Huxley P, Kerfoot M
Mental Health Social Work Research Unit, Manchester University, UK.
Soc Psychiatry Psychiatr Epidemiol. 1993 Apr;28(2):71-6. doi: 10.1007/BF00802095.
Eighty-two local authority social services departments in England and Wales participated in a postal survey of their responses to psychiatric emergencies, and 52 of the authorities provided detailed information on the rates of requests made to them for assessments under the Mental Health Act, 1983. This paper reports upon the variation in the rates of requests in different types of local authorities and regions. Variations are related to the availability of approved social workers (ASWs) and the Jarman Index of social deprivation. Requests for assessment and treatment order (Sections 2 and 3) are related to a greater number of ASWs, but only in county authorities, and requests for emergency admission (Section 4) are related to greater social deprivation, but only in London. Possible explanations for these findings are considered. Requests for the use of treatment orders have increased since the Act was introduced and now stand at more than one third of all requests, whereas requests for the use of emergency orders have declined to fewer than 8% of all requests.
英格兰和威尔士的82个地方政府社会服务部门参与了一项关于其对精神科紧急情况应对措施的邮政调查，其中52个部门提供了关于根据1983年《精神健康法》向其提出评估请求率的详细信息。本文报告了不同类型地方政府和地区请求率的差异。这些差异与核准社会工作者（ASW）的可获得性以及贾曼社会剥夺指数有关。评估和治疗令（第2和3节）的请求与更多的核准社会工作者相关，但仅在郡政府中如此，而紧急入院请求（第4节）与更大程度的社会剥夺相关，但仅在伦敦如此。文中考虑了对这些发现的可能解释。自该法案实施以来，使用治疗令的请求有所增加，目前占所有请求的三分之一以上，而使用紧急令的请求已降至所有请求的8%以下。
