Fish Jessica L H
Centre for Social Ethics and Policy, The University of Manchester School of Law, The Williamson Building, 176 Oxford Road, Manchester M13 9QQ, UK.
Int J Law Psychiatry. 2022 Jul-Aug;83:101818. doi: 10.1016/j.ijlp.2022.101818. Epub 2022 Jul 11.
The Mental Health Act as amended 2007 democratised who could qualify for the Approved Mental Health Professional (AMHP) role to include not only social workers, but psychologists, occupational therapists, and nurses. The amendments raised questions on how to appropriately train AMHPs from the professional groups without social work education to have adequate skills and decision-making capacity when considering the use of compulsory powers. Essential to the AMHP role is the obligation to 'bear in mind the social perspective', which incorporates the social dimensions to a persons mental health presentation and is considered a safeguard against the erroneous detention of service users. However, despite claims to further professionalise AMHPs there has been a difficulty defining what AMHP expertise is. This paper draws upon 'theories of professionalisation' to argue that the genericism movement and the adoption of New Public Management has limited the professionalisation of AMHPs and therefore adequate implementation of 'the social perspective'.
2007年修订的《精神健康法》使符合核准精神健康专业人员（AMHP）角色的人员范围更加广泛，不仅包括社会工作者，还包括心理学家、职业治疗师和护士。这些修订引发了一些问题，即在考虑使用强制权力时，如何对没有接受过社会工作教育的专业群体的AMHP进行适当培训，使其具备足够的技能和决策能力。AMHP角色的核心义务是“牢记社会视角”，这将社会层面纳入到个人的心理健康表现中，并被视为防止错误拘留服务使用者的保障措施。然而，尽管声称要使AMHP更加专业化，但一直难以界定AMHP的专业知识是什么。本文借鉴“专业化理论”，认为通用化运动和新公共管理的采用限制了AMHP的专业化，从而限制了“社会视角”的充分实施。
