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Changing Gears and Buying Time: A Study Exploring AMHP Practice Following Referral for a Mental Health Act Assessment in England and Wales.
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- Author(s): Simpson, Matthew
- Source:
British Journal of Social Work; Mar2024, Vol. 54 Issue 2, p797-816, 20p- Subject Terms:
MENTAL health laws; DOCUMENTATION; HOLISTIC medicine; RISK assessment; MENTAL health services; OCCUPATIONAL roles; QUALITATIVE research; INTERPROFESSIONAL relations; SOCIAL workers; INTERVIEWING; AFFINITY groups; DECISION making in clinical medicine; DESCRIPTIVE statistics; PROFESSIONS; THEMATIC analysis; ADULT education workshops; ORGANIZATIONAL change; NATIONAL competency-based educational tests; DATA analysis software; SOCIAL support; MEDICAL referrals; MEDICAL triage - Source:
- Additional Information
- Subject Terms:
- Abstract: The role of the Approved Mental Health Professional (AMHP) under the Mental Health Act (MHA) 1983 in England and Wales is to respond to referrals for psychiatric detention and make an application for detention where they consider this necessary. This article reports the findings of my doctoral study into AMHP decision-making at the point of referral for an MHA assessment. The strengths-based methodology of Appreciative Inquiry was adopted, positioned in a social constructionist paradigm. Nine AMHPs working for one Local Authority participated in the study, including myself as an insider researcher. During four one-day workshops over five months participants defined their best practice, analysing emerging data together within the workshops using nominal group technique. Service developments included the creation of a triage role and a bespoke report to prioritise this decision within the service, opening avenues to change gears and buy time for a more thorough assessment at this point, and promoting greater collaboration with those referred. A multi-agency approach to searching for less restrictive options was advocated within an assessment pathway. The results of this study offer a research insight into this important area of practice, offering an evidence base to inform practice and policy developments. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of British Journal of Social Work is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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