Be the change: Ensuring an effective response to all in psychiatric emergency equal to medical care: Recommendations from the first international summit on urgent and emergency behavioural healthcare

NHS Clinical Commissioners, October 2018

Behavioural health crisis is a global problem. Behavioural health is an inclusive term that covers the emotions, behaviours and biology relating to a person’s mental well-being, their ability to function in everyday life and their concept of self. It includes mental health, substance misuse and the physical consequences that result.  It calls for an integrated, systematic approach to behavioural health crisis care at the national level – this is seen as the only way to end the current fragmentation of care and makes 10 recommendations.

Click here to view the full report.

Provision of mental health care to adults in the emergency department

Healthcare Safety Investigation Branch, January 2018

This bulletin relates to an investigation of a woman experiencing a mental health crisis who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life. A preliminary investigation reviewed the care pathway of the woman spanning the two years preceding her death. During the HSIB’s preliminary investigation the following safety issues were identified and will form the basis of the ongoing investigation:

  • The appropriateness of assessment tools to identify patients at risk.
  • Difficulties in the sharing of patient information within the emergency department.
  • The emergency department may not be a place of safety for a patient experiencing a mental health crisis.
  • Access to psychiatric liaison services

Click here to view the bulletin.

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.

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.