Risk assessment and admission under the MHA (1983 as Amended in 2007)

This film raises a number of issues. Firstly, watch very carefully the 'interview' with Ben in his flat. He is being seen by a psychiatrist and social worker. Is Ben psychotic? How much of a threat does he pose and to whom? What influences your conclusion? Is it what he says? His body language? Is there anything in the questions or non verbal language of the clinicians that might de-escalate the situation? Is there anything that exacerbates the situation from Ben's perspective? Were there alternatives that might have avoided Ben being formally detained under the MHA?
The second part of the film shows a nurse trying to engage Ben in giving him his Rights. Why does it go so badly wrong? The remaining parts of the film show the clinicians fulfilling their legal obligations under the Act.
If you want to read more about the subject matter of this film, you can try "A Pocket Guide to Risk Assessment and Management in Mental Health", by Chris Hart and published by Routledge. It's available as an e-Book, on Amazon and in book shops.

Пікірлер: 37

  • @jeannettecowley5957
    @jeannettecowley59574 жыл бұрын

    This is not usually what happens.Patients are often just dumped on a ward, often ignored, usually just given a leaflet telling their rights, toxic medication seems to be the only or main treatment option, sometimes with electroshock, our system is just as atrocious as its always been, patients are mainly left to their own devices, whilst staff congregate in the ward office, busy with paperwork, often its left to other patients to help each other, many nurses just aren't trained to do the job, or are unsuitable anyway,also ,they are usually only seen by the Psychiatrist once a week, for about ten or fifteen minutes, and if they refuse medication, are forcibly injected.WHY, everyone should have the right to not take poison, it should only ever be used in an emergency setting if someone is violent.The medication can make things a lot worse, with not only brain damage, but many serious health conditions as well.Psychiatry is mainly about manipulation and control, not about helping patients through their distress, and l am sorry to say, but with the closure of the big asylums, medicating everyone, the building of pokey little units, there is even less humanity now.

  • @JoeyXSmith

    @JoeyXSmith

    4 жыл бұрын

    They don't do electric shock anymore, but most of the stuff you said is right. My mother has been in and out of mental health places for years. All they do is throw any tablets at her and thats it. No real aftercare or support for family members. They are there for a few months at best, then let out until another thing incident happens. Then it's starts all over again. It's a broken system that doesn't work. The staff that work at these places are very patronising and do talk down to you. I've never been sectioned but going to visit my mother, it's a horrible place to be.

  • @jeannettecowley5957

    @jeannettecowley5957

    4 жыл бұрын

    Unfortunately, ECT is still used today, often on an outpatient basis.I was in a mental unit two years ago, and an elderly patient was receiving it,l was threatened with it again,and l saw patients arriving by transport to have it done in a building not far from the war d,l was surprised as l thought it wasnt used anymore, but its alive and well,although not many realise its still going on.

  • @monal3650

    @monal3650

    Жыл бұрын

    @@JoeyXSmith u r right, but see what I say to Jnt below.

  • @monal3650

    @monal3650

    Жыл бұрын

    Jnt, (u have same name as my sis). U really know what goes on in there & I thought it must have happened to u, & can see that it has. I was innocently going home but got attacked (wasn't a pleasant thing, as no transport was coming & in an isolated area). I was taken to a local hosp.... reported it. was doing well. However, after 2 days I was told I wd be discharged, but they did not do that. I was shocked, but a social worker got involved & wd not let me leave. (she was same nationality as attacker). also, a man sat in my room doorway, as I lay in bed (same nationality as attacker). privacy then went, & I was treated shockingly. I am single, british born, with asian origins. anyway, (when finally discg'd 28 days later, kept in all thru' Christmas, really upsetting), I finally got a letter. I had only spoken to one lady clinician & that was only for her to get to know me. only 10-15 mins, but that was after 3 wks being there. The letter I received when I got home stated a whole lot of lies & was only putting me down so bad, e.g. it stated I am married, from a bengali background, been made redundant. ALL WERE NOT TRUE & LIES. why cd the lady not have spoken to me & found out the truth. seemed they wanted to cover up. & how can there ever be any grounds for det'g some1 who innocently got attacked & cd not get help as they had lost their mobile, etc. Indeed, there were no grounds for doing so. they cd not give any. they went further than that (the attacker caught on camera, got 4 yrs). was a serious miscarriage of justice. where was the compassion? & at a vulnerable time like that when I cd say hardly much, I was lied about so badly....

  • @rosecrichton881
    @rosecrichton8815 жыл бұрын

    This poor client does not have capacity to understand or decide the flood of information. To much stimulus for his stage.

  • @Medietos
    @Medietos5 жыл бұрын

    This is so difficult- he is making things worse for himself by shouting , talking abusively, and at the same time it is understandable since he said clearly no before , is under pressure, excited and with natural difficulties controlling himself, which no-one can in stress hormone etc-activity, and the non-verbal, old brain.And anger is natural in such a situation, only they aren't knowledgeable deeply enough to treat him right and interpret him, and therefore it gets unhappy result for him- He probably vaguely knows this too, as well as him being unable to control himself or things there, which is even more upsetting. Her talking about rights without de-escalating him psychologically first is not beneficial. I wish for a film that shows how to do it right.

  • @simon4063
    @simon40635 жыл бұрын

    I got an appointment next month with a mental health team but this scares the crap out of me.

  • @fbifederal4558

    @fbifederal4558

    4 жыл бұрын

    Simon Coombe good luck

  • @jessysheldrake588
    @jessysheldrake588 Жыл бұрын

    It's OK not to be OK remember😟

  • @o0oKaTeMco0o
    @o0oKaTeMco0o6 жыл бұрын

    Good video for my own insight. I’ve just qualified.

  • @joannasmith1640
    @joannasmith16406 жыл бұрын

    What an earth is this supposed to be about? Is it supposed to demonstrate how lame mental health services are because if so it's doing a great job. I notice they've really gotten the actor to properly act as though in psychosis or distress. The staff are patronising, if anyone thinks that this is what really takes place when someone is placed under a section they are seriously deluded. There is no way staff as this 'tolerant' or person centred. Once that warrants been issued they can treat you as they wish, often can and will goad you to make you 'act up giving them more reason to hold you. This video is not a true representation it's a farce.

  • @kevinchun5242
    @kevinchun52423 жыл бұрын

    That nurse standing over him, arms folded, tone of voice was condescending. Grab a chair sit facing him and say “hello Mr Andrews I'm the ward manager just wanted to take few moments to come and meet you and see how you are doing?”

  • @kevinchun5242

    @kevinchun5242

    3 жыл бұрын

    Sadly the system gets in the way as she has to go through his rights and processes to tick a form rather than invest time In stabilizing him and doing a proper risk assessment.

  • @DevonPixie1991
    @DevonPixie19913 жыл бұрын

    My colleague lost his job because the NHS made him feel like his job didn’t matter and that he should be grateful for the system saving him

  • @jellyjuice6941

    @jellyjuice6941

    2 жыл бұрын

    He should be thankful that the system saved him how dare he

  • @monal3650

    @monal3650

    Жыл бұрын

    what was his problem & r u saying that he had a job at the time?

  • @DevonPixie1991

    @DevonPixie1991

    Жыл бұрын

    @@monal3650 he had quite a good job with good benefits but the NHS didn't respect the way the company operated and given the threat of section he was forced to put his job on the line to keep his freedom. Eventually he got sacked. He had a psychotic illness...

  • @hellenkini1943
    @hellenkini1943 Жыл бұрын

    Poor guy! Please nurse stop! Information overload can lead to real feelings of anxiety, feeling overwhelmed and powerless, and mental fatigue. This can also lead to cognitive issues such as difficulty making decisions or making hasty (often bad) decisions. It's just too much.

  • @melight123
    @melight1236 жыл бұрын

    was thier not meant to be 2 consultants and an amp....to assess then section or not section...!!!!!!

  • @monal3650
    @monal3650 Жыл бұрын

    Chris Hart, I wd like yr views on the Dispatches program, Channel 4, re: the undercover ex-cop who gets work as a support worker, & films inside! THIS SHOULD HAPPEN MORE OFTEN to keep patients safe. u can go to their online website to watch when u r able. It's a real eye-opener. but what about the innocent who get wrongly det'd so many times... is this even known?

  • @DevonPixie1991

    @DevonPixie1991

    Жыл бұрын

    And Panorama... I still want community teams to have a similar infiltration - Would love them to do my local CMHT!!

  • @monal3650
    @monal3650 Жыл бұрын

    PLEASE WATCH THE Dispatches program, Channel 4, re: the undercover ex-cop who gets work as a support worker, & secretly films inside! can watch online as stated below.

  • @trashygit
    @trashygit5 жыл бұрын

    The body language of the first wifey at the hospital wasn't so professional, was it? Crossing arms and all that... And she was also crossing the line between being assertive and being bossy. Later on she corrected herself a bit, but the initial impression was shite. Hence we call her "wifey" instead of a nurse, hehehe...

  • @ArtwithKrissy

    @ArtwithKrissy

    3 жыл бұрын

    These was intetional, as they are conversation pieces, not how tos necessarily.

  • @hellenkini1943

    @hellenkini1943

    Жыл бұрын

    Sign of feeling anxious, resistant, tense, insecure, afraid, or responding to distress. This is not a good sign for a patient to see. They want to feel safe.

  • @jellyjuice6941
    @jellyjuice69412 жыл бұрын

    4:02

  • @jellyjuice6941

    @jellyjuice6941

    2 жыл бұрын

    2:00

  • @jellyjuice6941

    @jellyjuice6941

    2 жыл бұрын

    1:45

  • @melight123
    @melight1236 жыл бұрын

    was thier not meant to be 2 consultants and an amp....to assess then section or not section...!!!!!!

  • @melight123
    @melight1236 жыл бұрын

    was thier not meant to be 2 consultants and an amp....to assess then section or not section...!!!!!!

  • @WhateverA

    @WhateverA

    4 жыл бұрын

    Lisa Melight emergency situation section 4 would be the best thing for him than an assessment on the ward that would change the section to a section 3