
Contents
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52 Contagion, Identity, Misinformation: Challenges for Psychiatric Ethics in the Age of the Internet
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The Mental Health Act Training Materials The Mental Health Act Training Materials
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The Training Materials The Training Materials
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The Guiding Principles The Guiding Principles
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The Guiding Principles and Values-Based Practice The Guiding Principles and Values-Based Practice
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The Key Role of Dissensus The Key Role of Dissensus
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From Monism to Pluralism From Monism to Pluralism
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High Hopes and a Setback High Hopes and a Setback
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The Public Safety Stand-Off The Public Safety Stand-Off
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Values-Based Involuntary Treatment Values-Based Involuntary Treatment
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Partnerships and the Guiding Principles Partnerships and the Guiding Principles
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Dissensus and Value Pluralism Dissensus and Value Pluralism
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Back to Monism Back to Monism
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A Win-Win A Win-Win
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How the Act Has Worked Out How the Act Has Worked Out
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The Slide to Monism The Slide to Monism
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A Fault-Line in Values-Based Practice A Fault-Line in Values-Based Practice
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The Individual and The Collective The Individual and The Collective
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Strengths and Limitations Strengths and Limitations
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Incidental not Essential Features Incidental not Essential Features
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The NIMHE Values Framework—a Shift to the Collective The NIMHE Values Framework—a Shift to the Collective
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Values-Based Commissioning: A Further Shift to the Collective Values-Based Commissioning: A Further Shift to the Collective
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Resources for Next Steps Resources for Next Steps
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A Preliminary Mapping A Preliminary Mapping
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Caveats Caveats
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Conclusions Conclusions
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Acknowledgments Acknowledgments
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References References
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70 Animal Welfare Considerations and Ethical Oversight of the Use of Animals in Psychiatric Research
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60 Values-Based Involuntary Seclusion and Treatment: Value Pluralism and the UK’s Mental Health Act 2007
Get accessK. W. M. (Bill) Fulford, Fellow of St Catherine’s College and Member of the Philosophy Faculty, University of Oxford, Emeritus Professor of Philosophy and Mental Health, University of Warwick, and Founder Editor, Philosophy, Psychiatry, & Psychology; formerly Special Advisor for Values-based Practice and member of the Mental Health Bill team, Department of Health, UK
Sarah Dewey, Service User Trainer, Formerly Member of the Implementation Team Mental Health Act 2007
Malcolm King, Chair Buckinghamshire Mind, Specialist/Lay Member Mental Health Tribunal, Formerly National Implementation Lead Mental Health Act 2007 Mental Health Development Unit Department of Health
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Published:04 March 2015
Cite
Abstract
This chapter gives a reflective account of a values-based model of involuntary psychiatric seclusion and treatment (henceforth “involuntary treatment”) adopted in the training materials produced by the UK government to support implementation of its Mental Health Act 2007 and associated Code of Practice. Values-based involuntary treatment supports balanced decision-making on individual cases within a framework of shared Guiding Principles. A critical factor in developing the model was partnership between stakeholders representing the plurality of value perspectives embodied in the Guiding Principles. Values pluralism however has not been widely reflected in practice. Possible reasons for this include a fault-line in values-based practice. This has been focused on individual decision-making whereas the decisive influences on involuntary treatment have turned out to be social and political. Broadening the philosophical resources of values-based practice to include those of political philosophy may contribute to the development of more effective approaches to values-based involuntary treatment.
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