Introducing a MAPPA Level 1 referral procedure for patients detained under hospital orders: reflections on the implications for risk management.
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| Title: | Introducing a MAPPA Level 1 referral procedure for patients detained under hospital orders: reflections on the implications for risk management. |
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| Authors: | Commissiong, Alison (AUTHOR), Codd, Helen (AUTHOR), Turley, Emily (AUTHOR), Crossman, Christine (AUTHOR), Hopkins, Claire (AUTHOR), Zeb, Rabia (AUTHOR) |
| Source: | Journal of Forensic Psychiatry & Psychology. Apr2026, Vol. 37 Issue 2, p281-301. 21p. |
| Subjects: | Mental health laws, Involuntary hospitalization, Community safety, Community health services, Medical referrals, Risk management in business |
| Geographic Terms: | United Kingdom |
| Abstract: | This article describes how one community healthcare trust in England introduced a referral procedure to support risk management for patients detained under Mental Health Act Hospital Orders, with and without restriction, who had been assessed as requiring management under MAPPA Level 1. In the Trust, it was routine for MAPPA referrals to be made for individuals who were assessed as falling under Level 2 or Level 3, but not Level 1, there being no requirement to do so. This article sets out the background to, and justifications for, the introduction of the process and gives information about the number of referrals and patient characteristics since the procedure was introduced in 2021. The referral process is illustrated with two case studies. The article includes reflections on the information gathered and makes recommendations for future research including the need for an empirical assessment of the impact, if any, of the process on offending and re-offending. It makes recommendations for future policy, practice, and research so as to support detained patients at Level 1 and enhance victim safety planning and public protection. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 193599103 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Introducing a MAPPA Level 1 referral procedure for patients detained under hospital orders: reflections on the implications for risk management. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Commissiong%2C+Alison%22">Commissiong, Alison</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Codd%2C+Helen%22">Codd, Helen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turley%2C+Emily%22">Turley, Emily</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Crossman%2C+Christine%22">Crossman, Christine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hopkins%2C+Claire%22">Hopkins, Claire</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zeb%2C+Rabia%22">Zeb, Rabia</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Forensic+Psychiatry+%26+Psychology%22">Journal of Forensic Psychiatry & Psychology</searchLink>. Apr2026, Vol. 37 Issue 2, p281-301. 21p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mental+health+laws%22">Mental health laws</searchLink><br /><searchLink fieldCode="DE" term="%22Involuntary+hospitalization%22">Involuntary hospitalization</searchLink><br /><searchLink fieldCode="DE" term="%22Community+safety%22">Community safety</searchLink><br /><searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+management+in+business%22">Risk management in business</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This article describes how one community healthcare trust in England introduced a referral procedure to support risk management for patients detained under Mental Health Act Hospital Orders, with and without restriction, who had been assessed as requiring management under MAPPA Level 1. In the Trust, it was routine for MAPPA referrals to be made for individuals who were assessed as falling under Level 2 or Level 3, but not Level 1, there being no requirement to do so. This article sets out the background to, and justifications for, the introduction of the process and gives information about the number of referrals and patient characteristics since the procedure was introduced in 2021. The referral process is illustrated with two case studies. The article includes reflections on the information gathered and makes recommendations for future research including the need for an empirical assessment of the impact, if any, of the process on offending and re-offending. It makes recommendations for future policy, practice, and research so as to support detained patients at Level 1 and enhance victim safety planning and public protection. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193599103 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/14789949.2026.2647909 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 21 StartPage: 281 Subjects: – SubjectFull: Mental health laws Type: general – SubjectFull: Involuntary hospitalization Type: general – SubjectFull: Community safety Type: general – SubjectFull: Community health services Type: general – SubjectFull: Medical referrals Type: general – SubjectFull: Risk management in business Type: general – SubjectFull: United Kingdom Type: general Titles: – TitleFull: Introducing a MAPPA Level 1 referral procedure for patients detained under hospital orders: reflections on the implications for risk management. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Commissiong, Alison – PersonEntity: Name: NameFull: Codd, Helen – PersonEntity: Name: NameFull: Turley, Emily – PersonEntity: Name: NameFull: Crossman, Christine – PersonEntity: Name: NameFull: Hopkins, Claire – PersonEntity: Name: NameFull: Zeb, Rabia IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 14789949 Numbering: – Type: volume Value: 37 – Type: issue Value: 2 Titles: – TitleFull: Journal of Forensic Psychiatry & Psychology Type: main |
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