Too much detention? Street Triage and detentions under Section 136 Mental Health Act in the North-East of England: a descriptive study of the effects of a Street Triage intervention
| Autor: | Patrick Keown, Eddy Newton, Diana Lyons, Graham Gibson, Jo French, I McKinnon, Jo Parry, Steve Cull, Paul Brown |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Adult Male Mental Health Services medicine.medical_specialty Adolescent Mental Health Act Population Psychological intervention State Medicine 03 medical and health sciences Young Adult 0302 clinical medicine Intervention (counseling) medicine Humans 030212 general & internal medicine education 0505 law Aged Retrospective Studies education.field_of_study business.industry Research Mental Disorders 05 social sciences General Medicine Middle Aged Triage Mental health United Kingdom Mental Health Treatment Outcome Annual percentage rate Family medicine 050501 criminology Commitment of Mentally Ill Female Descriptive research business |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Objectives To describe the impact of Street Triage (ST) on the number and rate of Section 136 Mental Health Act (S136) detentions in one NHS Mental Health and Disability Trust (Northumberland, Tyne and Wear (NTW)). Design Comparative descriptive study of numbers and rates of S136 detentions prior to and following the introduction of ST in NTW. More detailed data were obtained from one local authority in the NTW area. Setting NTW, a secondary care NHS Foundation Trust providing mental health and disability services in the north-east of England, in conjunction with Northumbria Police Service. Participants People being detained under S136 Mental Health Act (MHA). Routine data on S136 detentions and ST interventions were obtained from NTW, Northumbria Police, Sunderland Hospitals NHS Foundation Trust and Sunderland Local Authority. Interventions Introduction of a ST service in NTW. The main outcome measures were routinely collected data on the number and rate of ST interventions as well as patterns of the numbers and rates of S136 detentions. These were collected retrospectively. Results The annual rate of S136 detentions reduced by 56% in the first year of ST (from 59.8 per 100 000 population to 26.4 per 100 000). There was a linear relationship between the rate of ST in each locality and the reduction in rate of S136 detentions. There were 1623 ST contacts in the first 3 localities to have a ST service during its first year; there were also 403 fewer S136 detentions. Data from Sunderland indicate a 78% reduction in S136 use and a significant reduction in the number and proportion of adult admissions that originated from S136 detentions. Conclusions There is evidence to support the hypothesis that ST decreases the rate of s136 detention. When operating across the whole of NTW, ST resulted in 50 fewer S136 detentions a month, which represents a substantial reduction. |
| Databáze: | OpenAIRE |
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