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Reform of the Mental Health Act


Hold up! Before you read on, please read this...

This post was published more than 14 years ago

I keep old posts on the site because I often enjoy reading old content on other people's sites. It can be interesting to see how views have changed over time: for example, how my strident teenage views have, to put it mildly, mellowed.

I'm not a believer in brushing the past under the carpet. I've written some offensive rubbish on here in the past: deleting it and pretending it never happened doesn't change that. I hope that stumbling across something that's 14 years old won't offend anyone anew, because I hope that people can understand that what I thought and felt and wrote about then is probably very different to what I think and feel and write about now. It's a relic of an (albeit recent) bygone era.

So, given the age of this post, please bear in mind:

  • My views may well have changed in the last 14 years. I have written some very silly things over the years, many of which I find cringeworthy today.
  • This post might use words or language in ways which I would now consider inappropriate, offensive, embarrassing, or all three.
  • Factual information might be outdated.
  • Links might be broken, and embedded material might not appear properly.

Okay. Consider yourself duly warned. Read on...

Mental HealthLabour have long wanted to reform the Mental Health Act, and made their first attempt with the Mental Health Bill 2002, which failed rather spectacularly. Several further attempts have also proved fruitless. But now they’re having an all-new attempt at reforming the Act.

Firstly, in true modern NHS style, it now means that the range of people empowered to do things is vastly extended. Where the power to detain people and force treatment upon them was previously restricted to a select few with the necessary skill and experience, the Government now wants to extend this power to a great many more people – in fact, pretty much anyone who claims to work with the Mental Health sector who’s been on a short course. And it will be the Social Service – not medics – who decide if someone can be deemed to be an Approved Mental Health Professional.

This is nurse-prescribing gone mad. Of course, Mental Health nurses have long been highly trained in the detention of individuals for short periods, and they play a very important role in this arena. But now the government wants to open this up to any Mental Health professional. Dodgy counsellors will no medical training will soon be able to sign up for a course, then will be able to detain people. That sounds unhelpful.

Just to make it even easier for these poorly trained individuals to know who they can round up, the Government would like to change the definition of a Mental Disorder. Instead of detailed definitions of each kind of disorder, the Government now wants us to accept “any disorder or disability of the mind” as a definition. This is beyond stupidity. Now, anyone who has epilepsy or has suffered a stroke or has any number of conditions suddenly falls under the provisions of the Mental Health Act, and the mountains of bureaucracy that entails. I’m sure that’ll come as a particular delight to overworked GPs, general physicians, and mental health workers nationwide.

And, ho-hum, they feel a need to better regulate these powers. So they’re introducing much greater use of Mental Health Tribunals. Anyone who’s ever tried to organise a Tribunal for a patient will know that it’s damn-near impossible, so to use more of them seems – well, not a great idea.

Yet this stinking piece of terrible legislation is getting very little media coverage because of public embarrassment about Mental Health.

There is one glimmer of hope – It’s hard to deny that most of the Cabinet have “disorders of the mind”, so we can wait till they pass the new legislation, then lock the lot of ’em up. If Yates of the Yard doesn’t get there first…

This 1,082nd post was filed under: Health, News and Comment, Politics.

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Comments and responses

Comment from impatientpatient

    23.30, 18/03/2007

Just a thought-

Why on earth is ANYONE even looking to the medical/biological causes and cures of mental illness, if doctors will not be allowed to doctor those who are mentally ill? A rhetorical question, I guess…..

I live in Canada, and our provincial government has amended our mental health act to basically be able to detain people against their will, as a response to a policeman being killed a few years ago by a man who was clearly mentally unstable. This worries me because we are emulating your system in a lot of ways, and our previous health minister waxed eloquently about how wonderful the NHS was, with its mix of private and public. The difference is, they are cost cutting by allowing pharmacists to dispense and change meds, using nurse practitioners more, and all that, but no-one is talking about it except in glowing terms. We have a dearth of doctors and so they are being replaced by everyone else, at the expense of those who need doctors.


Nice article anyways. Came thru NHS Blog Doc.

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