BMJ 1995;310:1196 (6 May)

Letters

Low appeal rate may reflect trust in doctors' judgment

EDITOR,--Caroline Bradley and colleagues conclude that too few patients appeal against detention under section 2 of the Mental Health Act and that this would be improved if patients were fully informed of their rights.1 Our experience in Springfield Hospital does not confirm this. An advice and legal representation project has existed at the hospital since 1982.2 As the table shows, the rate of appeal against detention under section 2 (15%) is lower than that reported in Oxford. Understanding why most patients do not contest their section may require more than attributing it to lack of either knowledge or time.

It is an error to assume that because patients agree that they need to be in hospital then compulsory detention was, or is, a mistake. The relationship between doctors and patients is complex and can simultaneously include a whole range of conflicting and ambivalent attitudes. Patients can disagree with their doctors' . . . [Full text of this article]


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Relevant Article

Why do so few patients appeal against detention under section 2 of the mental health act?
Caroline Bradley, Max Marshall, and Dennis Gath
BMJ 1995 310: 364-367. [Abstract] [Full Text]




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