Perry David William, Benton Carl, Walsh Martin, Martin David, Corbett John
River House, Gulson Hospital, Gulson Road, Coventry CVI 2HR.
Med Sci Law. 2002 Oct;42(4):325-33. doi: 10.1177/002580240204200408.
In 1989, a survey was undertaken to describe the learning disabled population, originating from the West Midlands, classified as mentally impaired or severely mentally impaired under the Mental Health Act 1983. The results obtained were then used to help guide future service development within the region. Given the marked changes in service provision over the subsequent decade, the study was repeated in 1998-1999, looking at the same population on 1st December 1997 (prior to the Bournewood Ruling). Attempts were made to identify all people residing within the West Midlands region, or originating from it, and classified as mentally impaired or severely mentally impaired under the Mental Health Act (1983). This was achieved by contacting medical records departments, learning disability consultants and Health Authorities. The same data set as the original study was then collected from case notes to allow comparison. The current study however, collected extra information, relating to diagnosis, treatment and outcome. Ninety-three people were identified for the study. Over the 10 years, there has been approximately a 100% increase in the numbers of people detained under these categories of the Mental Health Act (1983). There has been a marked increase in the use of the private sector, as well as out-of-region placements. Sexual offending seemed a common reason for detention. The authors attempt to explain this phenomenon. They also highlight the need for future developments and greater systematic data collection.
1989年，开展了一项调查，以描述来自西米德兰兹郡、根据1983年《精神健康法》被归类为智力障碍或严重智力障碍的学习障碍人群。所获得的结果随后被用于指导该地区未来的服务发展。鉴于随后十年服务提供方面的显著变化，该研究于1998 - 1999年重复进行，研究对象为1997年12月1日（在伯恩伍德裁决之前）的同一人群。研究人员试图识别所有居住在西米德兰兹郡地区或来自该地区、并根据（1983年）《精神健康法》被归类为智力障碍或严重智力障碍的人。这通过联系病历部门、学习障碍顾问和卫生当局得以实现。然后从病例记录中收集与原始研究相同的数据集以便进行比较。然而，当前的研究收集了与诊断、治疗和结果相关的额外信息。该研究确定了93人。在这10年中，根据1983年《精神健康法》这些类别被拘留的人数增加了约100%。私营部门的使用以及地区外安置显著增加。性犯罪似乎是拘留的常见原因。作者试图解释这一现象。他们还强调了未来发展和更系统的数据收集的必要性。
