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Highlights

  • Dr Maden’s commentary on . . .‘The Draft Mental Health Bill in England: without principles’ (Psychiatric Bulletin, July 2005, 29, 250-251) is dismissive of ‘liberal hysteria’ and suggests that therapeutic intent is a peripheral issue to use of mental health law

  • Dr Maden’s commentary concludes by suggesting that our current mental health legislation is among the best and most liberal in the world in the way in which it deals with offenders with mental illness

  • Auditing against pronouncements from the National Institute for Clinical Excellence has a certain kind of validity, but perhaps the salient question here is ‘how is the physical health of our patients recorded in its entirety?’ The new general medical services contract explicitly states that primary care is responsible for providing physical healthcare to people with serious mental illness (Lester, 2005)

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Summary

Draft Mental Health Bill in England

Dr Maden’s commentary on . . .‘The Draft Mental Health Bill in England: without principles’ (Psychiatric Bulletin, July 2005, 29, 250-251) is dismissive of ‘liberal hysteria’ and suggests that therapeutic intent is a peripheral issue to use of mental health law. . .‘The Draft Mental Health Bill in England: without principles’ (Psychiatric Bulletin, July 2005, 29, 250-251) is dismissive of ‘liberal hysteria’ and suggests that therapeutic intent is a peripheral issue to use of mental health law. The perspective of someone viewing the issues from a tertiary service probably explains the failure to understand the ramifications that the proposed Bill will have on the population as a whole. The ability of general adult services to select in-patients on the basis of need or evidence of effectiveness would be paralysed. General psychiatric hospitals will return to the dark days of having a primary social control function. Dr Maden’s commentary concludes by suggesting that our current mental health legislation is among the best and most liberal in the world in the way in which it deals with offenders with mental illness. Martin Gee Consultant Adult Psychiatrist, Ashcombe Centre,Wall LaneTerrace, Cheddleton, Staffordshire ST13 7ED

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