The effect of crisis resolution and home treatment on assessments under the 1983 mental health act: An increased workload for approved social workers?

British Journal of Social Work

Volumn 39, Issue 5, 2009, Pages 901-917

  Furminger, Elaine ^a   Webber, Martin ^a  

^a NONE   (United Kingdom)

Author keywords

Approved social worker; Crisis assessment; Crisis resolution; Home treatment; Mental health Act; Psychiatric admission

Indexed keywords

EID: 68349127174     PISSN: 00453102     EISSN: 1468263X     Source Type: Journal    
DOI: 10.1093/bjsw/bcm171     Document Type: Article

References (39)

1. Appleby, L. (2007) Breaking Down Barriers: Clinical Case for Change, London, Department of Health.
2. Audini, B. and Lelliott, P. (2002) 'Age, gender and ethnicity of those detained under Part II of the Mental Health Act 1983', British Journal of Psychiatry, 180, pp. 222-6.
3. Barnes, M., Bowl, R. and Fisher, M. (1990) Sectioned: Social Services and the 1983 Mental Health Act, London, Routledge.
4. Bhui, K., Stansfield, S., Hull, S., Priebe, S., Mole, F. and Feder, G. (2003) 'Ethnic variations in pathways to and use of specialist mental health services in the UK', British Journal of Psychiatry, 182, pp. 105-16.
5. Brimblecombe, N. and O'Sullivan, G. (1999) 'Diagnosis, assessments and admissions from a community treatment team', Psychiatric Bulletin, 23, pp. 72-4.
6. Commission for Healthcare, Audit and Inspection (2005) Count Me In: Results of a National Census of Inpatients in Mental Health Hospitals and Facilities in England and Wales, London, HMSO.
7. Dean, C., Phillips, J., Gadd, E. M., Joseph, M. and England, S. (1993) 'A comparison of a community-based service with a hospital-based service for people with acute, severe psychiatric illness', British Medical Journal, 307, pp. 473-6.
8. Department of Health (1993) Code of Practice, Mental Health Act 1983, London, HMSO.
9. Department of Health (1995) Building Bridges, London, HMSO.
10. Department of Health (1999) National Service Framework: Mental Health, London, HMSO.
11. Department of Health (2001) Mental Health Policy Implementation Guide, London, HMSO.
12. Department of Health (2006) Inpatients Formally Detained in Hospitals under the Mental Health Act 1983 and Other Legislation, England: 1994-95 to 2004-05, London, The Information Centre, Mental Health Statistics.
13. Dunn, L. M. (2001) 'Mental Health Act assessments: Does a community treatment team make a difference?', International Journal of Social Psychiatry, 47(2), pp. 1-19.
14. Evans, S., Huxley, P., Gately, C., Webber, M., Mears, A., Pajak, S., Medina, J., Kendall, T. and Katona, C. (2006) 'Mental health, burnout and job satisfaction among mental health social workers in England and Wales', British Journal of Psychiatry, 188, pp. 75-80.
15. Evans, S., Huxley, P., Webber, M., Katona, C., Gately, C., Mears, A., Medina, J., Pajak, S. and Kendall, T. (2005) 'The impact of "statutory duties" on mental health social workers in the UK', Health and Social Care in the Community, 13(2), pp. 145-54.
16. Hatfield, B., Huxley, P. and Mohamad, H. (1997) 'Social factors and compulsory detention of psychiatric patients in the UK: The role of the approved social worker in the 1983 Mental Health Act', International. Journal of Law and Psychiatry, 20(3), pp. 389-97.
17. Hatfield, B., Mohamad, H. and Huxley, P. (1992) 'The 1983 Mental Health Act in five local authorities: A study of the practice of approved social workers', International. Journal of Social Psychiatry, 38, pp. 189-207.
18. Hotopf, M., Wall, S., Buchanan, A., Wessely, S. and Churchill, R. (2000) 'Changing patterns in the use of the Mental Health Act 1983 in England 1984-1996', British Journal of Psychiatry, 176, pp. 479-84.
19. Hoult, J. (1986) 'Community care of the acutely mentally ill', British Journal of Psychiatry, 149, pp. 137-44.
20. Huxley, P., Evans, S., Gately, C., Webber, M., Mears, A., Pajak, S., Kendall, T., Medina, J. and Katona, C. (2005a) 'Stress and pressures in mental health social work: The worker speaks', British Journal of Social Work, 35, pp. 1063-79.
21. Huxley, P., Evans, S., Webber, M. and Gately, C. (2005b) 'Staff shortages in the mental health workforce: The case of the disappearing approved social worker', Health and Social Care in the Community, 13(6), pp. 504-13.
22. Ingram, G. and Tacchi, M. J. (2004) 'Service innovation in a heated environment: CATS on a hot tin roof', Psychiatric Bulletin, 28, pp. 398-400.
23. Johnson, S., Nolan, F., Hoult, J., White, I. R., Bebbington, P., Sandor, A., McKenzie, N., Patel, S. N. and Pilling, S. (2005a) 'Outcomes of crises before and after the introduction of a crisis resolution team', British Journal of Psychiatry, 187, pp. 68-75.
24. Johnson, S., Nolan, F., Pilling, S., Sandor, A., Hoult, J., McKenzie, N., White, I. R., Thompson, M. and Bebbington, P. (2005b) 'Randomised controlled trial of acute mental health care by a crisis resolution team: The north Islington crisis study', British Medical Journal, 331, pp. 599-602.
25. Kitzinger, J. (1995) 'Qualitative research: Introducing focus groups', British Medical Journal, 311, pp. 299-302.
26. Lelliott, P. and Audini, B. (2003) 'Trends in the use of Part II of the Mental Health Act 1983 in seven English local authority areas', British Journal of Psychiatry, 182, pp. 68-70.
27. McPartland, E. (2007) 'Trends in the use of Part II of the Mental Health Act 1983 in the context of national policy and the new model of care: Changes in the socio-demographic profile of psychiatric patients in one locality', unpublished MSc thesis, Kings College, London.
28. Mental Health Act Commission (2006) In Place of Fear? Eleventh Biennial Report 2003- 2005, London, HMSO.
29. Muijen, M., Marks, I., Connolly, J. and Audini, B. (1992) 'Home-based care and standard hospital care for patients with severe mental illness: A randomised controlled trial', British Medical Journal, 304, pp. 749-54.
30. Office for National Statistics (2003) Census 2001: National Report for England and Wales, London, The Stationery Office.
31. Office of the Deputy Prime Minister, (2004) The English Indices of Deprivation 2004 (revised), London, HMSO.
32. Quirk, A., Lelliott, P., Audini, B. and Buston, K. (2003) 'Non-clinical and extra-legal influences on decisions about compulsory admission to psychiatric hospital', Journal of Mental Health, 12(2), pp. 119-30.
33. Salize, H. J. and Dressing, H. (2004) 'Epidemiology of involuntary placement of mentally ill people across the European Union', British Journal of Psychiatry, 184, pp. 163-8.
34. Singh, S. P., Greenwood, N., White, S. and Churchill, R. (2007) 'Ethnicity and the Mental Health Act 1983', British Journal of Psychiatry, 191, pp. 99-105.
35. SPSS Inc. (2003) SPSS for Windows, Version 12.0.1., Chicago.
36. Stein, L. and Test, M. A. (1980) 'Alternatives to hospital treatment: Conceptual model treatment program and clinical evaluation', Archives of General Psychiatry, 37, pp. 392-7.
37. Tomar, R., Brimblecombe, N. and O'Sullivan, G. (2003) 'Service Innovations: Home treatment for first episode psychosis', Psychiatric Bulletin, 23, pp. 349-52.
38. Tufnell, G., Bouras, N., Watson, J. P. and Brough, D. I. (1985) 'Home assessment and treatment in a community psychiatric service', Acta Psychiatrica Scandinavia, 72, pp. 20-8.
39. Webber, M. and Huxley, P. (2004) 'Social exclusion and risk of emergency compulsory admission: A case control study', Social Psychiatry and Psychiatric Epidemiology, 39, pp. 1000-9.