Treatment of Uncooperative Psychiatric Patients in the Community: Mental Health Act in Need of Reform
Lancet. 1986 Apr 12; 1(8485): 863-864.
Recent British court decisions have revealed a gap in the provisions of the Mental Health Act 1983. Mentally ill persons who refuse treatment and whose condition does not warrant institutionalization may not be compulsorily treated until their condition deteriorates to a point that justifies detention. Judicial interpretation of the Act in the case of a chronically ill schizophrenic patient who became disordered when she ceased taking medication denied physicians the authority to admit her overnight prior to granting her a leave of absence to be treated as an outpatient. The Court of Appeal ruled the detention unlawful because the physicians acknowledged that the patient did not require inpatient treatment. Brahams urges amendment of the Act to allow compulsory treatment, under proper safeguards, in such circumstances. (KIE abstract)
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Compulsory Psychiatric Treatment in the Community: I. a Controlled Study of Compulsory Community Treatment With Extended Leave Under the Mental Health Act: Special Characteristics of Patients Treated and Impact of Treatment Sensky, Tom; Hughes, Timothy; Hirsch, Steven (1991-06)