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Mental Health Act 1983: use of urgent treatment in clinical practice

  • Rashmi Yadav (a1) and Anthony S. Zigmond (a1) (a2)
Abstract
Aims and method

To understand circumstances in which urgent treatment provisions are used in clinical practice, by means of a retrospective study. A list of patients to whom Sections 62, 64B and 64G of the Mental Health Act 1983 were applied during the 1-year study period was obtained from the information technology department. Case notes were traced for detailed information on the circumstances of use of these provisions.

Results

The most common reason for urgent treatment was to continue the established treatment plan rather than to start a new treatment (45% Section 62, 84% Section 64). The urgent treatment provisions were most commonly used because of a delay in examination by a second opinion appointed doctor in 45% cases for Section 62 and 84% cases for Sections 64B and 64G.

Clinical implications

This is probably unlawful use of the urgent treatment provisions.

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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.
Corresponding author
Rashmi Yadav (rashmi.yadav@nhs.net)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Department of Health. Code of Practice: Mental Health Act 1983. TSO (The Stationery Office), 2008.
2 Johnson, I, Curtice, M. Use of Section 62 in clinical practice. Psychiatr Bull 2000; 24: 154.
3 Haw, C, Shanmugarutnum, R. Use of Section 62 in clinical practice. Psychiatr Bull 2000; 24: 276.
4 Care Quality Commission. Guidance Note for Commissioners on Consent to Treatment and the Mental Health Act 1983, October 2008 (Amended September 2009). CQC, 2009.
5 Care Quality Commission. Mental Health Act Annual Report 2009/10. CQC, 2010.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Mental Health Act 1983: use of urgent treatment in clinical practice

  • Rashmi Yadav (a1) and Anthony S. Zigmond (a1) (a2)
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