A brief guide to Section 136 for Emergency Departments

Royal College of Emergency Medicine, December 2017

This guide outlines the process to be followed when police bring a person to the Emergency Department under a section136 of the Mental Health Act and the responsibilities of the different agencies caring for the person.  It notes the main change detailed is a reduction in duration of the section from 72 hrs to 24 hours. Under 18s are no longer allowed to be taken to a police cell and adults will only be taken to a police cell under certain circumstances. Police are also required to consult a mental health professional before applying a section 136 where possible.

Click here to read the full guidance.

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National confidential inquiry into suicide and homicide by people with mental illness

University of Manchester, October 2016

This report presents findings relating to people who died by suicide in 2004-2014. It found that over 200 suicide deaths per year now occur in patients under mental health crisis teams, three times as many as in in-patients.

Click here to view the full report.

Note for adult safeguarding boards on the Mental Health Crisis Concordat

Local Government Association, June 2015

The Mental Health Crisis Care Concordat is a national agreement between services and agencies involved in the care and support of people in crisis. It sets out how organisations will work together better to make sure that people get the help they need when they are having a mental health crisis.  The LGA and ADASS have published a note for adult safeguarding boards on the Mental Health Crisis Care Concordat. Included in this to this document is a checklist which safeguarding adults boards can use to assess their progress with the local implementation of the Concordat.

Click here for further information and to download the note.

Right Here, Right Now: CQC publish report on people’s experience of care during a mental health crisis

NHS Confederation, 12 June 2015

The Care Quality Commission (CQC) have launched a report which shows that there are variations in the help, care and support available to people in crisis and that a person’s experience depends not only on where they live, but what part of the system they come into contact with.  As a signatory to the Concordat, CQC committed to providing a national overview on crisis care. The CQC carried out a thematic review of the quality, safety and effectiveness of care provided to people experiencing a mental health crisis by regulated providers and providers/ agencies with responsibility for operating the Mental Health Act 1983.  This report provides a summary of the findings of this review as well as recommendations.

Click here for further information and to download the report.

Mental health and policing improving crisis care

NHS Confederation, 26 January 2015

This joint briefing by the Mental Health Network (MHN) and the Association of Chief Police Officers (ACPO) highlights emerging good practice to deliver improved care for people in mental health crisis. It demonstrates our organisations’ commitment to the Mental Health Crisis Care Concordat (‘the Concordat’).

Key points:

  • Too many people in mental health crisis have been detained in police custody when they need urgent mental healthcare instead.
  • People with mental health problems are up to ten times more likely to become victims of crime than the general population.
  • Close partnership working can prevent a crisis escalating and significantly improve an individual’s wellbeing and recovery.
  • The police and mental health providers need to clearly understand each other’s legal powers, roles and responsibilities.
  • Triage models should be locally determined according to context and need.
  • More work is needed to support multi-agency information sharing.
  • NHS commissioners need to work with providers to ensure that there are enough health-based places of safety.
  • NHS commissioners should ensure that sufficient services are in place for 24/7 provision to meet local need.

Click here to view the full report.