Background Reform of mental health legislation for England and Wales is due.
MHRTs offer an important check in the balance between patient and public rights.
Aims To study the quantity and outcome of MHRTs in special (high-security) hospitals.
Method Data were extracted from the records of 1670 patients detained under mental illness or psychopathic disorder classifications in special hospitals during 1992.
Results There were 661 MHRT hearings, mostly requested by patients.
Forty-three (7%) discharges were ordered, often without key data about continuing care in the written evidence.
There were 56 recommendations for transfer to lesser security.
Correlates of MHRT discharge were : female gender, younger age (in women), a legal classification of psychopathic disorder and shorter length of stay.
Conditional discharge did not necessarily mean departure from special hospital.
Conclusions Special hospital MHRTs result in few changes in patient status.
A probable need for improvement in the evidence put before an MHRTwas found.
Legislation reformers should consider an extension of MHRT powers to order transfer between levels of security.
Declaration of interest E.G. was funded by the former Special Hospitals'Service Authority and the Broadmoor Hospital Authority.
Mots-clés Pascal : Trouble psychiatrique, Criminalité, Hospitalisation, Système santé, Royaume Uni, Europe, Etude critique, Santé mentale, Homme, Réforme
Mots-clés Pascal anglais : Mental disorder, Criminality, Hospitalization, Health system, United Kingdom, Europe, Critical study, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0123566
Code Inist : 002B18H05B. Création : 16/11/1999.