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Involuntary admissions to a district mental health service – implications for a new mental treatment act

Published online by Cambridge University Press:  13 June 2014

Teresa G Carey  and
John M Owens
John M Owens
Affiliation:
Chief Psychiatrist, St. Davnet's Hospital, Monaghan, Ireland
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Abstract

Objective: The aim of this study was to examine the working of the 1945 Irish Mental Treatment Act in relation to compulsory admission and detention and to establish issues that will need to be addressed in imminent new legislation. Method: A 3 year retrospective study was carried out on all compulsory admissions to the Cavan/Monaghan Psychiatric Service using case note material. The circumstances surrounding application for compulsory admission in one year of the study period were further investigated by delivery of a schedule to Relative-Applicants. Results: The study revealed rates of compulsory admission equivalent to other Irish regions but much higher than neighbouring jurisdictions. There was no evidence of deliberate abuse of the act. Indications emerged of excessive and inappropriate recourse to certification by some relatives and General Practitioners. Excessive length of detained stay and lack of specific procedures for informing patients of their rights were evident. Conclusions: A new Mental Treatment Act will need to place much greater emphasis on patients' civil rights while facilitating access to treatment.

Keywords

Mental treatment actCompulsory admission proceduresPatients' civil rights
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 10 , Issue 3 , October 1993 , pp. 139 - 144
Copyright
Copyright © Cambridge University Press 1993

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References

1. Mental treatment act 1945. Dublin, Government Publications Office, 1945.Google Scholar
2. Council of Europe recommendation No. R (83) 2. Adopted by the Committee of Ministers February 22, 1983.Google Scholar
3. United Nation principles for the protection of persons with mental illness and the improvement of mental health care. Adopted by the General Assembly December 17, 1991.Google Scholar
4.SP, Segal. Civil commitment standards and patient mix in England/Wales, Italy and the United States. Am J Psychiatry 1989; 146: 187–93.Google Scholar
5.Green Paper on Mental Health. Dublin, Government Publications Office, 1993.Google Scholar
6.Gibbons, P, Walshe, DG, Dillon, J. Committal procedures in Ireland. Irish Medical Journal 1992; 5: 91–3.Google Scholar
7.O'Connor, A, Walsh, D. Activities of Irish psychiatric hospitals and units. Dublin: Health Research Board, 1989.Google Scholar
8.Annual Report of the South Eastern Health Board. Kilkenny, South Eastern Health Board, 1991.Google Scholar
9.Mental Health Record Scheme, Regional Information Branch, DHSS, Castle Buildings, Stormont, Belfast BT4 34D, Northern Ireland.Google Scholar
10.Engberg, M. Involuntary commitment in Greenland, The Faroe Islands and Denmark. Acta Psychiatr Scand 1991; 84: 353–6.CrossRefGoogle ScholarPubMed
11.Sheppard, M. General practitioners' referrals for compulsory admission under the Mental Health Act, 1: comparison with other GP mental health referrals. 11: the process of assessment. Psychiatric Bulletin of the Royal College of Psychiatrists 1992; 16: 138–41.Google Scholar