of compulsory detained psychiatric patients re-admitted within three
months, says report
by Angela Hussain
20% of compulsory detained psychiatric patients are re-admitted
within three months of discharge, according to a new report.
people are also being detained solely because they did not comply
with treatment, says the report published
by the the Sainsbury Centre for Mental Health charity and the Mental
Health Act Commission, which is responsible for monitoring how mental
health law is implemented.
report, entitled Back on Track?, examines the care received by more
than 250 patients detained twice in three years.
shows one third did not have a care plan relating to their previous
discharge in their hospital case notes.
report also found that less than half of care plans included information
about a patient's cultural, physical health, vocational or financial
and Asian people, women and patients over 40 fared worse in some
aspects of their assessment and care, said the report.
report found a gap between what was in care plans and what people
reported getting. While 94% had their psychological needs assessed,
only 63% reported getting help with them.
with personal relationships was planned for 56% of people. But help
was received by 23%.
on Track? makes 18 recommendations to improve care offered to people
when they leave hospital after detention.
include better monitoring of care planning; improved record-keeping
and sharing between hospital and community services; comprehensive
discharge planning; and full service user involvement in writing
and reviewing care plans.
Heginbotham, chief executive of the Mental Health Act Commission,
said: "The care programme approach (CPA)
is a sensible process that should not be difficult for providers
to put in place properly."
on Track? includes a practical audit tool for services to evaluate
their CPA provision, and a review of the literature on the CPA,
looking at the history and background of the CPA.
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