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Ethical Practice in the Face of Cuts

How can I compute the process of going into peoples’ homes, often relying on good relationships which have been built up over weeks, months or years and telling them that there is no money left, that services need to be … Continue reading →...

Published 20 Apr 2011 7:09 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, mental health, local authority, health, mental health act, approved mental health professional, personal
Deprivation of Liberty Safeguards – a few thoughts

I’ve written about the Deprivation of Liberty Safeguards (aka DoLs) and Best Interests Assessments before but the last time I touched on them in detail was a back in 2009 when I looked at some of the initial assessments I … Continue reading →...

Published 3 Feb 2011 6:20 AM by Fighting Monsters

Filed under: social care, social work, older people, work, mental health, MCA, old age, mental health act, mental health act 1983, Mental Capacity Act 2005, approved mental health professional, Court of Protection, Human Rights Act 1998, personal, European Convention of Human Rights, Best Interests Assessor, bia
Rising Detentions

Community Care have a short report about figures were published yesterday by the NHS which indicate that there has been an increase in detentions under the Mental Health Act over the last year. As the article says The numbers of … Continue reading...

Published 6 Oct 2010 5:56 AM by Fighting Monsters

Filed under: social care, social work, work, socialcare, mental health, uk, health, mental health act, hospital, psychiatric hospital, mental capacity act, personal, AMHP
To Section – as a verb

Is ‘to section’ a verb we should be using? My understanding and instruction was always that we should try, if at all possible, not to refer to ‘sectioning’ someone. It seems a bit flippant. It seems to imply a decision … Continue reading →...

Published 28 Sep 2010 6:06 AM by Fighting Monsters

Filed under: social work, work, ASW, mental health, uk, health, mental health act, sectioning, personal, AMHP, nearest relative, to section someone
The GJ judgement and DoLs

I’m coming back to Best Interests Assessments and DoLs for a while now so excuse my indulgence but it is something that has and is creeping back into my workload after a few ‘dormant’ months and a part of the reason has been the impact of the ‘GJ’ judgement...

Published 14 Dec 2009 6:50 AM by Fighting Monsters

Filed under: social work, older people, work, mental health, MCA, old age, health, mental health act, mental health act 1983, mental capacity act, Mental disorder, Mental Capacity Act 2005, approved mental health professional, personal, AMHP, Best Interests Assessor, bia, dols, Case law, deprivation of liberty safeguards, mental health act primacy, gj v foundation trust, court of protection case law, mental health act v mental capacity act, gj judgement
A day in the life.. of Approved Mental Health Professionals

Today, Deborah Orr in the Guardian has an article published today detailing a day out that she has spent with some AMHPs in the Camden Duty Office. It’s an interesting insight into the day to day work in their office and certainly worth a glance to understand...

Published 9 Dec 2009 6:39 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, ASW, mental health, local authority, mental health act, personal, the guardian, AMHP, deborah orr, approved mental health professionals
The Importance of Information

I looked through my ‘draft’ folder this morning and for some reason, found each of my previously written posts (there are probably around 20 of them knocking around in various stages of the ‘gestation’ process) unsatisfactory. Some were just too detailed...

Published 30 Nov 2009 6:45 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, ASW, mental health, social services, mental health act, AMHP, foster child, fostering, Foster care, information, lack of information, foster carer
Of CTOs

Community Treatment Orders – Supervised Community Treatment – however it is termed it is one of the aspects of the amended Mental Health Act that I thought I would likely not have significant contact with on a day to day basis. I was right. But my experience...

Published 5 Nov 2009 6:49 AM by Fighting Monsters

Filed under: social work, work, medication, ASW, mental health, uk, health, mental health act, mental health act 1983, England, personal, mental health act 2007 amendments, AMHP, growth in ctos, cto, supervised community treatment, community treatment order, care in the community, pink forms
Revisiting Best Interests Assessments

Last week, I carried out a Best Interests Assessment for a man whom I had first assessed six months ago. In fact, he was the first person I had assessed under the new Deprivation of Liberty Safeguards. I had, at that point, recommended that the Deprivation...

Published 22 Sep 2009 6:43 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, mental health, MCA, local authority, old age, elderly, uk, health, mental health act, mental capacity act, AMHP, Best Interests Assessor, best interests assessment, dols, deprivation of liberties safeguards, deprivation of liberties, old people, section 117, section 117 aftercare
Choice

We have been taught and trained to regard choice and individuality, quite rightly, very highly. Choice is fundamental and giving people choice is a key task in developing strengths. Without allowing choice, we float around in a moral vacuum. Without choice...

Published 14 Sep 2009 6:56 AM by Fighting Monsters

Filed under: social work, social issues, older people, work, mental health, local authority, old age, health, mental health act, social worker, mental health act 1983, mental capacity act, Mental Capacity Act 2005, personal, AMHP, autonomy
Repeat Assessment

I was at work early yesterday in order to carry out a Mental Health Act Assessment. It needed to be completed early in order to ensure that Mr F was in. He liked to go out for walks and we wanted to make sure we caught him in – quite literally. It always...

Published 5 Jun 2009 6:37 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, mental health, old age, elderly, health, mental health act, police, hospital, mental health act 1983, approved mental health professional, AMHP
Greed before Welfare

I am almost embarrassed to admit that I watched ‘Britain’s Got Talent’. It was all meant to be relatively mindless light-heartened ‘family’ entertainment. It was uncomfortable to watch young children burst into tears, from 10 year old Natalie Okri last...

Published 1 Jun 2009 5:53 AM by Fighting Monsters

Filed under: work, mental health, health, mental health act, mental health act 1983, personal, AMHP, Britains Got Talent, simon cowell, Got Talent, boyle, duty of care, susan boyle and mental health act, bgt, natalie okri, piers morgan, lack of duty of care, Susan Boyle, the priory, susan boyle's mental health, hollie steel
Ginger

My duty as an AMHP (Approved Mental Health Professional) is fundamentally to co-ordinate and carry out assessments according to the Mental Health Act (1983 – as amended 2007). So in the case of a community assessment, I will request the doctor’s attendance...

Published 28 May 2009 6:15 AM by Fighting Monsters

Filed under: social care, social work, work, ASW, mental health, local authority, health, animals, mental health act, hospital, approved social worker, mental health act 1983, cat, national assistance act, approved mental health professional, AMHP, pets, animal warden, cat trap, mha 1983, national assistance act 1948, national assistance act section 48, s48
A Course

Last week I went on a training course. As an AMHP I am obliged to complete 3 (I think!) training days every year which specifically relate to my role as an Approved Mental Health Professional in order to maintain my warrant. So it was that last week there...

Published 19 May 2009 7:49 AM by Fighting Monsters

Filed under: social work, work, ASW, training, mental health, health, mental health act, mental health act assessment, mental health act 1983, approved mental health professional, AMHP, Law, Case law, edt, legal training, emergency duty team, in-house training
Rage

Yesterday I was at the end of the phone when a carer called – furious that the service was not able to deliver what had been expected of it. Honestly, the rage was mostly deserved. There I was, trying to explain why transport for an appointment had not...

Published 8 May 2009 4:52 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, mental health, local authority, old age, elderly, health, carer, mental health act, local government, mental health act 1983, approved mental health professional, personal, AMHP, Best Interests Assessor, cancelling appointments, anger with social worker, ear bashing
Snatched

The Mail, as well as a variety of other news sources, report today on the tragic story of an elderly woman, 86 year old Betty Figg, with dementia who has been ‘’snatched’ by social workers from the loving home provided by her daughter, Rosalind Figg,...

Published 23 Apr 2009 6:38 AM by Fighting Monsters

Filed under: social work, older people, dementia, work, mental health, old age, elderly, human rights, health, mental health act, daily mail, newspaper, AMHP, betty figgs
Compulsion

The big difference between the work I am doing now and the work I was doing 18 months ago is the role that compulsion plays in my day to day work. A couple of weeks ago, a nursing student came up to our office - her placement is on the attached ward and...

Published 11 Mar 2009 5:30 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, ASW, mental health, MCA, old age, elderly, london, uk, health, mental health act, social worker, mental health act 1983, mental capacity act, Mental Capacity Act 2005, personal, AMHP, mental health act 2007
Assessing Best Interests - part 2

The training continues - it’s a fairly robust one as far as it goes and although it might not be apparent, despite the density of content, I am finding the substance interesting. As promised on the first day of the training, more of the bits and...

Published 20 Feb 2009 5:04 AM by Fighting Monsters

Filed under: social care, social issues, older people, work, socialcare, mental health, MCA, local authority, old age, long-term care, deprivation of liberty, assessment, health, mental health act, hospital, mental capacity act, personal, AMHP, Law, Best Interests Assessor, best interests assessor training, bia, standard authorisation, conditions attached to authorisation, urgent authorisation
Assessing Best Interests - Part 1

So I’m in the middle of a training course at the moment which will enable me to act as a Best Interests Assessor come April. It is fairly intensive training which, quite honestly, left me shattered at the end of the day - although I have to say...

Published 19 Feb 2009 5:35 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, mental health, MCA, local authority, old age, health, mental health act, mental capacity act, Human Rights Act 1998, AMHP, European Convention of Human Rights, Best Interests Assessor, closing the bournewood gap, capacity assessment, best interests assessor training, best interests assessment, bournewood gap, best interests
Guardianship - A Case Study

I have been working on another Guardianship application. It is an interesting scenario. I thought I would present a scenario based on some of the issues in the form of a fictional case study. I have been liberal with the actual details which have been...

Published 17 Feb 2009 6:41 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, carers, ASW, mental health, MCA, old age, elderly, long-term care, health, carer, mental health act, hospital, Guardianship, AMHP, section 7, using guardianship, section 8, case study guardianship
A Rude Awakening

Cruel Irony. I make mistakes. I make a fair few mistakes and I am by no means excusing the following although all who draw breathe and grumble at my incompetence will be assured that revenge was had. So earlier in the week, I had to complete an assessment...

Published 5 Feb 2009 6:44 AM by Fighting Monsters

Filed under: social care, social work, work, mental health, old age, mental health act, police, personal, AMHP, woken by police, Police officer, Arrest warrant, Crime and Justice
Bed Blocking

I hate the term ‘bed blocking’ but it’s something that came up a lot when I was working in the Adult Community team. It seems to imply some kind of intent or purposeful wish to disrupt the smooth-running (or not) of hospitals. The term...

Published 15 Jan 2009 4:51 AM by Fighting Monsters

Filed under: social work, work, ASW, mental health, old age, elderly, health, mental health act, hospital, psychiatric hospital, Medicine, delayed discharge, community care (delayed discharge) act 2003, bed blocking, AMHP
Looking Back - A Professional View

There are a few general themes that have preoccupied me over the last year. Probably most significantly, has been the change in the Mental Health Act. Although there aren’t actually many of the substantial changes that were initially planned, there...

Published 30 Dec 2008 6:37 AM by Fighting Monsters

Filed under: residential care, social care, social work, social issues, older people, work, ASW, mental health, MCA, old age, elderly, long-term care, mental health act, Southern Cross Healthcare Group, mental capacity act, personal, change, AMHP, responsible clinician
Patching up

While not being extremely well experienced in making applications for people to be detained in psychiatric units, I’m certainly building up a fair amount of experience quickly. This week was the shortest assessment that I have been involved with...

Published 4 Dec 2008 6:38 AM by Fighting Monsters

Filed under: social care, social work, older people, dementia, work, mental health, local authority, old age, elderly, long-term care, housing, health, mental health act, sectioning, family, nursing home, AMHP, section 2 mha
Death of the ASW

I left work yesterday as an Approved Social Worker (ASW) and by the time I go to work on Monday, I will be an Approved Mental Health Professional (AHMP). I signed my last papers and completed the last assessment at precisely 5.18pm (yes, I checked!) on...

Published 1 Nov 2008 4:40 AM by Fighting Monsters

Filed under: social work, work, ASW, mental health, local authority, uk, health, nhs, mental health act, gscc., approved social worker, approved mental health professional, General Social Care Council
Assessment for Guardianship

I mentioned a Guardianship application I had in the works a few weeks ago. Nothing happens quickly around here at the moment with changes in the teams being imminent and what with trying to co-ordinate attendees, I finally managed the Guardianship application...

Published 28 Oct 2008 6:23 AM by Fighting Monsters

Filed under: social care, social work, work, ASW, mental health, elderly, long-term care, assessment, health, mental health act, mental health act 1983, Mental disorder, Guardianship, social work assessment
The Interview

We are in the midst of a reconfigure. The desks are shifting at the end of this week. We are (well, those affected anyway) handing over people we have been working with. In one of those funny twists of fate that I partly attract but for which I can’t...

Published 27 Oct 2008 5:33 AM by Fighting Monsters

Filed under: social care, social work, work, socialcare, mental health, mental health act, mental health act 1983, mental capacity act, change, 2005 Mental Capacity Act, job interview, temp
Guardianship - Making decisions

From my earlier posts here and here, I discussed the possible uses of the Mental Health Act and the Mental Capacity Act in a particular scenario. It seemed that in general, the Mental Capacity Act seemed to be offering similar authority as the Mental...

Published 3 Sep 2008 6:21 AM by Fighting Monsters

Filed under: work, mental health, mental health act, approved social worker, mental health act 1983, mental capacity act, Mental Capacity Act 2005, Guardianship, Human Rights Act 1998
Guardianship - What hope for the Mental Capacity Act?

So yesterday, I had found some of the reasons that the Mental Health Act could be used to apply for Guardianship in considering A. The Mental Capacity Act (2005) is fairly new ground - well, over a year now(don’t be fooled by that 2005 thing!) but...

Published 2 Sep 2008 6:13 AM by Fighting Monsters

Filed under: social work, work, ASW, mental health, MCA, local authority, health care, mental health act, mental health act 1983, mental capacity act, Mental Capacity Act 2005, Guardianship, five principles, Court of Protection
Guardianship - or a journey into Section 7 of the Mental Health Act

I was called into one of the CMHT (Community Mental Health Team) meetings last week. It was a bit of a surprise. We don’t tend to go into other peoples’ meetings. It is almost like entering an alternate universe. People have the same roles...

Published 1 Sep 2008 6:25 AM by Fighting Monsters

Filed under: social work, older people, work, ASW, mental health, MCA, old age, elderly, uk, health, mental health act, approved social worker, mental health act 1983, mental capacity act, Mental disorder, Mental Capacity Act 2005, approved mental health professional, Guardianship
Stigma in Parliament

More than a quarter of parliamentary staff surveyed, including MPs, Lords and support staff, suffer from mental illness brought about by stress according to an article published in The Independent today. A MIND press release further breaks down the figures...

Published 16 Jul 2008 5:18 AM by Fighting Monsters

Filed under: social issues, work, mental health, discrimination, politics, uk, health, mental health act, westminster, member of parliament, mp, stigma
On Assessments

This week I completed two Mental Health Act Assessments (not on my own, of course, I’m still not warranted!). So I probably don’t need to elaborate on the fact that it’s been quite busy. Just a few aspects as I saw them. I spoke to one...

Published 19 Jun 2008 4:01 AM by Fighting Monsters

Filed under: social care, social work, work, ASW, mental health, uk, assessment, mental health act, hospital, sectioning
An Afternoon with the Magistrate

I had a referral for a Mental Health Act Assessment earlier in the week and needed to go and get a warrant from the local Magistrate’s Court. Well, when I say, I needed, it was me along with another ASW as I’m not yet approved and she had...

Published 13 Jun 2008 4:09 AM by Fighting Monsters

Filed under: work, mental health, health, Drugs, magistrate, court, Cannabis, mental health act, police

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