Academic Journal

Doctors' Holding Power in Practice: Section 5(2) of the Mental Health Act 1983

التفاصيل البيبلوغرافية
العنوان: Doctors' Holding Power in Practice: Section 5(2) of the Mental Health Act 1983
المؤلفون: Hall, A D, Puri, B K, Stewart, T, Grahame, P S
المصدر: Medicine, Science and the Law ; volume 35, issue 3, page 231-236 ; ISSN 0025-8024 2042-1818
بيانات النشر: SAGE Publications
سنة النشر: 1995
الوصف: Section 5(2) of the Mental Health Act 1983 (England and Wales) is a commonly used short term power of detention often implemented by junior medical staff, which has no statutory right of appeal. There is little published analysis of its use in clinical practice. A detailed case note study of its use in a psychiatric service with a large catchment area is presented. Fifty-seven per cent of the patients detained under s.5(2) were female. Affective psychosis was over-represented in detained females, while schizophrenia and paranoid states were over-represented in males. Eight per cent of s.5(2) detentions were initiated via the nurses' holding power, s.5(4). None of these patients were subsequently regraded to s.2 or 3, which may be accounted for by the finding that personality disorder and alcohol dependence were more commonly diagnosed in this subgroup. Of s.5(2) detainees, none of those with a non-psychotic disorder were regraded to s.2 or 3. Three patients had not accepted in-patient admission prior to implementation of s.5(2). Moreover, 38 per cent of all s.5(2) detentions took place within 24 hours of admission. Patients with a psychotic disorder were more likely to be detained within 24 hours of admission. Doubts regarding the validity of consent to voluntary admission in these patients are raised.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/002580249503500310
الاتاحة: https://doi.org/10.1177/002580249503500310
https://journals.sagepub.com/doi/pdf/10.1177/002580249503500310
Rights: https://journals.sagepub.com/page/policies/text-and-data-mining-license
رقم الانضمام: edsbas.CA1566B6
قاعدة البيانات: BASE
الوصف
DOI:10.1177/002580249503500310