Supervised discharge is anachronistic

Turner, Trevor; Akuffo, E; Caviston, P; Dinan, T.G.; Deahl, Martin; Kohen, Dora; Lucey, James V.; Murphy, Sheigla; Nayer, Parva; Petterson, L; Salter, Mark; Seifert, Rita Furst; Boast, Neil

doi:10.1136/bmj.312.7037.1042

Cited by 3 publications

(1 citation statement)

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“…Supervised Discharge or After-care under Supervision was introduced in the face of much professional and lay opposition (Eastman, 1995;Moore, 1995;Thompson, 1995;Turner et al, 1996) in the Mental Health (Patients in the Community) Act (HMSO, 1995). In spite of the criticisms of SD the power has been used, if sparingly.…”

Section: Introductionmentioning

confidence: 99%

Early Outcomes of Supervised Discharge

Davies¹,

Fallow²,

Bruce³

et al. 2001

Med Sci Law

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We have previously described the generally positive initial experiences of Supervised Discharge (SD) in a large Mental Health Trust serving a mixed inner city, suburban and rural population. This paper seeks to extend our earlier findings by reporting a longitudinal cohort study examining hospitalization before and after SD for the original sample. The main outcome measures were: renewal of SD; time spent out of hospital; survival to readmission or the end of the study period (1 April 1999). Of the 22 patients commenced on SD orders between April 1996 and October 1997, by 1 April 1999: 12 patients were still subject to supervised discharge; 15 had not been readmitted to hospital; survival out of hospital was longer--717 days, compared with 607 days in the same period before SD (p = 0.037); survival to readmission was also longer than before SD (p = 0.023). Contrary to early professional expectations patients subject to SD seem to survive for longer periods in the community. Although not always effective, its wider use should at least be considered as part of the care package for detained patients with a history of non-compliance with care packages leading to relapse and readmission.

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Section: Introductionmentioning

confidence: 99%

Early Outcomes of Supervised Discharge

Davies¹,

Fallow²,

Bruce³

et al. 2001

Med Sci Law

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Section 25 Aftercare under Supervision: The First Eighteen Months' Experience

Davies¹,

Bruce

Fallows³

1999

Med Sci Law

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Supervised discharge was introduced, against much professional opposition, in the Mental Health (Patients in the Community) Act 1995. All patients subject to supervised discharge (SD) in a large health district were identified by medical records departments, and the outcome of their SD on 1 October 1997, eighteen months after the legislation came into effect, was assessed. In that first eighteen months, half of the general, rehabilitation and forensic psychiatrists in the trust used SD for 22 patients. Of the 12 orders in effect for over six months, six were renewed at six months and three at one year. In spite of professional hostility and scepticism about the clinical practicalities of SD, the use of the new power has gradually increased with experience. Outcomes to date seem generally positive, but further definitive research is needed.

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The Mental Health (Patients in the Community) Act 1995

Eastman

1997

Br J Psychiatry

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Burns et a!, 1995). However, these legal options were discarded by the DoH as being inconsistent with Article S of the European Convention on Human Rights (Department of Health, 1993b). With the exception of convicted patients, it is unlawful within the European Convention to detain a patient (perhaps even including forcibly conveying them as the new Act allows) unless they suffer from a mental disorder warranting detention, impliedly in hospital (Winterwerp

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Supervised discharge is anachronistic

Cited by 3 publications

References 0 publications

Early Outcomes of Supervised Discharge

Early Outcomes of Supervised Discharge

Section 25 Aftercare under Supervision: The First Eighteen Months' Experience

The Mental Health (Patients in the Community) Act 1995

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