Mental Health Review Tribunals in Action: A Systematic Review of the Empirical Literature

@article{Thom2014MentalHR,
  title={Mental Health Review Tribunals in Action: A Systematic Review of the Empirical Literature},
  author={Katey Thom and Ivana Nakarada-Kordic},
  journal={Psychiatry, Psychology and Law},
  year={2014},
  volume={21},
  pages={112 - 126}
}
The effectiveness of Mental Health Review Tribunals in providing safeguards for patients to ensure their right to be free from unjustified detention or treatment has been subject to much criticism in the literature. This article systematically reviews studies on the decision-making of such tribunals in order to synthesize the literature thematically and subject it to an assessment of methodological rigour [Hawker, S., Payne, S., Kerr, C., Hardey, M., & Powell, J. (2002). Appraising the evidence… Expand
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References

SHOWING 1-10 OF 65 REFERENCES
Mental health tribunals: an issue for clinical governance
TLDR
Examination of reasons given by Mental Health Review Tribunals for discharging patients from detention and the effect the length of detainment had on the immediate outcome of discharged patients found improved aftercare compliance was associated with longer duration on a Section of the Mental Health Act prior to MHRT discharge. Expand
Decision-Making in Mental Health Review Tribunals
Summary: Mental Health Review Tribunals (MHRTs) were established under the Mental Health Act (MHA) 1959 as one of the ‘main safeguards against improper admission under compulsory powers’ andExpand
An audit of the quality of reports to Mental Health Review Tribunals
TLDR
There is evidence that the majority of the MHRT reports do not satisfactorily meet the tribunal's requirements, and the authors undertook an audit cycle to test the above hypothesis. Expand
Mental Health Tribunals as Governance: Lessons from an Australian Study?
This article draws on a multi-year Australian collaborative study of mental health review tribunals in three jurisdictions (Victoria, New South Wales and the Australian Capital Territory) undertakenExpand
The Therapeutic Intent of the New Zealand Mental Health Review Tribunal
The New Zealand Mental Health Review Tribunal states that therapeutic intentions guide its decision-making process. The review body reports that it endeavours to make positive comments and promoteExpand
Mental Health Tribunals—Rights, Protection, or Treatment? Lessons from the ARC Linkage Grant Study?
This article reports possible operational or policy implications for Mental Health Tribunals (‘MHTs’) of findings from a multi-year Australian collaborative study of mental health review tribunals inExpand
Mental Health Tribunals: 'TJ' Implications of Weighing Fairness, Freedom, Protection and Treatment
People with a serious mental illness warranting possible compulsory care and treatment are vulnerable and disempowered. Mental health tribunal hearings must balance the rights to freedom, publicExpand
Is the Mental Health Review Tribunal Inherently Unfair to Patients?
TLDR
The aim of this article is to examine the evidence as to whether MHRTs are inherently unfair to patients and biased towards overcautious professionals, and consider this in the light of various changes to the MHRT system proposed and adopted over recent years. Expand
Mental heath review tribunals: A survey of special hospital patients' opinions
Abstract Although mental health review tribunals were introduced to safeguard the rights of patients detained under the Mental Health Act 1983, increasing concern has been expressed over delays,Expand
Preparing for Mental Health Review Tribunals: reports and dilemmas
In the course of psychiatric training, doctors learn how to prepare a wide range of reports including those for Mental Health ReviewTribunals. There are specific demands peculiar to this area ofExpand
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