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Safer services
Corporate AuthorNational Confidential Inquiry into Suicide and Homicide by People with Mental Illness, University of Manchester; Royal College of Psychiatrists; Department of Health - DoH
PublisherDepartment of Health, London, 1999
Pages99 pp
SourceDepartment of Health, PO Box 410, Wetherby, LS23 7LN.
KeywordsMental disorder ; Suicide ; Crime ; Psychiatric treatment ; Social surveys.
AnnotationThe National Confidential Inquiry found that in the two years from April 1996, 24% of suicides had been in contact with mental health services in the year before death. Of those convicted of homicide (for whom reports were available), 14% had symptoms of mental illness at the time of the offence. In addition to presenting detailed data on suicides and homicides, the Inquiry carried out a survey of health trusts' mental health service training and policies. Its findings suggest the need for substantial changes to the way mental health services currently operate, with a need to improve skills rather than increase paperwork. A single simplified but universal system of documentation for all professional disciplines involved is also required for: clinical risk assessment, allocation to care under the Care Programme Approach (CPA), and transfer of information between services. The CPA, the centrepiece of mental health service provision in the community, is in need of overhaul: its clinical value is in danger of being undermined by its administrative demands. Other areas of concern included: non-compliance with treatment; patients with a history of disengagement from services; and alcohol and drug misuse. (RH).
Accession NumberCPA-990512201 B
ClassmarkE: EV: TWA: LP: 3F

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