nearest relative" under the Mental Health Act 1983
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- London
Under Section 26 of the Mental Health Act 1983, the Nearest Relative of a patient has specific rights with regard to the treatment of that patient. This guidance note is designed to provide service users, carers and relatives with basic information on: the identification of Nearest Relatives under the Act; what to do if the identified person does not want to be involved as the Nearest Relative; the rights of the Nearest Relative; and the rights of other relatives.
Right here, right now: people’s experiences of help, care and support during a mental health crisis
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2015
- Pagination:
- 106
- Place of publication:
- Newcastle upon Tyne
A review of the quality, safety and effectiveness of care provided to those experiencing a mental health crisis. The report is based on feedback from almost 1,800 people with experience of a mental health crisis, along with local area inspections looking at how services work together, surveys of service providers and a review of national data. The review found that the quality of care experienced by a person in crisis can vary greatly depending on where they are and what help they require. Many people also experienced problems getting help when they needed it, and found that healthcare professionals sometimes lack compassion and warmth when caring for people who are having a crisis. Other findings include: many people will go to see their local GP first when they are having a mental health crisis - the majority (60 per cent) of people who visited their GP during a crisis were satisfied with the experience; most people reported that they came into contact with at least three different services when they had a mental health crisis – nearly one in eight said that they had come in to contact with between six and ten services, which indicates a need for them to work more closely together in areas; access to, and the quality of, A&E services after 5pm was not good enough – highlighting the need to for adequate and effective liaison psychiatry services across acute settings that deliver value for money, alongside improving outcomes for people who come into contact with them; the use of police cells as a ‘place of safety’ for people in crisis has fallen significantly, but people under 18 can have problems accessing suitable places of safety - in 2013/14, nearly a third of people under 18 who were detained, were taken into police custody. (Edited publisher abstract)
Investigation into West London Mental Health NHS Trust
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2009
- Pagination:
- 82p.
- Place of publication:
- London
This reports on an investigation into West London Mental Health NHS Trust that was triggered by concerns about the trust's response to suicides within the trust. The investigators carried out two unannounced visits to see the environment in which care was being delivered, how staff engaged with service users and interview staff and managers. The findings are discussed under the following headings: national context; the trust's history and role; providing a safe environment and protecting people from harm; enabling good outcomes for people through high quality care. The report concludes that one of the things that a trust must do is to learn the lessons from serious incidents and take action to prevent the same things happening again; the system that the trust had in place to do this was seriously flawed. A number of recommendations are made.
Monitoring the Mental Health Act in 2018/19
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2020
- Pagination:
- 57
- Place of publication:
- Newcastle upon Tyne
Annual report summarising Care Quality Commission’s monitoring of the use of the Mental Health Act 1983 (MHA). The report looks at how providers are caring for patients, and whether patients' human rights are being protected. It includes on people’s experience of the Mental Health Act, including how information is provided to patients, disproportionate detention of Black and minority ethnic groups under the MHA, how they are involved in care planning, access to Mental Health Advocacy and support in discharge planning. It also provides information on CQC's statutory duties in monitoring the Mental Health Act, including: deaths in detention, complaints to the CQC and on First Tier Tribunals. Key findings from MHA monitoring visits include: that people in long-term segregation can experience more restrictions than necessary, especially people with a learning disability and autistic people; some services still struggle to offer people the care and treatment they need; and people find it difficult navigate the complex interface between the MHA, the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. It also found that although many services are meeting the basic expectations of the Mental Health Act Code of Practice in relation to involving people in in decisions about their care and support, more progress is required. (Edited publisher abstract)
Mental Health Act: a focus on restrictive intervention reduction programmes in inpatient mental health services
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 20
- Place of publication:
- Newcastle upon Tyne
This resource shares examples of good practice around reducing the use of restrictive practices from five NHS mental health trusts. The examples cover the following topics: improved leadership and governance; a programme to reduce restrictive; supporting positive behaviour; providing person-centred care; and embedding a positive and therapeutic culture. To show how the five examples relate to the Mental Health Act Code of Practice, the resource includes the appropriate standard from the Code alongside each example. (Edited publisher abstract)