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Supervised discharge orders in England: Compulsory care in the community

  • Vanessa Pinfold (a1), Jonathan Bindman (a1), Karin Friedli (a1), Andrew Beck (a1) and Graham Thornicroft (a1)...
Abstract
Aims and method

Supervised discharge orders were introduced in April 1996. This paper describes two national surveys of their use in all mental health provider trusts in England. Data were collected from key informants in mental health provider trusts using a postal survey in 1997, and a follow-up telephone survey in 1998.

Results

The total number of patients subject to supervised discharge in 1997 was 160, a mean of one per trust. In 1998, there were 378 cases, a mean of two cases per trust. The annual period prevalence in 1998 can be estimated as 510 cases, approximately one per 100000 total population per year. Seventeen applications of the ‘power to convey’ were identified.

Clinical implications

Supervised discharge is regarded as suitable for very few patients, though its use is growing. The controversial power to convey is seldom used in practice and barriers to its use are described.

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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.
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References
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Supervised discharge orders in England: Compulsory care in the community

  • Vanessa Pinfold (a1), Jonathan Bindman (a1), Karin Friedli (a1), Andrew Beck (a1) and Graham Thornicroft (a1)...
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