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The New Admission Criteria and the Role of the Approved Mental Health Professional . Sylvia Manson. 1983 Act 1. Must be suffering from mental disorder (specified category) 2. Must be of a nature or degree to warrant detention 3. Must be no other viable alternatives

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the new admission criteria and the role of the approved mental health professional

The New Admission Criteria and the Role of the Approved Mental Health Professional

Sylvia Manson

who should the law apply to criteria for admission what s changed
1983 Act

1. Must be suffering from mental disorder (specified category)

2. Must be of a nature or degree to warrant detention

3. Must be no other viable alternatives

4. Must be in the interests of the patients health, safety or protection of others

5. Mental impairment & psychopathic disorder must be ‘treatable’

The 2007 Amendments

1. Must be suffering from a mental disorder

2. Must be of a nature or degree to warrant detention

3. Must be no other viable alternatives

4. Must be in the interests of the patients health, safety or protection of others

5. For patients on longer term sections, appropriate treatment must be available for all detained patients

Who should the law apply to?Criteria for admission – what’s changed?
criteria for detention treatment
‘Treatment’ must have the purpose of alleviating or preventing a deterioration in the mental disorder or it’s symptoms

Must be clinical purpose to detention

Can only detain if medical treatment appropriate to the nature or degree of mental disorder –and all other circumstances of their case, is available

Will include

- physical health

- culture & ethnicity

- age

- gender, sexual orientation

- Location

- implications for social relationships

- work/education

- implications of not receiving treatment

Under 18’s must be treated in an environment suitable to their needs (formal and informal patients)

Social

Criteria for Detention - treatment

Bio

Psycho

code of practice principles act says this must inform decisions
Purpose principle – minimise undesirable effects of mental disorder and maximise safety and well being

Least restrictive principle

Respect – recognise and respect diverse needs, values & circumstances

Effectiveness, efficient and equitable use of resources

Participation –patient involvement as far as possible +

Involvement of carers, family and others should be encouraged and views taken seriously

Code of Practice Principles– Act says this must inform decisions
how is this assessed
How is this assessed?

Assessment by two Doctors – one Doctor must be ‘section 12’ approved

Does the person suffer from a mental disorder?

Is it of a nature or degree to warrant detention?

Is it necessary in the interests of their health or safety or the protection of others?

Is there appropriate treatment available?

Make a recommendation to detain the person

AMHP must consider

‘all circumstances of the case’

whether there are any less restrictive alternatives.

decide whether to detain the person

role of the amhp
Role of the AMHP
  • The AMHP brings a social

perspective to the assessment

including recognising the role

of oppression and discrimination in mental health

  • They provide a balance to the medical perspective, viewing the person within their environment and wider community
  • The AMHP must evaluate all the circumstances, balancing the rights of the individual to self determine their affairs, with the need to provide compulsory care where no alternatives are viable.
slide7

Assessing

‘all circumstances of the case’

Person’s own views

- ‘interview in an appropriate manner’

Strengths &

coping strategies

culture

history

Legal considerations

Appropriate treatment?

What stressors? What solutions?

Spirituality

Family & friends

Discrimination &

oppression

Wider Social factors &

perspectives

employment

RISK ASSESSMENT

risk assessment
Risk Assessment

What are the risks in relation to:

The patient’s health?

Their safety?

Protection of others?

Likelihood + impact = risk

Need to assess risks associated with all options

including risks arising from detaining the

person

amhp assessment
AMHP - Assessment

How can the risk be reduced?

What alternative care can be put in place?

Does the risk justify over riding the person’s civilliberties?

Level of risk

What is the nature

or degree?

tasks of the amhp
Tasks of the AMHP

Coordinating the assessment

Assessment & making an application where appropriate

Ensuring compliance with MHACt & Code of Practice & other legislation e.g. Children Act & MCA

Conveying to hospital

Ensuring the rights of the patient and Nearest Relative are met

Ensuring the care of dependent children and adults

Protecting the patient’s property

amhp the regulations
AMHP – The Regulations
  • Must be a qualified nurse,

social worker, OT or

psychologist

  • Must under go a

period of approved training

  • Must be authorised by the LSSA but can be employed by another agency
  • Must comply with Conflict Regulations
conflict regulations
Financial – cannot benefit financially

Business – assessors cannot be involved in the same business venture

Professional – cannot be line managed by another assessor or all assessors work within the same team (unless urgent necessity) or be the assessor for a patient from your team

Principle of ensuring objectivity and independence in all other circumstances

Conflict Regulations
amhp training
AMHP Training

Working in complex situations

Knowledge & application of law

Values based practice

Making informed decisions

Working collaboratively & using networks

600hrs at post grad level

Practice and academic assessment

Authorised for 5yrs

Minimum of 18hrs annual refresher training

slide14
The Act is permissive rather than prescriptive

Recognises modernised service delivery

Utilises the skills of other practitioners

Allows the best person for the assessment at hand

How do we ensure independence is maintained?

Maintain a focus on social perspectives of mental health & the patient as a citizen.

Moving Towards AMHP

Opportunities

Challenges

the amhp is a key role within the mental health act

The AMHP is a key role within the Mental Health Act

- an important investment for mental health services!

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