section 136-part two

Staffing issues
1 The psychiatric Section 136 facility should ideally have dedicated staffing, or at the very least, a supernumerary post attached to the team responsible for the place of safety.
2 Staffing levels should be sufficient 24 hours a day to ensure that the police can leave promptly after a handover period, even when the patient is disturbed. There should be no expectation that the police will remain until the assessment is completed, as currently happens in some places. In many areas this will require additional resources.
3 There should be a clearly identified person in charge of the psychiatric assessment facility at all times. A member of staff should be present to receive the patient on their arrival.
4 The local implementation group must ensure that there are adequate approved mental health professionals and doctors approved under Section 12 of the Mental Health Act to enable joint assessments to begin within 3 hours currently, with an expectation that, in the longer term, the target will become 2 hours.
5 The description of staff roles, from which competences can be derived, as outlined in this report should be available to assist in commissioning services, the development of local policies and procedures and the provision of appropriate training.
6 Consideration should be given to multi-professional training and the involvement of users and carers in this.

source-Royal College of Psychiatrists

section 136-place of safety

Report of the multi-agency group led by the Royal College of Psychiatrists
College Report CR149
September 2008
Royal College


Recommendations have been grouped by theme. The key recommendations relate to staffing of psychiatric places of safety and monitoring of the process, both at the local and the national level.
Place of safety
1 There should be sufficient places of safety in psychiatric facilities to meet foreseeable local need without recourse to police stations as a convenient local option or because the place of safety is regularly full. Further capital funding may be required to achieve this.
2 Police stations should only be used as the place of safety on an exceptional basis. The local monitoring group should check that this is the case and take appropriate action where necessary.
3 Emergency departments should be used as places of safety for those who need urgent physical health assessment and management but they may then be transferred to a psychiatric facility for further mental health assessment, provided that this does not result in undue delay.
4 Local policy should specify the range of places of safety which can be used and offer guidance as to when this would be appropriate. This should allow for example the young, the elderly and the disturbed to be assessed in an environment more appropriate for their needs.
5 When the place of safety is not the preferred psychiatric facility, emergency department or custody suite, the use of such a place must involve the prior agreement of the person in charge of the psychiatric facility before the patient begins their journey. This staff member must assure themselves that the place in question (which may include day hospitals, day centres and the home of a friend or family member) agrees to be used in this way and has sufficient staff or support at that time to be able to safely manage the situation, given the information on the patient’s behaviour received, before agreeing to the patient being assessed there.
8 http://www.rcpsych.ac.uk
College Report CR149
6 Defined standards for the physical environment should be applied to the place of safety in mental health units. They may be used to inform the development of alternative places of safety,

Section 136 of the Mental Health Act -part 1

Section 136 of the Mental Health Act 1983 states that:

1 ‘If a constable finds in a place to which the public have access a person

who appears to him to be suffering from mental disorder and to be in immediate need of care or control, the constable may, if he thinks it necessary to do so in the interests of that person or for the protection of other persons, remove that person to a place of safety within the meaning of Section 135 above.

2 A person removed to a place of safety under this Section may be detained there for a period not exceeding 72 hours to enable him to be examined by a registered medical practitioner and interviewed by an approved mental health professional and of making any necessary arrangements for his treatment or care.’

two for one-fibromyalgia-shellyandm

another one of shelly,s causes and because i consider myself to be reasonably aware of both physical and mental health disorders i was stunned when shelly and i talked about fibromyalgia because im ashamed to admit i had not heard about it at all.
so we will try and explain it although this really is shellys area-
it is a medical condition of unknown cause.it affects about 4% of the population and research has shown it causes abnormalities in thier nerves and become more sensitive to normal pain signals,it also causes a difficulty in deep sleeping.
it is a syndrome caused by a possible number of factors including physical or mental trauma,viral infections,disorders of immune system functions and anxiety.
treatment of fibromyalgia according to the AMERICAN COLLEGE OF RHEUMATOLOGY which is where i checked these facts out is painkillers,anti inflammatory medication,muscle relaxents and possible physiotherapy.
please never self diagnose and always get proffessional expert advice before taking any medication,as i said earlier i had not heard of it and had to research it by the AMERICAN COLLEGE OF RHEUMATOLOGY.

just me-about

i thought that i should just give a few facts about me so people know who i am.
i have two biological daughters,3 stepdaughters.
1995 lost a child through etopic pregnancy and myself and my then partner where told we could never have children-but in 1998 we had a daughter born with a club foot and in later life after my self and her mam split up she was diagnosed with celebral palsy-
then in may 2009 one of my step daughters was after fighting since october 2007 was diagnosed with borderline personality disorder and remains in a mental health hospital.
BUT i consider myself to be very lucky because despite two children with disabilities thay are living and loving and that to me is a great gift

Chronic fatigue syndrome-what it is-Two For One

definition from-From Wikipedia, the free encyclopedia

1. A new onset (not lifelong) of severe fatigue for six consecutive months or greater duration which is unrelated to exertion, is not substantially relieved by rest, and is not a result of other medical conditions.
2. The fatigue causes a significant reduction of previous activity levels.
3. Four or more of the following symptoms that last six months or longer:
   • Impaired memory or concentration
   • Post-exertional malaise, where physical or mental exertions bring on "extreme, prolonged exhaustion and sickness"
   • Unrefreshing sleep
   • Muscle pain (myalgia)
   • Pain in multiple joints (arthralgia)
   • Headaches of a new kind or greater severity
   • Sore throat, frequent or recurring
   • Tender lymph nodes (cervical or axillary)

Other common symptoms include:

• Irritable bowel, abdominal pain, nausea, diarrhea or bloating
• Chills and night sweats
• Brain fog
• Chest pain
• Shortness of breath
• Chronic cough
• Visual disturbances (blurring, sensitivity to light, eye pain or dry eyes)
• Allergies or sensitivities to foods, alcohol, odors, chemicals, medications or noise
• Difficulty maintaining upright position (orthostatic instability, irregular heartbeat, dizziness, balance problems or fainting)
• Psychological problems (depression, irritability, mood swings, anxiety, panic attacks)^[39]

The CDC proposes that persons with symptoms resembling those of CFS consult a physician to rule out several treatable illnesses: Lyme disease,^[38] "sleep disorders, depression,alcohol/substance abuse, diabetes, hypothyroidism, mononucleosis (mono), lupus, multiple sclerosis (MS), chronic hepatitis and various malignancies."^[40] Medications can also cause side effects that mimic symptoms of CFS.^[38]

Two For One

I want to start a blog radio, I haven’t signed up yet, but my ideas are to get the unseen diagnoses recognized, ie: Chronic Fatigue Syndrome, Fibromyalgia, Complex Regional Pain syndrome, pain management that gives quality of life and dignity, also of course depression. I have well about 20 doctors who follow me and want to get them in on this, such there is power in prayer in numbers applies to this as well.

this is shelly,s fabulous idea and i think it is brilliant.if anyone would like to tell shelly or myself about your experiences,we would love to hear from you please.

shelly is working tirelessly to get the publicity to get some unseen or ignored diagnoses highlighted and to help everyone in this type of position.

shelly and i have had considersble discussions on this issue and i am 100% committed with shelly to obtain the desired and most importantly correct conclusion