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Retrospective cohort follow-up study of individuals detained under Section 136

  • Jennifer L. Burgess (a1), Sarah-Jane White (a2) and Aileen O'Brien (a3)
Abstract
Background

An original cohort study found that over half of the individuals detained under Section 136 (S136) of the Mental Health Act 1983 were discharged home after assessment, and nearly half were intoxicated.

Aims

To investigate whether the cohort was followed up by psychiatric services, characterise those repeatedly detained and assess whether substance use was related to these outcomes.

Method

Data were retrospectively collected from the notes of 242 individuals, who presented after S136 detention to a place of safety over a 6-month period, and were followed up for 1 year.

Results

After 1 year, 48% were in secondary care. Those with psychosis were the most likely to be admitted. Diagnoses of personality disorder or substance use were associated with multiple detentions; however, few were in contact with secondary services.

Conclusions

Crisis and long-term care pathways for these groups need to be developed to reduce repeated and unnecessary police detention.

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Copyright
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Corresponding author
Jennifer L. Burgess, Academic Psychiatry Department, Institute of Neuroscience, Newcastle University Wolfson Research Centre, Campus for Ageing and Vitality, Newcastle upon Tyne NE4 5PL, UK. E-mail: jennifer.burgess1@nhs.net
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Health and Social Care Information Centre. Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983 and Patients Subjective to Supervised Community Treatment: 2015/16, Annual Figures. NHS Digital, 2016 (http://www.content.digital.nhs.uk/catalogue/PUB22571/inp-det-m-h-a-1983-sup-com-eng-15-16-rep.pdf).
2 Zisman, S, O'Brien, A. A retrospective cohort study describing six months of admissions under Section 136 of the Mental Health Act: the problem of alcohol misuse. Med Sci Law 2015; 55: 216–22.
3 World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO, 1992.
4 Department of Health and Home Office. Review of the Operations of Sections 135 and 136 of the Mental Health Act 1983: Review Report and Recommendations. TSO (The Stationery Office), 2014.
5 Borschmann, RD, Gillard, S, Turner, K, Lovell, K, Goodrich-Purnell, N, Chambers, M. Demographic and referral patterns of people detained under Section 136 of the Mental Health Act (1983) in a south London Mental Health Trust from 2005 to 2008. Med Sci Law 2010; 50: 1518.
6 Sadiq, K, Moghal, A, Mahadun, P. Section 136 assessments in Trafford Borough of Manchester. Clin Gov 2011; 16: 2934.
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8 Riley, G, Freeman, E, Laidlaw, J, Pugh, D. ‘A frightening experience’: detainees' and carers' experiences of being detained under Section 136 of the Mental Health Act. Med Sci Law 2011; 51: 164–9.
9 Spence, SA, McPhillips, MA. Personality disorder and police section 136 in Westminster: a retrospective analysis of 65 assessments over six months. Med Sci Law 1995; 35: 4852.
10 Borschmann, RD, Gillard, S, Turner, K, Chambers, M, O'Brien, AO. Section 136 of the Mental Health Act: a new literature review. Med Sci Law 2010; 50: 34–9.
11 Jenkins, O, Dye, S, Obeng-Asare, F, Nguyen, N, Wright, N. Police liaison and section 136: comparison of two different approaches. BJPsych Bulletin 2016; 41: 17.
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Retrospective cohort follow-up study of individuals detained under Section 136

  • Jennifer L. Burgess (a1), Sarah-Jane White (a2) and Aileen O'Brien (a3)
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