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Protection and Legislation. Margaret Whoriskey Margaret Anne Gilbert. Use of Mental Health Legislation for People with Learning Disabilities in Scotland. Aims. Provide an overview of the use of mental health legislation for people with LD Contribute to pre-enactment research
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Protection and Legislation Margaret Whoriskey Margaret Anne Gilbert
Use of Mental Health Legislation for People with Learning Disabilities in Scotland
Aims • Provide an overview of the use of mental health legislation for people with LD • Contribute to pre-enactment research • Inform transitional arrangements and implications for Tribunals • Inform research and training • Contribute to broader review and VA Bill
Detention by Diagnosis – mental illness (Group a) and impairment only (Group B)
Detention by severe mental impairment and mental impairment for Group A and B
Length of Detention – Restricted and non Restricted patients
Adults with Incapacity Act • Increase in use of Guardianship for people with LD • More guardianships being granted for people with LD for indefinite period each year
The Mental Health (Care & Treatment) 2003 Act Mental Disorder defined as any: • a) mental illness; • b) personality disorder; or • c) learning disability, however caused or manifested. No specific reference to ASD and no further definition relating to impairment / severe impairment
Innovative aspects of the new Act • Explicit principle base • Compulsion linked to care plan • Community based orders • Long term orders made by tribunals • Provision of local authority services • Provision of specialist services for people under 18 and mothers and babies
Innovations (2) • Named persons • Access to Advocacy • Advanced Statements • Support for Carers • Conditions of Excessive Security • MHO involvement
Conditions for Compulsory Treatment Order – Section 63 • Person must have a mental disorder (Likely for a short term certificate and emergency certificate) • Beneficial treatment is available • Impaired decision making ability • Risk to health safety or welfare of self or safety of others • The order is necessary
Implications for new legislation • Use of detention is different for people with LD – almost all on long term detention and some for many, many years • Significant variation in practice across Scotland • Risks less easy to treat/doctors more cautious? • Variations in Clinical Practice and availability of community and inpatient services • Very few people appeal against detention • Some people also on AWIA (part 6) – developing practice for people with ‘offending behaviour’
Implications for practice • Implications for research