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35,970 claims
The maximum detention period of 72 hours is longer than in other European countries.
72 hours is longer than most other European countries permit under equivalent emergency mental health legislation
Operational · Comparative statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 8
The use of police cells for S136 detentions is controversial.
There was strong support for police cells never to be used as a place of safety for people aged under 18. Although most service users who were detained in police cells found the experience ‘criminalising’, distressing, and often de-humanising
Operational · Stakeholder position · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 8
Some people believe S135 and S136 do not adequately cover certain areas.
From the survey, it was apparent that some people believe there are places which may not, in effect, be adequately covered either by S135 or S136 at present
Operational · Observational claim · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 7
Some S136 detentions do not result in hospital detention under the Mental Health Act.
A proportion of S136 detentions will be of people who, following removal from the situation and once assessed by a medical professional, are not deemed to require detention in a mental health hospital under the Mental Health Act.
Operational · Observational claim · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 7
Police stations are often used as places of safety instead of health settings.
In areas of effective practice, working relationships and communication between different agencies is good with active information-sharing, a multi-agency group which meets regularly and a shared understanding of the responsibilities, processes and practices of each agency. Access to health-based places of safety is a key factor in ensuring a person is not detained in a police station.
Operational · Observational claim · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 7
There is widespread variation in the frequency of S135 and S136 detentions.
This suggested there was widespread variation both in the frequency of S135 and S136 detentions
Operational · Observational claim · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 7
The review includes views from various stakeholders on the operation of S135 and S136.
views from police officers, AMHPs, health professionals, paramedics and ambulance workers, people who have experienced detention under these parts of the Act
Relational · Stakeholder position · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 6
The review aims to improve outcomes for people detained under S135 and S136 by ensuring appropriate assessment.
These outcomes are essentially concerned with ensuring the detained person is assessed in the most appropriate way, with due regard to their needs and dignity
Strategic · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 6
The review includes views from families, carers, and the public regarding S135 and S136 operations.
views from police officers, AMHPs, health professionals, paramedics and ambulance workers, people who have experienced detention under these parts of the Act, and families, carers and the public
Relational · Stakeholder position · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 6
The Mental Health Act aims to balance care for people with mental health problems and safeguard their human rights.
aims to provide a balance between the need to detain, when this is necessary for the health and safety of the person and for the protection of other persons, and safeguarding an individual’s human rights and civil liberties
Strategic · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 6
The review aims to understand challenges and solutions for the operation of S135 and S136.
This review forms part of that wider picture and helps us to understand better the challenges, and solutions
Strategic · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 5
The review explored issues such as how sections work in practice, balance between flexibility and safeguards, use of police stations, maximum detention length, and prompt help provision.
how these sections work in practice; whether the present legislation provides a balance between flexibility and safeguards; whether police stations should be used as places of safety; whether the maximum length of detention of 72 hours is appropriate; whether the legislation supports a person receiving help as quickly as possible if they are
Strategic · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 6
The review considered views from various stakeholders including police officers, AMHPs, health professionals, and people with experience of detention.
views from police officers, AMHPs, health professionals, paramedics and ambulance workers, people who have experienced detention under these parts of the Act
Relational · Stakeholder position · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 6
The review focused on improving outcomes for people in mental health crisis who may be detained under S135 and S136.
This review focused on the operation of these sections of the Act in order improve the outcomes for people in mental health crisis
Strategic · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 6
The Crisis Care Concordat for England includes a detailed action plan to improve mental health crisis care.
This includes additional guidance for commissioners to make sure the right services are being commissioned, developing a programme of work to support primary care to work collaboratively with other services
Strategic · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 5
An alternative place of safety pilot is being launched in Sussex to reduce reliance on police cells.
I announced a pilot in Sussex of an alternative place of safety, to reduce the reliance on police cells as the back-up option
Operational · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 4
Police cells are being used due to a lack of health-based places of safety or unnecessary exclusion from such facilities.
police cells in England are being used because of a lack of health-based places of safety provision, or because people are being unnecessarily excluded from health-based place of safety
Operational · Observational claim · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 4
All street triage pilot areas are recording a reduction in the use of police stations for mental health detentions.
all areas are recording a reduction in the use of police stations for mental health detentions
Operational · Observational claim · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 4
The number of people being detained under street triage pilots has fallen by an average of 25%.
the number of people being detained has fallen by an average of 25% across all pilot areas
Operational · Observational claim · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Executive summary of the review report, page 4
There is a need for better inter-agency working to resolve issues under Sections 135 and 136.
Better inter-agency working such as through street triage is the way to resolve issues
Operational · Policy statement · From Review of the operation of Sections 135 and 136 of the Mental Health Act — Review of the operation of Sections 135 and 136, page 18