Discrepancies and inaccuracies in statistics for detained patients

Nemitz, Teresa; Bean, Philip

doi:10.1192/pb.19.1.28

Cited by 6 publications

(2 citation statements)

References 2 publications

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“…These data are potentially unreliable (Nemitz & Bean, 1995), as they depend on NHS trusts reporting the use of the Act when Department of Health admissions under the Act occur. It is therefore possible that changes in the efficiency with which admissions under the Act are reported could account for the increase in the number of formal admissions.…”

Section: Discussionmentioning

confidence: 99%

Changing patterns in the use of the Mental Health Act 1983 in England, 1984–1996

et al. 2000

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Section: Discussionmentioning

confidence: 99%

Changing patterns in the use of the Mental Health Act 1983 in England, 1984–1996

et al. 2000

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“…One of the main limitations of this study is that data might not be representative of patterns of detention across Scotland. This could be because Glasgow is an urban area with above average deprivation (Gruer & Morrison, 1999), or because data were missing or inaccurate (Nemitz & Bean, 1995).…”

Section: Discussionmentioning

confidence: 99%

Use of the Mental Health (Scotland) Act (1984) in south Glasgow

Taylor¹,

Idris²

2003

Psychiatr. bull.

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Aims and Method A cross-sectional survey of the use of the Mental Health (Scotland) Act 1984 in a defined urban area. Patients initially detained under civil sections (Sections 24, 25, 26 and 18) between 1 April 1997 and 31 March 1998 were identified using the hospital information system and a hand search of section papers. Results There were 283 detentions involving 204 patients that lasted a median of 6 days. A total of 98% of patients were initially detained on a 72-hour ‘emergency section’. A total of 61% had non-organic psychotic disorders (172/283). Less than half of detentions were during the working week. Consent was usually provided by the mental health officer or relatives, but was not provided for 11% of detentions. Patients detained after admission were more likely to be detained for a longer period (29 v. 3 days) and to have their detention extended over 72 hours (64% v. 41%) compared with those detained in the community. Clinical Implications This paper provides information on some of the gaps identified by recent reviews of mental health legislation in Scotland and discusses the possible impact of the changes proposed by the Millan Committee. The workload of general adult consultant psychiatrists is likely to increase and the proportion of patients detained without consent could also increase. The study supports the differentiation of patients detained after admission from those detained in the community, as the patterns of detention are different.

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