In 2022/23, there were a total of over 51 thousand detentions under the Mental Health Act 1983 in England, a slight decrease in comparison to the previous year. Total mental health detentions include those occurring on admission and those that followed admission to hospital. This statistic displays the number of detentions under the Mental Health Act 1983 in England from 2009/10 to 2022/23.

This publication contains the official statistics about uses of the Mental Health Act ('the Act') in England during 2022-23. Under the Act, people with a mental disorder may be formally detained in hospital (or 'sectioned') in the interests of their own health or safety, or for the protection of other people. They can also be treated in the community but subject to recall to hospital for assessment and/or treatment under a Community Treatment Order (CTO). In 2016-17, the way we source and produce these statistics changed. Previously these statistics were produced from the KP90 aggregate data collection. They are now primarily produced from the Mental Health Services Data Set (MHSDS). The MHSDS provides a much richer data source for these statistics, allowing for new insights into uses of the Act. People may be detained in secure psychiatric hospitals, other NHS Trusts or at Independent Service Providers (ISPs). All organisations that detain people under the Act must be registered with the Care Quality Commission (CQC). In recent years, the number of detentions under the Act have been rising. An independent review has examined how the Act is used and has made recommendations for improving the Mental Health Act legislation. In responding to the review, the government said it would introduce a new Mental Health Bill to reform practice. This publication does not cover: 1. People in hospital voluntarily for mental health treatment, as they have not been detained under the Act (see the Mental Health Bulletin). 2. Uses of section 136 where the place of safety was a police station; these are published by the Home Office.

This publication contains the official statistics about uses of the Mental Health Act ('the Act') in England during 2023-24. Under the Act, people with a mental disorder may be formally detained in hospital (or 'sectioned') in the interests of their own health or safety, or for the protection of other people. They can also be treated in the community but subject to recall to hospital for assessment and/or treatment under a Community Treatment Order (CTO). In 2016-17, the way we source and produce these statistics changed. Previously these statistics were produced from the KP90 aggregate data collection. They are now primarily produced from the Mental Health Services Data Set (MHSDS). The MHSDS provides a much richer data source for these statistics, allowing for new insights into uses of the Act. People may be detained in secure psychiatric hospitals, other NHS Trusts or at Independent Service Providers (ISPs). All organisations that detain people under the Act must be registered with the Care Quality Commission (CQC). In recent years, the number of detentions under the Act have been rising. An independent review has examined how the Act is used and has made recommendations for improving the Mental Health Act legislation. In responding to the review, the government said it would introduce a new Mental Health Bill to reform practice. This publication does not cover: 1. People in hospital voluntarily for mental health treatment, as they have not been detained under the Act (see the Mental Health Bulletin). 2. Uses of section 136 where the place of safety was a police station; these are published by the Home Office.

In England, there were around 16.8 thousand detentions under the Mental Health Act 1983 for those aged 18 to 34 years as of 2022/23, the most of any age group. This statistic displays the number of detentions under the Mental Health Act 1983 in England in the year 2022/23, by age.

In 2022/23, there were approximately 12.8 thousand detentions following admission to hospital under the 1983 Act, the lowest amount registered since 2011/12. This statistic displays the number of detentions subsequent to admission to hospital under the Mental Health Act 1983 in England from 2009/10 to 2022/23.

This publication contains the official statistics about uses of the Mental Health Act(1) ('the Act') in England during 2018-19. Under the Act, people with a mental disorder may be formally detained in hospital (or 'sectioned') in the interests of their own health or safety, or for the protection of other people. They can also be treated in the community but subject to recall to hospital for assessment and/or treatment under a Community Treatment Order (CTO). In 2016-17, the way we source and produce these statistics changed. Previously these statistics were produced from the KP90 aggregate data collection. They are now primarily produced from the Mental Health Services Data Set (MHSDS). The MHSDS provides a much richer data source for these statistics, allowing for new insights into uses of the Act. However, some providers that make use of the Act are not yet submitting data to the MHSDS, or submitting incomplete data. Improvements in data quality have been made over the past year. NHS Digital is working with partners to ensure that all providers are submitting complete data and this publication includes guidance on interpreting these statistics. Footnotes (1) The Mental Health Act 1983 as amended by the Mental Health Act 2007 and other legislation.

This bulletin presents the latest information on uses of the Mental Health Act 1983 ("The Act") in England (excluding guardianship under Sections 7 and 37) between 1 April 2013 and 31 March 2014 ("2013-14"). Data were collected via the Health and Social Care Information Centre (HSCIC) online Omnibus KP90 collection from all organisations in England which provide Mental Health Services and make use of the Mental Health Act 1983 legislation, as amended by the Mental Health Act 2007, and other legislation. This includes high security psychiatric hospitals as well as other NHS service providers and independent hospitals. These statistics are important in monitoring uses of The Act and will be of interest to mental health professionals as well as service users, their families and representative organisations. Please note that the National Statistics status of this release has been withdrawn pending a successful transition between the existing data source (KP90) and a new data source (MHMDS and other administrative collections) being used as the basis for the statistics. Full details of this decision are in the assessment report and can be found on the UK Statistics Authority's website. Please note: An error was discovered within the published machine readable csv file (Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983 and Patients Subject to Supervised Community Treatment, England - 2013-2014, Annual figures: Machine-readable data set [.csv]) which was published 29th October 2014. This error has now been corrected and updated on 7th November 2014. The HSCIC apologises for any inconvenience this may cause our users. Please note: on 29 October 2014 an error was identified and rectified within Table 13: Detentions under Section 136 in hospital based Places of Safety recorded by Police and methods of conveyance to hospital, 2013-14 within the Experimental Data Tables. This error was as a result of over-suppression of the percentage columns within this table. The HSCIC apologies to users who may have been affected by this error.

This statistic displays the number of detentions on admission to NHS hospitals under the Mental Health Act 1983 in England from 2009/10 to 2015/16. In 2013/14 there were 30,574 detentions with learning disability given as the primary reason.

This study, co-produced by a team of academics, lived experience researchers and clinicians, explores the views and experiences of people who have been compulsorily detained in hospital under the Mental Health Act (1983) (MHA) in England, to understand how and why, from their perspective, compulsory detentions occur, and what might help prevent them. Semi-structured qualitative interviews were conducted with 20 people (55% male, 40% Black/Black British, 30% White British) who had been compulsory detained in hospital within the past 5 years. Lived experience researchers with relevant personal experience carried out interviews via telephone or videoconference and participated in analysis of data via a template approach. We derived three over-arching themes from interviews. The first theme “Individual factors increasing or reducing likelihood of being detained” encompassed factors related to people’s own lives and attitudes, including life stressors, not taking medication as prescribed, the risk individuals may pose to themselves or others, and their attitude to and management of their mental health. The second theme “Family and Social Network” reflects how attitudes and quality of support from family, friends and social network may contribute to compulsory detentions or help people to stay well. The third theme “Need for improvement in Service Responses” identified limitations of services that contribute to detention, including lack of collaborative care and choice, poor quality of professional support, and discriminatory attitudes from staff. Each theme also included potential approaches to addressing these limitations and reducing compulsory detentions. Findings suggest multiple interacting factors may lead to people being detained in hospital under the MHA, and that improvements to services, such as increasing collaborative care and service user-led family involvement, could prevent further detentions.

Rates of compulsory detention in psychiatric hospitals have risen over several decades in England and some other higher income countries. This study explores clinicians’ perspectives on how service users come to be compulsorily detained in psychiatric hospitals and their suggestions for reducing these detentions in the future. Semi-structured qualitative interviews were conducted with 23 clinicians working with individuals who have been compulsorily detained under the Mental Health Act in England. Interviews were carried out by telephone or videoconference. Data was analysed using template analysis, which involved developing a structured framework to organise and analyse data and to develop themes. Three major themes were identified, with multiple sub-themes (a) service user factors that increase the risk of compulsory detention, including high levels of risk, previous/underlying trauma, medication non-adherence, service user perceptions of their mental health state, disadvantage and discrimination, and lack of stability and involvement from family and social networks; (b) service-level reasons for being detained, including lack of communication and continuity of care, historical inability to obtain trust and confidence from parts of population, clinician biases and assumptions, lack of resources, lack of treatment and care variety, and systemic/institutional barriers to engagement; and (c) potential pathways to reducing compulsory detention, including increasing care quality and patient/family level interventions, investing in services, offering choice regarding medication, offering alternatives to detention, and improving discharge planning. Our study advances the literature by highlighting systemic, patient-level, and service-level factors perceived as driving practice. Better-resourced community services and care planning and strategies to address unconscious bias are identified as potential routes to reducing detentions. However, significant limitations are a preponderance of London-based psychiatrists in our sample, which may affect the generalisability of the findings to other roles and locations, and a lack of corroboration of perceived causality with more objective data.

Explains the rights of formal (involuntary) patient under the Mental Health Act, including: rights regarding being hospitalized against your will (detention); rights regarding treatment; rights regarding the Review Panel; and general rights.

The number of detentions under mental health legislation is growing, disproportionately impacting Black men. Previous research into the over-detention of Black people is repetitive and solutions to reduce disparities are ineffective, not enacted, or outdated. This review is original and novel in using a lived experience lens within the Silences framework, to interpret and validate review findings and make actionable recommendations to enable change, reduce Black men’s detention rates and improve experiences. The systematic review searched three databases: EBSCO, ProQuest, and PMC. Search terms included: ethnicity: Black African Caribbean; gender: male; and detention: detained under mental health legislation. Searches were conducted in September 2021 and February 2024 and included papers from 2000 to 2024. The review was conducted using the NIHR systematic review protocol. Searches resulted in 15,300 papers, which were reduced to 34 papers for inclusion in the thematic analysis. People with lived experience on the review team explored the Silences missing in the literature and co-developed the findings and recommendations. Three themes were developed and are presented as ‘Screaming Silences’ - a concept that amplifies what is known (by patients, family and friends, professionals, and others), but is not explicitly discussed within literature: (1) contextual identity; (2) culture, spirituality, and religion; and (3) power, language, and communication. People with lived experience discussed what these themes meant to them. Their views are key to flipping the narrative, and support change for Black men compulsorily detained in mental health settings. Findings show that academic understanding of the detrimental treatment and care of Black men has barely changed in twenty years. The recommendations centre on: patient involvement and clear communication; reducing disparities through anti-discriminatory policies and practice; the promotion of cultural competence; community campaigns, collaboration, and support for carers; monitoring and auditing; and improving future research through co-production.

This Regulation designates facilities for detention and treatment of formal patients under the Mental Health Act and prescribes 27 forms to be used under the authority of the Act. These forms relate to admission and renewal certificates, orders to return and transfer patients, warrant and warrant extensions, peace officer statements, competence, review panels, and community treatment orders.

This bulletin summarises information about uses of the Mental Health Act 1983 for 2010/11, based on the KP90 collection. It includes information from high security psychiatric hospitals as well as from other NHS service providers and independent hospitals. The latest figures for 2010/11 suggest that the number of people subject to restrictions under the Mental Health Act continues to rise. Whilst the number of formal admissions for treatment and new Community Treatment Orders (CTOs) has decreased since the previous reporting period, the overall number of people remaining in detention or subject to a CTO is higher than before. The number of uses of Place of Safety Orders has also increased. The figures also show major changes in the number of formal detentions, uses of Place of Safety Orders and CTOs. Important: Please note that we were advised of some incorrectly submitted figures immediately prior to publication. The total number of CTOs administered by Lincolnshire Partnership NHS Foundation Trust (RP7) should have been 31 rather than 16 (an increase of 14 Section 3 to SCT changes and 1 Section 37 to SCT change). Whilst National totals are not significantly changed, this does affect Figures 5 and 7, and Table 4, of the report; Tables 6a and 9 of the reference data tables; and relevant cells in the machine readable dataset.

Objectives: Assess the impact of selective prohibition and seizure of NPS supply on NPS use prevalence within psychiatric admissions and evaluate demographic characteristics of current NPS users. Design: A 6-month retrospective cross-sectional analysis of discharge letters between 1st October 2015 – 31st March 2016. Setting: General Psychiatry inpatients and Intensive Home Treatment Team community patients at a psychiatric hospital in a Scottish city. Participants: All participants were between the ages 18-65. After application of exclusion criteria, 473 discharge letters of General Psychiatry patients were deemed suitable for analysis and 264 Intensive Home Treatment Team (IHTT) patient discharge letters were analysed. Interventions: A nationwide Temporary Class Drug Order (TCDO) was placed on 10th April 2015 reclassifying methylphenidate-related compounds as Class B substances. On 15th October 2015, local Forfeiture Orders were granted to Trading Standards permitting the seizure of NPS supplies. Primary and secondary outcome measures: The primary outcome measure was to determine the prevalence of NPS use in two cohorts. Secondly, demographic features of patients and details regarding their psychiatric presentation were analysed. Results: The prevalence of NPS use in General Psychiatry and IHTT patients was 6.6% and 3.4%, respectively. Inpatients using NPS compared to non-users were more likely to be male (OR: 2.92, 95% CI: 1.28-6.66, p=0.009), have a forensic history (OR: 5.03, CI: 2.39-10.59, p<0.001) and be detained under an Emergency Detention Certificate (OR: 3.50, CI: 1.56-7.82, p=0.004). NPS users were also more likely to be diagnosed under ICD-10 F10-19 (OR: 9.97, CI: 4.62-21.49, p<0.001). Conclusions: Compared to previous work, psychiatric inpatient NPS use has fallen. NPS continue to be used by a demographic previously described resulting in presentations consistent with a drug-induced psychosis and at times requiring detention under the Mental Health Act. Further research is required to evaluate the effectiveness of the recent prohibition of all NPS.

Explains the rights of formal (involuntary) patient under the Mental Health Act, including: rights regarding being hospitalized against your will (detention); rights regarding treatment; rights regarding the Review Panel; and general rights.

In 2024, there were approximately **** thousand clinical and other psychologists in employment in the United Kingdom, this figure includes both employed and self-employed psychologists. The annual number has experienced fluctuations during the provided time interval, dropping as low as **** thousand in 2011 before peaking at **** thousand in 2015. Mental health hospital admissions Under the Mental Health Act (1983), people can be detained for urgent treatment for a mental health disorder if they are at risk of harm to themselves or others. The number of detentions on admission to hospital in England reached almost ** thousand in the year 2022/23. Among them, 18-34 year old adults was the most common age group to be detained under the Mental Health Act 1983. Mental health and medication In England, the leading antidepressant drug for was Sertraline hydrochloride, which was dispensed over ** million times in 2023. The same year, the leading dispensed drug for treating psychoses and other related disorders was Quetiapine, which was dispensed over *** million times.

This dataset provides the percentage of all male and female inmate admissions to the Ottawa-Carleton Detention Centre with an alert covering fiscal years 2005-06 through to 2017-18. There are four admission alerts identified in this dataset: * Domestic violence alert * Mental health alert * Security threat group alert * Substance abuse alert For more information, please see the Ottawa-Carleton Detention Centre Quarterly Trends Analysis. This dataset is related to the following: * Ottawa-Carleton Detention Centre admissions to custody * Ottawa-Carleton Detention Centre average daily counts * Ottawa-Carleton Detention Centre utilization rates * Ottawa-Carleton Detention Centre specialized unit hold counts