Police Admissions to Psychiatric Hospitals: A Challenge to Community Psychiatry?

Fahy, Thomas; Bermingham, Donald; Dunn, John

doi:10.1177/002580248702700405

Cited by 26 publications

(21 citation statements)

References 12 publications

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“…However, both this study and previous ones (Fahy et al, 1987)indicate that in prac tice Section 136 often results in patients being brought to a psychiatric hospital to be assessed, and in these instances the distinction between assessment and compulsory admission to hospital is blurred.…”

Section: Commentmentioning

confidence: 69%

“…This would raise the question as to why this should be the case. One of the authors (DB) has been involved in looking at areas where there is a high rate of Section 136 admissions (Fahy et al, 1987) and it has been noted that there are a variety of explanations. These include large urban populations with large ethnic minorities and lack of provision of approved social workers.…”

Section: Commentmentioning

confidence: 99%

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High rate of Section 4 admissions: clinical implications and possible explanation

Puri

Bermingham

1990

Psychiatr. bull.

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The Mental Health Commissioners recommend that whenever possible two doctors should be involved in the decision to admit a patient to hospital under the Mental Health Act (1983). That is, Sections 2 and 3 of the Act should always be used in preference to Section 4, where only one doctor is required. It further recommends that the use of Section 4 should be confined to emergencies when it is only possible to secure the attendance of one doctor.

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Section: Commentmentioning

confidence: 69%

Section: Commentmentioning

confidence: 99%

High rate of Section 4 admissions: clinical implications and possible explanation

Puri

Bermingham

1990

Psychiatr. bull.

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“…The proportion of men and women detained also matches previous studies that have reported men accounting for slightly more than half of all people detained. 6,9,21 One finding of particular interest was that more than twofifths (41.2%) of all detentions resulted in a discharge without hospital admission. This rate of discharge was considerably higher than those reported in previous research, in which discharge rates of 32%, 10 18%, 5 8%, 6 and even as low as 0.5% 22 have been reported.…”

Section: Discussionmentioning

confidence: 99%

Demographic and referral patterns of people detained under Section 136 of the Mental Health Act (1983) in a south London Mental Health Trust from 2005 to 2008

et al. 2010

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This study aimed to retrospectively examine demographic and referral data for all detainees under Section 136 of the Mental Health Act (1983) at a 'place of safety' in one London Mental Health Trust over a three-year period. Data were collected for 887 consecutive detentions and indicated a clear over-representation of black detainees compared with their representation in the local population. A high proportion of detentions (41.2%) did not result in hospital admission. Implications for practice and service user experience should be considered as long as Section 136 remains an entry point to mental health services for many black people. There are implications for interprofessional practice where Mental Health Trust resources are expended supporting Section 136 detentions in which no hospital treatment follows.

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“…The vast majority of studies report male gender as a significant characteristic of police referrals (Dunn & Fahy 1990; Evans & Boothroyd 2002; Fahy et al. 1987; Fry & Brunero 2005; Kneebone et al.…”

Section: Literature Reviewmentioning

confidence: 99%

Profiling police presentations of mental health consumers to an emergency department

Lee

Brunero²,

Fairbrother

et al. 2008

Int J Mental Health Nurs

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Public mental health systems have been called on to better meet the needs of consumers presenting to health services with the police, yet few studies have examined police presentations among mental health consumers in large public mental health systems. This study was designed to determine the frequency profile and characteristics of consumers of mental health services brought in by police to an emergency department (ED) in Sydney, Australia. Using data from the emergency department information system and obtaining the psychiatric assessment from the medical record, we have examined trends and characteristics in mental health presentations brought in by the police to a general ED between 2003 and 2005. The sample consisted of 542 consumers with a mental health problem brought in by the police to the ED of a 350-bed community hospital. The characteristics of this group were compared with those of all mental health related ED presentations for the same period using logistic regression. Results indicated that police presentations are likely to be young males who are unemployed, have past and present alcohol and other drugs use, present after hours, and are admitted to hospital as a result of their presentation. These consumers are likely to have a presenting problem of a psychotic disorder, less likely to have a presenting problem of depression and/or anxiety, and given a triage code of three or higher. The study results highlight the importance of the availability of 24-hour access to mental health care to ensure a quick care delivery response. Police presentations to EDs with mental health issues are an indicator of significant impact on health services, especially with the current overcrowding of EDs and the associated long waiting times. Systems need to be developed that facilitate collaboration between EDs, hospital security, police services, mental health, and ambulance services.

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Police Admissions to Psychiatric Hospitals: A Challenge to Community Psychiatry?

Cited by 26 publications

References 12 publications

High rate of Section 4 admissions: clinical implications and possible explanation

High rate of Section 4 admissions: clinical implications and possible explanation

Demographic and referral patterns of people detained under Section 136 of the Mental Health Act (1983) in a south London Mental Health Trust from 2005 to 2008

Profiling police presentations of mental health consumers to an emergency department

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