BMJ  2004;329 (17 July), doi:10.1136/bmj.329.7458.0-a

Agreeing a treatment plan cuts hospital detentions

Joint crisis plans reduce compulsory admissions to hospital in people with mental illnesses. Henderson and colleagues (p 136) randomised 160 people with psychotic illness or non-psychotic bipolar disorders from southern England to the intervention, which consisted of the patients and health carers—in negotiation with a third party—agreeing a plan on how to deal with a crisis, or to standard care. They found that having an advance agreement led to a considerable reduction in use of the Mental Health Act for compulsory admission and treatment.

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Relevant Article

Effect of joint crisis plans on use of compulsory treatment in psychiatry: single blind randomised controlled trial

Claire Henderson, Chris Flood, Morven Leese, Graham Thornicroft, Kim Sutherby, and George Szmukler
BMJ 2004 329: 136. [Abstract] [Full Text] [PDF]