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Changing Gears and Buying Time

A Study Exploring AMHP Practice Following Referral for a Mental Health Act Assessment in England and Wales

Bibliographic Data

ID10898245
AuthorsMatthew Simpson (0000-0002-4743-969X, Bournemouth University, corresponding author)
Year2024
Volume54
Issue2
Pages797-816
Publication date2024-03-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe British Journal of Social Work (JOURNAL)
Journal identifiersISSN: 0045-3102 • E-ISSN: 1468-263X
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/bjsw/bcad271
OpenAlexW4390696596
LanguageEN
Citations received3
References cited26

The role of the Approved Mental Health Professional (AMHP) under the Mental Health Act (MHA) 1983 in England and Wales is to respond to referrals for psychiatric detention and make an application for detention where they consider this necessary. This article reports the findings of my doctoral study into AMHP decision-making at the point of referral for an MHA assessment. The strengths-based methodology of Appreciative Inquiry was adopted, positioned in a social constructionist paradigm. Nine AMHPs working for one Local Authority participated in the study, including myself as an insider researcher. During four one-day workshops over five months participants defined their best practice, analysing emerging data together within the workshops using nominal group technique. Service developments included the creation of a triage role and a bespoke report to prioritise this decision within the service, opening avenues to change gears and buy time for a more thorough assessment at this point, and promoting greater collaboration with those referred. A multi-agency approach to searching for less restrictive options was advocated within an assessment pathway. The results of this study offer a research insight into this important area of practice, offering an evidence base to inform practice and policy developments

Advertising · Agency (philosophy) · Bespoke · Business · Insider · Medical education · Mental health · Political science · Psychiatry · Public relations · Referral · Service (business) · Sociology · Triage · Healthcare Quality and Management · Interprofessional Education and Collaboration · Marketing · Medicine · Nursing · Psychiatric care and mental health services · Psychology

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Unique citing works3
Citations per year3
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3
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