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Return of the asylum

  • Jane Gilhooley (a1) and Brendan D. Kelly (a1)

Summary

Rates of involuntary admission are increasing in England. Personality disorder should be excluded as a criterion for involuntary admission; stronger restraint reduction programmes should be instigated; and involuntary care should be based on treating illness (something we can do) and not on predicting violence (something we cannot).

Declaration of interest

None.

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Copyright

Corresponding author

Correspondence: Brendan D. Kelly, Department of Psychiatry, Trinity Centre for Health Sciences, Tallaght Hospital, Dublin, D24 NR0A, Ireland. Email: brendan.kelly@tcd.ie

References

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1Kelly, BD. Hearing Voices: The History of Psychiatry in Ireland. Irish Academic Press, 2016.
2Sisti, DA, Segal, AG, Emanuel, EJ. Improving long-term psychiatric care: bring back the asylum. JAMA 2015; 313: 243–4.
3Kelly, BD. Penrose's Law in Ireland: an ecological analysis of psychiatric inpatients and prisoners. Ir Med J 2007; 100: 373–4.
4Health and Social Care Information Centre. Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983, and Patients Subject to Supervised Community Treatment: Uses of the Mental Health Act: Annual Statistics, 2015/16. National Health Service/Health and Social Care Information Centre, 2016.
5Daly, A, Craig, S. Activities of Irish Psychiatric Units and Hospitals 2015 Main Findings. Health Research Board, 2016.
6Mind/National Survivor User Network. Restraint in Mental Health Services: What the Guidance Says. Mind, 2015.
7Agenda. Agenda Briefing on the Use of Restraint Against Women and Girls. Agenda, 2017.
8Care Quality Commission. Monitoring the Mental Health Act in 2015/16. Care Quality Commission, 2016.
9Kelly, BD. Mental Illness, Human Rights and the Law. RCPsych Publications, 2016.
10Fazel, S, Singh, JP, Doll, H, Grann, M. Use of risk assessment instruments to predict violence and antisocial behaviour in 73 samples involving 24 827 people: systematic review and meta-analysis. BMJ 2012; 345: e4692.

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Return of the asylum

  • Jane Gilhooley (a1) and Brendan D. Kelly (a1)
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