The parliamentary Joint Committee on the draft Mental Health Bill published their final report on 19th January 2023. After gathering evidence from a range of experts, the committee’s report makes a series of recommendations about the law which needs to be changed to improve mental health services.
Lily Huggins, Head of Advocacy for Gaddum provided evidence to the Parliamentary Joint Committee in October 2022, highlighting the findings of Gaddum’s pilot as well as the issues affecting the advocacy sector more widely. Lily states:
“We welcome the findings of this report and I am so pleased that Gaddum Advocacy was invited to speak as an expert panellist as part of this process. We agree with the report that racial disparities in mental health services are ‘inexcusable’ and ‘unacceptable’. The recommendations go some way to addressing the racist application of the Mental Health Act, but more must be done.
We must see the legislated adequate resourcing of Advocacy services, including culturally appropriate advocacy as well as more community mental health and preventative services to ensure everyone with mental health needs gets the support they deserve. I hope that appropriate funding can be provided to ensure these positive changes can be implemented in practice.”
Gaddum welcomes the following recommendations from the report:
- Advocacy to be provided as an ‘opt out’ service –psychiatric inpatients will be referred automatically to Advocacy services as standard and can ‘opt out’ if they want.
- Introduction of Advance Care Documents – this will mean that people can make proactive decisions about their care that can be implemented if they experience a period of mental health crisis. This centres individual’s choice, voice and autonomy and will ensure patients’ needs are enacted swiftly.
- The statutory provision of culturally appropriate advocacy – Advocates must ensure they meet the cultural needs of people accessing their services and be aware of and able to challenge racism.
- Removal of Community Treatment Orders (CTOs) for part ii patients – this means there will be no CTOs for most patients, apart from those being released from prison. CTOs place conditions on people when they have been discharged from hospital.
- Advocacy for ‘informal’ or ‘voluntary’ patients – this will mean people who are in a psychiatric ward, but not detained under the Mental Health Act, will also get access to Advocacy services. This is especially supportive for people that would like help to plan their discharge, as well as for Children and Young People who are often voluntary patients.
Whilst Gaddum welcomes many of the changes to the law, we feel the law could go further in the following areas:
- We want the abolition of CTOs for all patients, regardless of their involvement in the criminal justice system.
- We want the legislation to include firm and robust requirements to ensure the adequate resourcing of advocacy services to all people with mental health needs that need Advocacy support.
- We want there to be more focus on community wraparound and preventative support including step down, group work and peer-led wellbeing services.
The Bill will now be updated based on the recommendations of the Joint Committee report before it heads to the House of Commons to be voted on by MPs.
How have we been involved?
Gaddum was invited by the Joint Committee to attend parliament to provide expert evidence about Advocacy and specifically culturally appropriate advocacy. Gaddum delivered the Department of Health and Social Care’s (DHSC) Culturally Appropriate Advocacy Pilot alongside long-standing partners, African & Caribbean Mental Health Services.
The pilot provided Advocacy services to People of Colour in Manchester accessing mental health services. You can read more about this here.
Find out more…
We are currently recruiting for a Culturally Appropriate Independent Advocate.