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Improving the quality of medical reports to mental health review tribunals

  • Paul Egleston (a1) and Michael D. Hunter (a2)
Abstract
AIMS AND METHOD

We aimed to determine, using clinical audit, the effect of implementing national guidelines on the quality of responsible medical officers' (RMOs’) reports to the mental health review tribunal (MHRT). We blindly assessed the quality of 50 consecutive reports concerning patients detained under Sections 3 and 37. Twenty-five reports were written before guidelines were circulated; a further 25 were written following the distribution of guidelines and a checklist with every request for a report.

RESULTS

The quality of reports, as measured by our checklist, significantly improved following the circulation of guidelines.

CLINICAL IMPLICATIONS

Increasing the awareness of guidelines by widespread circulation and the audit process is an effective way of improving the quality of RMOs' reports to the MHRT.

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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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Blumenthal, S. & Wessely, S. (1994) The cost of Mental Health Review Tribunals. Psychiatric Bulletin, 18, 274276.
Davison, P. & Perez De Albeniz, A. (1997) Reports prepared for mental health review tribunals and managers' reviews. Psychiatric Bulletin, 21, 364366.
Ismail, K., Smith, S. & Maden, T. (1998) Mental health review tribunal medical reports. Psychiatric Bulletin, 22, 615618.
Langley, G. E. (1993) Mental health review tribunals in practice. Psychiatric Bulletin, 17, 331336.
Regional Chairmen of the Mental Health Review Tribunal for England and Wales (2000) Guidance for the Preparation of Medical Reports for the MHRT. London: Mental Health Review Tribunal Secretariat.
Woolf, P. G. (1991) The role of the doctor in the mental health review tribunal. Psychiatric Bulletin, 15, 407409.
World Health Organization (1992) The ICD–10 classification of Mental and Behavioural Disorders. Geneva: WHO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Improving the quality of medical reports to mental health review tribunals

  • Paul Egleston (a1) and Michael D. Hunter (a2)
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