Accessed 23 June 2017. https://nhsenglandfilestore.s3.amazonaws.com/mhmds/ment-heal-bull-thir-repo-m-h-m-d-04-09-rep.pdf. The AMEND study was conducted across three sites: West Midlands (Birmingham & Solihull Mental Health Trust - BSMHFT), south of England (Oxfordshire and Buckinghamshire Mental Health Foundation Trust – OBMHFT) and London (Central and North West London National Health Service (NHS) Foundation Trust - CNWL - and West London Mental Health Trust - WLMHT). 2003;9(5):349–58. We then provide a synthesis of evidence derived from qualitative research within the mental health sector, spanning four key areas: (1) recovery, (2) stigma, (3) employment, and (4) housing. Administration and Policy in Mental Health and Mental Health Services Research, 33 (2006), pp. Government data from the years leading up to implementation of the 2007 Act is available on formal admissions and detentions subsequent to admission under the MHA. ZI, JR, RG, and LT made substantial contributions to acquisition of data. Although multiple sources for data collection were used and cross-checked, it is possible that some MHA assessments were missed. 2000;6(6):407–11. Stigma towards people with mental health problems (PMHP) is known to have substantial negative impacts on their lives. 2009. An interesting observation is that in the third year post implementation of the MHA 1983 there was also a slight dip in rates of detention in the context of year by year increases in numbers of detention from from 1984 to 1991 . Ethical research has a regard for the protection of human life and livelihood (Declaration of Helsinki) but also the ethical completion of research projects, meaning: Quantitative evaluation can be conducted in the context of implementation research to determine impact of various strategies on salient outcomes. Future research should be just as assiduous in collecting data from independent as NHS providers. 554-557, 10.1007/s10488-006-0072-0 Google Scholar Garcia-Campayo et al., 2008 Manage cookies/Do not sell my data we use in the preference centre. The total number of assessments in each four month period of data collection varied: 1034 in 2008, 1042 in 2009, 1242 in 2010 and 1010 in 2011 (n = 4415). There was heterogeneity in the socio-economic and ethnic make up of the catchment populations and service delivery across the three sites (total population 4.2 million). In recent decades, investigators in public health and health economics have intensified empirical research on the role of nature contact and the environment as a general health promoter, including mental health (11, 19–22). EPEX, Rio and Jade) at participating Mental Health Trusts were also utilised to maximise the quality of data collection. Type: Systematic Reviews . Journal of psychiatric and mental health nursing. detention, voluntary admission or no admission). Evidence-Based Practice in Social Work: Lessons from Judgment and Decision-Making Theory. The focus on detained patients makes invisible those who are assessed but not detained. Data were collected from local forms used for MHA assessment documentation and patient electronic databases. 2. 2011;343: d3736. Integrating qualitative and quantitative research methods. During the research process there may be revelations of sui The amendments were intended to remove perceived obstacles to the detention of high risk patients with personality disorders (PDs), sexual deviance and learning disabilities (LDs). On 3rd November 2008 the Mental Health Act (MHA) 2007 was implemented in England and Wales, amending the MHA 1983 [1, 2]. This is because ethics and data protection law-related requirements prevent social care and mental health provider organisations passing patient identifiable details to research teams. Br J Psychiatry. Before starting data collection, researchers arranged meetings with ASWs/AMHPs to describe the study, answer any queries and to request that the local forms used for MHA data collection (CR6B and SS101) were completed with as much detail as possible. Corbett K, Westwood T. ‘dangerous and severe personality disorder’: a psychiatric manifestation of the risk society. The datasets used and/or analysed during the current study available from the first author on reasonable request. The King’s Fund, 2008. The pattern in the AMEND data of an increase in assessments and detentions from 2008 to 2010 and the subsequent decrease in 2011 is difficult to explain. Article: 1695308. Amongst other changes, the 2007 Act enabled supervised community treatment and broadened the range of professionals who could apply for the detention of patients and fulfil the Responsible Clinician role. There was no significant change post implementation in terms of the diagnostic category of detained patients. Singh, S.P., Paul, M., Parsons, H. et al. We do not know how representative the 2008 data was of assessments undertaken in previous years. This case study offers an overview of the quantitative research design used to examine mental health implications of sexual abuse within a clinical population of adults with intellectual disabilities. Our mental health affects our family, our job, how well we live and how soon we die. Numerous researches have been conducted on stigma and discrimination of people with mental disorders. However, mental health research has lagged behind many other healthcare specialities in using qualitative methods within its evidence base. Amaddeo F, Barbui C, Tansella M. State of psychiatry in Italy 35 years after psychiatric reform. Mental Health Aspects of Developmental Disabilities . A prospective, quantitative study of mental health act assessments in England following the 2007 amendments to the 1983 act: did the changes fulfill their promise?. The study periods were later extended to four months. Care Quality Commission. We conclude this chapter with a review By using this website, you agree to our The rates of detention, as a proportion of assessments, remained about the same. Fok M, Stewart R, Hayes R, Moran P. The impact of comorbid personality disorder on use of psychiatric services and involuntary hospitalisation in people with severe mental illness. mental health services research publi-cations over a five-year period (Janu-ary 2005 to September 2009), using the PubMed Central database and the following search terms: mental health services, mixed methods, and from the The significantly wider prevalence of poor mental health in those doing research could be attributed to self-selection. Missing Data: Whilst all efforts were made to retrieve data where possible, some information remained unknown. Articles identified as potential candidates for inclusion had to report empirical research and meet one of the following selection criteria: a study specifically identified as a mixed-meth… Br J Soc Work 2008;171. Where small samples were available, two sided Fisher’s exact tests were used wherever possible. One law for the lion and the ox … A reply to Burnard and Hannigan. Sorted by Relevance . Future qualitative research should focus on health behaviours which are under-theorised in this context such as physical activity, sexual and mental health. 2005;15(2):121–33. There were no assessments of patients labelled as having disorders such as paedophilia, sadomasochism, voyeurism, sexual exhibitionism, fetishism, fetishistic transvestism, multiple disorders of sexual preference, other disorders of sexual preference, disorder of sexual preference not specified or labels akin to them that would fall under F65 (disorders of sexual preference). Ethnicity as a predictor of detention under the mental health act. Memorandum to the health Committee of the House of commons. Fisher’s Χ2 tests were carried out to test for associations between variables of interest to explore any differences between the detained population before (2008) and after (2009–11) the amendments to the Act. 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