Sections 135 and 136: Running a health-based place of safety in Gloucestershire

Pugh, David; Laidlaw, Jim

doi:10.1177/0025802415583867

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…Moreover, cross-organisation responses are juxtaposed against multilayered procedures that were perceived to compound the length of time taken to ensure an individual reaches a place of safety and treatment. The length of time spent within a place of safety under section 136 has been subject to previous comment, 12,37,38 with delays to admission to an in-patient facility attributed to shortages and lack of availability of staff, episodes occurring outside of office hours and the effect of intoxication as a risk factor. 38 Where these procedures broke down, the therapeutic interaction desired by participants was effectively lost.…”

Section: Discussionmentioning

confidence: 99%

Patient perspectives of being detained under section 136 of the Mental Health Act: Findings from a qualitative study in London

et al. 2018

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Introduction Detention under section 136(1) of the Mental Health Act 1983 allows for the police to arrest a person from a public place and remove them to a 'place of safety', typically an emergency department or mental-health unit if it is 'in the interests of that person or for the protection of other persons in immediate need of care or control'. Aims/objective: The aim of this study was to describe the views and perceptions of the process for people with lived experience of mental distress who have been detained under section 136 of the Mental Health Act 1983. Method Semi-structured interviews were conducted with a non-probability sample of people with lived experience of mental distress who have been detained under section 136 across Greater London. Interviews were transcribed and thematically analysed using grounded theory. Fifty-eight people with lived experience of mental distress detained under section 136, including four carers, participated in this study. Results Three interwoven themes were identified: (a) process or procedural issues; (b) the professional-patient relationship; and (c) the importance of a supportive therapeutic environment. Conclusion The length of time, multiple assessment points and processes juxtapose against the need for a humane physical environment and supportive therapeutic interactions from all professional agencies. It is unclear how changes proposed in the Policing and Crime Act 2017 will address these patient needs.

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Section: Discussionmentioning

confidence: 99%

Patient perspectives of being detained under section 136 of the Mental Health Act: Findings from a qualitative study in London

et al. 2018

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“…First, the greater number of place-of-safety suites made available to the police in recent years has made the process of detaining someone under s.136 more straightforward. This theory is supported by Pugh et al 20 who performed a service evaluation of a newly opened place of safety. They found that in the five years after it had been opened, there was a 60% increase in the use of s.136 by the police.…”

Section: Current Evidencementioning

confidence: 84%

“…This theory is supported by Pugh et al. 20 who performed a service evaluation of a newly opened place of safety. They found that in the five years after it had been opened, there was a 60% increase in the use of s.136 by the police.…”

Section: Current Evidencementioning

confidence: 84%

“…They found that in the five years after it had been opened, there was a 60% increase in the use of s.136 by the police. 20 Although this increase could be part of the national trend, such a significant rise is thought to be due to an officer's tendency to use s.136 when an alternative to using the local police station is available. Similar surges of s.136 use have been seen in other areas when new places of safety have been built.…”

Section: Current Evidencementioning

confidence: 99%

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Detention under section 136: Why is it increasing?

Loughran

2018

Med Sci Law

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There has been a significant increase in the use of section 136 of the Mental Health Act 1983 in England and Wales, particularly over the past 10 years, but the reasons for this increase remain unclear. This paper presents a history of English mental-health legislation and the current evidence relating to the use of section 136. It suggests that changing police attitudes, socio-economic factors and diminished resources amongst both the police and mental-health services may have contributed towards its increase. The strain placed on health services may have also resulted in a greater reliance on the police force as an access point to NHS care and could result in the inappropriate use of section 136. With the principle of the 'least restrictive option' at the heart of the Mental Health Act, this advocates the need for reform.

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“…The duration of s136 detention is 24 hours, reduced from 72 hours in 2017 by the Policing and Crime Act (2017). The assessment may result in a longer detention under the civil sections of the MHA, such as section 2 for up to 28 days, but it may also result in discharge from the s136 and does so in the majority of cases (see Pugh and Laidlaw, 2016). Controversy has surrounded the increase in the police's employment of s136 in recent yearsrising from 5, 495 detentions in 2005/06 to 22, 965 in 2015/16 (NHS Digital, 2016 -and the use of police cells as a POS (Care Quality Commission, 2014).…”

Section: Nice the Rules Surrounding Self-harm Have Been Expanded By The Introduction Of Clinicalmentioning

confidence: 99%

Self-harm and moral codes in emergency departments in England

Cresswell

2020

Soc Theory Health

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This article uses a theory of 'moral codes' to analyse the treatment of non-fatal self-harm in emergency departments in the NHS in England. It argues that self-harm has historically been the object of various moral classifications ranging from criminality, to immorality, to mental illness. In the contemporary situation these classifications are highlighted in two areas of health and social policy: first, in terms of the implementation of the National Institute of Health and Care Excellence's clinical guideline on self-harm; second, in terms of the application of section 136 of the 1983 Mental Health Act to individuals who self-harm or who are at risk of self-harm and are brought to emergency departments by the police. The main influences upon the theoretical framework employed are Durkheim, Parsons, especially his concept of the sick role, and Alexander.

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Sections 135 and 136: Running a health-based place of safety in Gloucestershire

Cited by 4 publications

References 9 publications

Patient perspectives of being detained under section 136 of the Mental Health Act: Findings from a qualitative study in London

Patient perspectives of being detained under section 136 of the Mental Health Act: Findings from a qualitative study in London

Detention under section 136: Why is it increasing?

Self-harm and moral codes in emergency departments in England

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