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Explore the conflict between recovery and risk in mental health services, focusing on Section 17 leave under the Mental Health Act. Learn about the benefits and challenges of granting leave for detained patients, and how service users and professionals navigate this delicate balance. Dive into discussions on positive and negative examples of leave usage, decision-making inconsistencies, and the importance of shared understanding between care teams and service users. Discover how the shared pathway approach can enhance recovery outcomes and guide decisions on section 17 leave.
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Recovery and Risk • How do services and services users see recovery and risk • Do they go hand in hand • If not what needs to happen • Hot topics for discussion
Example- Section 17 leave of absence • Through discussions there is a clear division between service users and services on what section 17 leave means and how it is used Service User Professionals
Section 17 leave of absence Legislation • The Mental Health Act ( chapter 21) has clear guidelines on granting and the use of section 17 leave of absence for detained patients • RC can grant for non restricted patients /MOJ, secretary of state for justice to grant for restricted patients • Leave can be granted for specific occasions/or specific or indefinite periods of time • Leave can be an important part of a detained patients care plan and recovery • Benefits of the leave must out way the risks identified to grant the leave • All leave needs to be recorded and reviewed • The RC may revoke the patients leave at any time if they consider it necessary in the interests of the patients health or safety or for the protection of other people, for restricted patients the secretary of state for justice may revoke leave
Services &Service users perspective of section 17 leave Work group discussion • Services • Service Users • Commissioners
What it means in practice • +ve examples of the use of section 17 leave • Leave being used to aid a persons recovery • Leave used to demonstrate that individuals have reduced their risks • Leave being used to increase an individuals self confidence in the community • Access to family and friends out side of the hospital • Access to vocational/educational facilities • -ve examples of the use of section 17 leave • Inconsistency of how decisions are made • discrepancies of the sanctioning of section 17 leave between services • Over use of section 17 leave that hinders other areas of treatment • How is cancelation of leave communicated and recorded • Who and how are commissioners informed of changes to leave
How do service users and the care team reach a shared understanding about section 17 leave Work group discussion
The Shared pathwayhow will this effect decisions on leave • The shared pathway by design will lend it self to discussions on use of leave throughout an individuals journey through their pathway in secure services. • Leave may be plotted against reaching certain goals and included in recovery outcomes
Is there anything people would like to be considered and discussed at the next i4i in September?