{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T04:05:47Z","timestamp":1782446747288,"version":"3.54.5"},"reference-count":18,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T00:00:00Z","timestamp":1668384000000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec id=\"S2056472422006044_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>A recent government white paper sets out proposals for reforms to the Mental Health Act 1983 (MHA). Some of these proposals affect people with intellectual disabilities and\/or autism.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422006044_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To explore both positive and unintended negative effects of the proposed reforms by gathering the perspectives of healthcare workers from multiple disciplines, working with intellectual disability and\/or autism in community and in-patient settings.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422006044_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>A 14-question electronic questionnaire, comprising free-text, multiple choice and five-point Likert scale responses, was sent out via email between April and July 2021, to all multidisciplinary team professionals working in specialist intellectual disability community and in-patient teams in Hertfordshire Partnership University NHS Foundation Trust.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422006044_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>There were 45 responders, of whom 53% worked in in-patient settings and 47% in out-patient teams. Respondents comprised healthcare professionals from multiple disciplines, 80% of which were non-medical. Most responders agreed with the general principles of the proposed reforms. However, 80% felt there would be potentially unintended consequences, and 76% thought that substantial investment in community services was required in advance of the proposed reforms.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472422006044_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The proposed MHA reforms may have unintended consequences for people with intellectual disabilities and\/or autism. The findings of this study raised key concerns that need to be explored further and addressed before the MHA reforms are implemented. These include community provision, safeguards and use of the Mental Capacity Act, the potential for under or overdiagnosis of mental illness, and effects associated with the criminal justice system.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2022.604","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T10:01:30Z","timestamp":1668420090000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Implementing proposed reforms of the Mental Health Act for people with intellectual disability and autism: the perspective of multidisciplinary professionals in intellectual disability teams"],"prefix":"10.1192","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6266-1686","authenticated-orcid":false,"given":"Bharat","family":"Velani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indermeet","family":"Sawhney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3554-2948","authenticated-orcid":false,"given":"Regi T.","family":"Alexander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Shardlow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asif","family":"Zia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2022,11,14]]},"reference":[{"key":"S2056472422006044_ref4","volume-title":"No Voice Unheard, No Right Ignored \u2013 A Consultation for People with Learning Disabilities, Autism and Mental Health Conditions","year":"2015"},{"key":"S2056472422006044_ref13","volume-title":"Care Services for People with Learning Disabilities and Challenging Behaviour: Report by the Comptroller and Auditor General","year":"2015"},{"key":"S2056472422006044_ref18","volume-title":"RCN Response to Consultation on Reforming the Mental Health Act","year":"2021"},{"key":"S2056472422006044_ref17","doi-asserted-by":"publisher","DOI":"10.1192\/bji.2018.37"},{"key":"S2056472422006044_ref8","volume-title":"Building the Right Support: A National Plan to Develop Community Services and Close Inpatient Facilities for People with a Learning Disability and\/or Autism Who Display Behaviour that Challenges, Including Those with a Mental Health Condition","year":"2015"},{"key":"S2056472422006044_ref1","unstructured":"1 Department of Health and Social Care, Ministry of Justice. Draft Mental Health Bill, 2022. The Stationery Office, 2022 (https:\/\/www.gov.uk\/government\/publications\/draft-mental-health-bill-2022)."},{"key":"S2056472422006044_ref3","volume-title":"Mental Health Act 1983: Code of Practice (Revised)","year":"2015"},{"key":"S2056472422006044_ref12","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.116.055095"},{"key":"S2056472422006044_ref9","unstructured":"9 NHS Digital. Learning Disability Services Monthly Statistics - AT: September 2021, MHSDS: July 2021 Final. NHS Digital, 2021 (https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/learning-disability-services-statistics\/at-september-2021-mhsds-july-2021-final#data-sets)."},{"key":"S2056472422006044_ref5","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1192\/bjp.2019.26","article-title":"The case for removing intellectual disability and autism from the Mental Health Act","volume":"215","author":"Hollins","year":"2019","journal-title":"Br J Psychiatry"},{"key":"S2056472422006044_ref14","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2019.3"},{"key":"S2056472422006044_ref15","volume-title":"Reforming the Mental Health Act: Government Response","year":"2021"},{"key":"S2056472422006044_ref11","volume-title":"Mencap Responds to the Government's Mental Health Act White Paper","year":"2021"},{"key":"S2056472422006044_ref10","volume-title":"Reforming the Mental Health Act","year":"2021"},{"key":"S2056472422006044_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39490.543137.80"},{"key":"S2056472422006044_ref6","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.ijlp.2013.11.024","article-title":"Mental health law and the UN Convention on the Rights of Persons with Disabilities","volume":"37","author":"Szmukler","year":"2014","journal-title":"Int J Law Psychiatry"},{"key":"S2056472422006044_ref7","volume-title":"Transforming Care: A National Response to Winterbourne View Hospital: Department of Health Review Final Report","year":"2012"},{"key":"S2056472422006044_ref2","unstructured":"2 Department of Health and Social Care. Independent Review of the Mental Health Act 1983. Modernising the Mental Health Act. Increasing Choice, Reducing Compulsion. Final Report of the Independent Review of the Mental Health Act 1983. Department of Health and Social Care, 2018 (https:\/\/www.gov.uk\/government\/publications\/modernising-the-mental-health-act-final-report-from-the-independent-review)."}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472422006044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T10:01:41Z","timestamp":1668420101000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472422006044\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":18,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["S2056472422006044"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2022.604","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e197"}}