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Welfare Reform on the Web (September 2010): Mental health services - overseas

Coping with compulsion: women's views on being on a Community Treatment Order

A. Gibbs

Australian Social Work, vol.63, 2010, p. 223-233

The New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 allows for the compulsory community treatment of people with a serious mental illness. The use of compulsory community treatment is controversial for many reasons, including ethical, moral and legal concerns. This study presents the experiences of ten women who were either currently undergoing compulsory community treatment or had recent experience of it. Compulsory community treatment made a significant impact on the lives of the ten women in both positive and negative terms. In spite of the constraints, it allowed the women to stay out of hospital long enough to rebuild their lives, maintain their close relationships, and regain some level of control.

Looked after and adopted children: how should specialist CAMHS be involved?

P. Rao, A. Ali and P. Vostanis

Adoption and Fostering, vol.34, no.2, 2010, p. 58-72

Looked after children are at high risk of developing mental health problems and these are often complex and related to other needs and agency involvement. Consequently there is increasing policy emphasis on the importance of joint service planning and implementation. In practice, however, the distinction between mental health needs, problems and disorders is not clearly defined. Therefore there is considerable service variation, lack of models and consensus on which children and young people would benefit from specialist child and adolescent mental health services (CAMHS) input. There is little agreement on the position of specialist CAMHS in a comprehensive model for looked after and adopted children. This study sought to gain an understanding of the operational criteria and remit of specialist CAMHS by comparing the characteristics of looked after and adopted children referred to a designated CAMHS team and identifying whether these fell into the perceived remit of specialist CAMHS. It is concluded that mental health and social care services for vulnerable children need jointly to develop clear care pathways, with definition of agency roles.

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