{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:09:38Z","timestamp":1777896578739,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,6,24]],"date-time":"2015-06-24T00:00:00Z","timestamp":1435104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:p>The Mental Health (Care and Treatment) (Scotland) Act 2003 introduced the right for patients in high-security psychiatric care to appeal against detention in conditions of excessive security. A previous study examined the first 100 patients to appeal under this provision. In this study we compare them with the next cohort of 110 patients to lodge an appeal, finding, contrary to expectations, no change in patient characteristics or the outcome of their appeals. The clinical, legal and demographic features of successful and unsuccessful appellants, who made up 38% and 27% of the 110 patients, respectively, were also compared. Those patients with the support of their responsible medical officer and those already included on a transfer list had a significantly better chance of success ( p\u2009=\u20090.00). It was also found that a history of excessive alcohol consumption was associated with successful appeals ( p\u2009=\u20090.002). A diagnosis of learning disability was associated with unsuccessful appeals ( p\u2009=\u20090.018), though the sub-sample was very small. These findings are important given the forthcoming extension of this right of appeal to other levels of security.<\/jats:p>","DOI":"10.1177\/0025802415590176","type":"journal-article","created":{"date-parts":[[2015,6,25]],"date-time":"2015-06-25T20:54:46Z","timestamp":1435265686000},"page":"172-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Appeals against detention in excessive security (outcomes of appeals against detention in conditions of excessive security in Scotland)"],"prefix":"10.1177","volume":"56","author":[{"given":"Alexander","family":"Slater","sequence":"first","affiliation":[{"name":"The University of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel M","family":"Bennett","sequence":"additional","affiliation":[{"name":"University of Aberdeen, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Vojt","sequence":"additional","affiliation":[{"name":"Risk Management Authority, Paisley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Thomson","sequence":"additional","affiliation":[{"name":"The University of Edinburgh, Edinburgh, UK"},{"name":"The State Hospitals Board for Scotland and the Forensic Mental Health Services Managed Care Network, Carstairs, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,24]]},"reference":[{"key":"bibr1-0025802415590176","unstructured":"National Health Service (Scotland) Act 1978 S.102. http:\/\/www.legislation.gov.uk\/ukpga\/1978\/29\/section\/102 (accessed 7 June 2015)."},{"key":"bibr2-0025802415590176","unstructured":"Forensic Network. Definition of security levels in psychiatric inpatient facilities in Scotland, http:\/\/www.forensicnetwork.scot.nhs.uk\/documents\/previous_reports\/LevelsofSecurityReport.pdf (accessed 27 January 2014)."},{"key":"bibr3-0025802415590176","unstructured":"Department of Health Secure Services Policy Team. Your guide to relational security, http:\/\/www.rcpsych.ac.uk\/pdf\/Relational%20Security%20Handbook.pdf (accessed 27 January 2014)."},{"key":"bibr4-0025802415590176","doi-asserted-by":"publisher","DOI":"10.1080\/09585189708412010"},{"key":"bibr5-0025802415590176","doi-asserted-by":"publisher","DOI":"10.1192\/pb.30.11.423"},{"key":"bibr6-0025802415590176","doi-asserted-by":"publisher","DOI":"10.1080\/14789949.2013.795240"},{"key":"bibr7-0025802415590176","unstructured":"RM v The Scottish Ministers UKSC 58 (2012), https:\/\/www.supremecourt.uk\/decided-cases\/docs\/UKSC_2011_0212_Judgment.pdf (accessed 7 June 2015)."},{"key":"bibr8-0025802415590176","unstructured":"Scottish Parliament. Mental Health (Scotland) Bill Policy Memorandum, http:\/\/www.scottish.parliament.uk\/S4_Bills\/Mental%20Health%20(Scotland)%20Bill\/b53s4-introd-pm-bookmarked.pdf (accessed 16 October 2014)."},{"key":"bibr9-0025802415590176","unstructured":"Scottish Parliament. Mental Health (Scotland) Bill [as introduced], http:\/\/www.scottish.parliament.uk\/S4_Bills\/Mental%20Health%20(Scotland)%20Bill\/b53s4-introd-bookmarked.pdf (accessed 16 October 2014)."}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0025802415590176","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0025802415590176","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0025802415590176","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:30:54Z","timestamp":1777624254000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0025802415590176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,24]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1177\/0025802415590176"],"URL":"https:\/\/doi.org\/10.1177\/0025802415590176","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,24]]}}}