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General practitioners' referrals for compulsory admission under the Mental Health Act, II: the process of assessment

  • Michael Sheppard
Extract

This is the second of two articles on GP referrals for compulsory admission, and seeks to examine the process and outcome of assessment by (a) comparing GP with other section assessment referrals and (b) comparing GP referrals who were compulsorily admitted to hospital with those not compulsorily admitted or voluntarily admitted. In relation to the law the main relevant sections for this article are sections 2, 3 and 4. There are two basic grounds for admission: that the patient is suffering from a mental disorder and that admission is in the interests of his/her own health or safety or for the protection of others. Section 4 requires one and sections 2 and 3, two medical recommendations, as well as an application by an approved social worker (ASW) or nearest relative. Section 2, admission for assessment, involves admission for up to 28 days; section 4, emergency admission for assessment, involves admission for up to 72 hours; and section 3, admission for treatment, allows admission for up to six months, and is renewable.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Barnes, M., Bowl, R. & Fisher, M. (1990) Sectioned: Social Services and the Mental Health Act. London: Routledge.
Bean, P. (1980) Compulsory Admissions to Mental Hospitals. London. John Wiley.
DHSS (1983) Memorandum on the Mental Health Act 1983. London: HMSO.
Rogers, A. (1989) Psychiatric referrals from the Police. Unpublished PhD thesis. University of Nottingham.
Sheppard, M. (1990) Mental Health: The Role of the Approved Social Worker. Sheffield. JUSSR. University of Sheffield Press.
Sheppard, M. (1991) Mental Health Work in the Community: Theory and Practice in Social Work and Community Psychiatric Nursing. London: Falmer.
WHO (1977) Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death. Ninth Revision. London: HMSO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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General practitioners' referrals for compulsory admission under the Mental Health Act, II: the process of assessment

  • Michael Sheppard
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