Publication - Advice and guidance

Admission to adult mental health wards for under 18's - adaptation for Scotland: guidance

Published: 25 Jun 2020
From:
Minister for Mental Health
Directorate:
Mental Health Directorate
Part of:
Health and social care
ISBN:
9781839608193

Best practice guidance to aid implementation of s23 of the Mental Health (Care & Treatment)( Scotland) Act 2003 which places a duty on health boards to provide sufficient services and accommodation to meet the needs of young people under 18 when they are admitted to hospital for treatment of a mental disorder.

36 page PDF

740.1 kB

36 page PDF

740.1 kB

Contents
Admission to adult mental health wards for under 18's - adaptation for Scotland: guidance
Section 8: Other Safeguards

36 page PDF

740.1 kB

Section 8: Other Safeguards

Legal Status

8.1 Ward staff are aware of the legal and child protection status of young people admitted to their ward.

No.

Type

Standard

8.1.1

1

Staff are aware of the legal status (for example if the young person is subject to a care order) of young people admitted and the implications of this.

8.2 The ward complies with Local Child Protection Procedures (QNIC 41).

No.

Type

Standard

8.2.1

1

It is possible for those working with the young person to access their child protection status.

8.2.2

1

The ward knows who the child protection lead is, and how to contact them.

8.2.3

1

Ward staff are able to access and comply with child protection policies, procedures and protocols.

8.2.4

1

The ward has up-to-date and regularly reviewed policies and procedures on how to deal with allegations of abuse during and out of working house.

8.2.5

1

Staff know what to do if young people disclose allegations of abuse and that, if something is disclosed, young people are told what will happen.

Admissions With Stays Longer Than 3 Months

8.3 Ward staff liaise and work with the local authority to safeguard and promote the welfare of longer staying young people (QNIC 42).

No.

Type

Standard

8.3.1

1

The Local Authority is alerted if the whereabouts of the person with parental responsibility is not known or if that person has not visited the young person for a significant period of time.

8.3.2

1

The named child protection lead informs the Local Authority if a child or young person remains, or is likely to remain, an inpatient for a period of over three months.

Use Of Physical Restraint

8.4 The ward operates within the appropriate legal framework in relation to the use of physical restraint with young people (QNIC 40).

No.

Type

Standard

8.4.1

1

Ward staff are trained to adapt their physical restraint techniques so that they are age-appropriate for young people.

Stem Physical restraint is only used in the following situations:

No.

Type

Standard

8.4.2

1

  • When immediate action is needed to prevent a young person from significantly injuring themselves or others.

8.4.3

1

  • When immediate action is needed to prevent a young person from causing serious damage to property.

8.4.4

1

  • Where appropriate, when a young person is detained under the Mental Health (Care and Treatment) (Scotland) Act 2003.

8.4.5

1

  • If a young person attempts to leave the unit without authority, under the Nurses Holding Power of section 299 of the Mental Health (Care and Treatment) (Scotland) Act amended by section 20 of the 2015 Mental Health (Scotland) Act.

8.4.6

1

After restraint, staff should spend time with the young person reflecting on why it was necessary and their views are sought and included in the post incident analysis.

8.4.7

1

The circumstances and justification for using physical restraint are recorded immediately; every such incident is documented within 24 hours (one working day); the consultant or clinician in charge of the patient's case is informed and a report is submitted by the nurse in charge to the Board management in line with the Board incident reporting policy.

8.4.8

1

The ward follows policies for untoward occurrences or critical incident reporting.

Formal Admissions

8.5 Ward staff ensure young people's rights to access a Mental Health Tribunal are respected, and that the Tribunal accounts for their status as a minor under 18 years.

See: https://www.mwcscot.org.uk/the-law/mental-health-act/mental-health-tribunal

No.

Type

Standard

8.5.1

1

The Hospital Managers notify the tribunal service that the patient is under the age of 18 to allow the service to ensure that one of the tribunal members is a 'CAMHS' panellist.

8.5.2

1

Young people under 18 who do not have a responsible clinician from a CAMH service are assessed by a CAMHS specialist prior to their Tribunal hearing.


Contact

Email: MentalHealthStrategyandCoordinationUnit@gov.scot