mental health act 2001 meeting the challenge of building a person-centred mental health service for...
TRANSCRIPT
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Mental Health Act 2001
Meeting the Challengeof
Building a person-centred mental health service for people with intellectual disabilities
25th October 2006
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Presentation Overview
Mental Health Policy / Legislation Mental Health Act 2001 - outline
– Implementation Milestones– Key Principles of the Act– Key definitions
Mental Health Commission (About Us) Implications of the Act for People with
intellectual disabilities & mental health issues
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Mental Health Policy, Legislation Mental Health Policy, Legislation and Mental Health Servicesand Mental Health Services
Mental Health Policy,
Legislation and
Services
European Convention on Human Rights
U.N. M.I.
Principles
Mental Health Act 2001W.H.O. 2001
Report
E.U. Green Paper on Mental Health
Expert Group on Mental Health
Policy – A Vision for Change
Mental Health Mental Health Policy, Policy,
Legislation and Legislation and ServicesServices
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Provisions of the Act
Part 1: Preliminary & General Part 2: Involuntary Admission of Persons to
Approved Centres Part 3: Independent Review of Detention Part 4: Consent to Treatment Part 5: Approved Centres Part 6: Miscellaneous
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Implementation Milestones
The Mental Health Commission was established in April 2002 when the Minister for Health and Children signed the Commencement Order in relation to sections 1 to 5, 7, 31 to 55 (Part 3) of the Mental Health Act 2001.
2nd August 2006: Mental Health Act 2001 (Commencement) Order 2006 bringing into operation the remaining provisions (section 6, 8 to 30 & 56 to 75 inclusive) of the Mental Health Act 2001 with effect from 1st November 2006.
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Key Principles of the Act
Best Interests of the Person (Section 4)
Quality & Best Practice
Right to Information and Representation
Second Opinions and Review Systems
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Key Definitions Mental Health Service
– A service which provides care and treatment to persons suffering from a mental illness or a mental disorder under the clinical direction of a consultant psychiatrist (S.62)
Patient– To be construed in accordance with section 14 (S.2)– A person to whom an admission order relates (S.14)
Resident– A person receiving care and treatment in a centre
(S.62)
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Key definitions
Approved Centre– A “centre” means a hospital or other in-patient
facility for the care and treatment of persons suffering from mental illness or mental disorder.
– An “approved” centre is a centre that is registered pursuant to the Act
– The Commission establishes and maintains the register of approved centres pursuant to the Act (S.62)
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Mental illness, severe dementia or significant intellectual disability
WHERE
A. Because of the illness, dementia or disability: there is a serious likelihood of the person concerned causing immediate & serious harm to himself or herself or other persons
B. Because of the illness, dementia or disability: The judgment of the person concerned is so impaired that failure to admit the person to an approved centre would be likely to lead to a serious deterioration of his or her condition or would prevent the administration of appropriate treatment that could be given only by such admission and the reception, detention and treatment of the person concerned in an approved centre would be likely to benefit or alleviate the condition of that person to a material extent.
Legal Definition of a Mental Disorder [S.(3)(1) MHA 2001]
OR
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Mental Health Commission- About Us
Commission is an independent statutory body established under Section 32
The Commission consists of 13 members (S.35)
Chief Executive Officer (S.38)
Inspector of Mental Health Services (S.50)
Staff (S.39)
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Commission Mandate
The Commission’s mandate covers:
• the broad spectrum of mental health services from childhood through to adulthood to later life, including specialisms such as
• forensic mental health services, and• mental health services for people with an intellectual
disability
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Functions
High standards & good practices in the delivery of mental health services
Protect interests of persons detained in approved centres under the Act
– Review of detention– Rules– Regulations (compliance)– Registration – Codes of Practice
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A Quality Mental Health Service:[Quality in mental health – your views (MHC 2005)]
1. Facilitates respectful and empathetic relationships between people using the service, their families, parents and carers, and those providing it
2. Empowers people who use mental health services, and their families, parents and carers
3. Provides a holistic, seamless service and encompasses the full continuum of care
4. Is equitable and accessible
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Quality Themes
5. Is provided in a high quality environment, which respects the dignity of the individual, his/her carers and family
6. Has effective management and leadership
7. Is delivered by highly skilled multidisciplinary teams
8. Is based on best practice and incorporates systems for evaluation and review
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Quality Framework - Scope
A framework for continuously improving quality in mental health services in Ireland
Applicable to all mental health services irrespective of where they are being delivered
Flexible
Standards non - prescriptive
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Quality Framework - Objectives Service users/families
– What to expect from a MHS– Opportunity for service user feedback
Service– Quality improvement
Self monitoring of performance Driver for change – policies/practice/structures Provide consistency
– Development Focus on results Generate real improvements in MHS
Monitoring– Transparent mechanism for evaluating quality of MHS provision
in Ireland for the first time
– Service users / MHC / HSE
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Next Steps 1st November 2006
– Registration, Rules, Regulations, Review– Codes of Practice– Information provision
2007– Commence formal ‘roll-out’ of Quality Framework
for Mental Health Services– Consultation: relevant criteria for services– Standards: Disability services & Mental health
services Collaboration & consultation Avoid duplication
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Thank you Mental Health Act 2001 Information
English (NALA approved) Irish French Arabic Simple chinese Russian Polish
E-learning programme English Irish sign language Audio
www.mhcirl.ie
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“… the last thing we need is the creation of some new
Frankenstein’s monster in the shape of a quality assurance
or quality control scheme that is insensitive to the variation,
autonomy, and trust implicit in health care. But it should not
be beyond human wit to keep it simple, while providing a
framework within which the quality of care may be studied,
discussed, protected and improved. That will require
encouragement, experiment, and the sharing of ideas. It will
call for a mixture of assessment methods tailored to an
understanding of the multidimensional nature of quality
itself.”
Maxwell, R.(1984) Quality Assessment in Health. British Medical Journal.
Vol.228.