Supervised community treatment

by Dr Guy Brookes, Dr Nick Brindle and Dr Tim Branton

Supervised community treatmentThe introduction of supervised community treatment (SCT) through the 2007 amendments to the Mental Health Act 1983 was one of the most significant changes to mental health law in the last 20 years. It is also an element which has proved controversial, and both service user and professional groups have voiced strong views about its use.

 

In addition, the introduction of SCT has highlighted the need to fully understand other areas of the Mental Health Act 1983, where people can remain subject to its powers whilst residing outside of hospital.

 

As with all areas of the Act, its guiding principles should inform practice. These are described in the Code of Practice as follows:

 

  • Purpose principle – minimising undesirable effects of mental disorder by maximising safety and wellbeing, promoting recovery and protecting others from harm.

 

  • Least restriction principle – minimising the restrictions imposed on a persons liberty whilst having regard to the purpose for which the restrictions are imposed.

 

  • Respect principle – respecting diverse needs, values and circumstances of individuals. Consider the patient’s views wishes and feelings and follow them where practicable and consistent with the purpose.

 

  • Participation principle – patients, family and carers should be involved as far as practicable in planning, developing and reviewing treatment.

 

  • Effectiveness, efficiency and equity principle – using resources effectively, efficiently and equitably to meet the needs of patients.

 

This module will consider how these principles may be applied with regard to Supervised Community Treatment, Section 17 Leave and Guardianship.

 

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If you like this module, you may also be interested in:

 

Alternatives to acute admission: crisis resolution and home treatment by Dr Christopher Bridgett

 

Mental health and tribunal law: an introduction by Dr Sanjay Khurmi

 

The law of mental health tribunals Section 72 of the Mental Health Act by Dr Sanjay Khurmi

 

The Mental Health Act 1983: Safeguards (England) by Dr Guy Brookes, Dr Nick Brindle and Dr Tim Branton

 

Advances in Psychiatric Treatment: related articles for CPD Online

 

 

Related Advances articles

 

 

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© 2012 Royal College of Psychiatrists