Approved Mental Health Professionals and Detention: An Exploration of Professional Differences and Simularities

Stone, Kevin

doi:10.1080/09503153.2018.1445709

Cited by 12 publications

(14 citation statements)

References 20 publications

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“…This study employed a qualitative methodology with semi-structured interviews conducted with ten nurse AMHPs focusing upon their recruitment, training, warranting and practice as an AMHP. This was part of a larger qualitative study comparing the decision making of social work and nurse AMHPs (Stone, 2018).…”

Section: Methodsmentioning

confidence: 99%

Nurse AMHPs: an exploratory study of their experiences

Stone

2019

JMHTEP

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Purpose Mental health and learning disability nurses have been eligible to become approved mental health professionals (AMHPs) since 2008, when the Mental Health Act 2007 was implemented. Despite this, there have been proportionally low numbers of these nurses pursuing the AMHP role. The purpose of this paper is to explore the experiences of these nurse AMHPs of training and practice. Design/methodology/approach Ten practicing nurse AMHPs were recruited from across four local authority sites. Using semi-structured interviews, participants were asked to discuss their experiences of being an AMHP. Findings The participants highlighted the need to navigate personal, cultural and structural factors relating to accessing and applying for the training, difficulties with agreeing contracts terms, gaining comparative pay and undertaking the role. Research limitations/implications The limitations of this study are the small number of participants and therefore the generalisability of the findings. Also, respondents were practising AMHPs rather than nurses who considered the role but then rejected it as a career option. Practical implications This study has led to gain a greater understanding of the experiences of nurse AMHPs. Social implications The results from this study will assist employing local authorities, and NHS consider the barriers to mental health and learning disability nurses becoming AMHPs. Originality/value The value of this study is in the insight that provides the experiences of nurse AMHP from applying to training through to being a practising AMHP.

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Section: Methodsmentioning

confidence: 99%

Nurse AMHPs: an exploratory study of their experiences

Stone

2019

JMHTEP

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“…Risk and safety are important considerations for mental health staff, 49 and clinicians' attitudes and responses to risk are highly variable and subjective. 50,51 Perceived risk has consistently been identified as the strongest predictor of outcome of assessments for involuntary admission in English studies. [52][53][54] The amendments to the MHA in 2007 extended the reach of coercion in response to perceived risk by broadening legal definitions of mental disorder and treatability, and introducing community coercion through community treatment orders, and has been characterised as reflecting a more general societal preoccupation with risk minimisation.…”

Section: Staff Attitudes To Risk and Safetymentioning

confidence: 99%

“…Practitioners' attitudes to risk and safety are variable and highly important regarding decisions to detain, [48][49][50][51] but changes over time in clinical culture and practice are not easily evaluated empirically. More qualitative research to understand the nature and extent of practitioners' biases and group-level stigma has been called for, to aid understanding of the rise in detentions and the disproportionately high rates of detention for people from BAME groups.…”

Section: Implications For Researchmentioning

confidence: 99%

Understanding increasing rates of psychiatric hospital detentions in England: development and preliminary testing of an explanatory model

et al. 2020

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Background The steep rise in the rate of psychiatric hospital detentions in England is poorly understood. Aims To identify explanations for the rise in detentions in England since 1983; to test their plausibility and support from evidence; to develop an explanatory model for the rise in detentions. Method Hypotheses to explain the rise in detentions were identified from previous literature and stakeholder consultation. We explored associations between national indicators for potential explanatory variables and detention rates in an ecological study. Relevant research was scoped and the plausibility of each hypothesis was rated. Finally, a logic model was developed to illustrate likely contributory factors and pathways to the increase in detentions. Results Seventeen hypotheses related to social, service, legal and data-quality factors. Hypotheses supported by available evidence were: changes in legal approaches to patients without decision-making capacity but not actively objecting to admission; demographic changes; increasing psychiatric morbidity. Reductions in the availability or quality of community mental health services and changes in police practice may have contributed to the rise in detentions. Hypothesised factors not supported by evidence were: changes in community crisis care, compulsory community treatment and prescribing practice. Evidence was ambiguous or lacking for other explanations, including the impact of austerity measures and reductions in National Health Service in-patient bed numbers. Conclusions Better data are needed about the characteristics and service contexts of those detained. Our logic model highlights likely contributory factors to the rise in detentions in England, priorities for future research and potential policy targets for reducing detentions.

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“…Likewise, in Scotland the number of shorter, hospital-based detentions has also grown in numbers. Unsurprisingly, therefore, concerns have been expressed about an increase in the use of compulsion in mental health generally and in particular for CTOs, (Mental Welfare Commission, 2015, 2018, and the efficacy of associated safeguards.…”

Section: Scotlandmentioning

confidence: 99%

“…In England and Wales, however, the generic Approved Mental Health Professional (AMHP) role now involves social work and non-social work professionals (Table 1). The uptake of the AMHP training by non-social work professions, however, has been low and there is no reliable evidence to indicate any disparity in decision making by professional background (Knott & Bannigan, 2013;Stone, 2018). The introduction of CTOs to England, Wales and Scotland created a number of additional challenges and opportunities for those mental health social workers that, hitherto, were only involved in processes associated with involuntary admissions to hospitals.…”

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confidence: 99%