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2. Detentions under the Mental Health Act are defined in the report as: (a) Detentions on admission to hospital under Part II (Sections 2 and 3) and Part III of the Mental Health Act 1983, and under previous legislation (Fifth Schedule) and other Acts; (b) Detentions subsequent to admission (uses of Part II Sections 2 and 3, following a change of legal status from Section 4, 5 or informal stay in hospital); (c) Detentions under Part II Sections 2 and 3 following the use of Section 136; (d) Detentions following a Community Treatment Order (CTO) revocation.
3. Section 136 allows police to remove an individual from a place to which the public have access to a 'Place of Safety', with a limit of 72 hours. A Place of Safety is defined for the purposes of the act as residential accommodation provided by a local social services authority, a hospital (including independent hospitals), a police station, a care home for mentally disordered patients or any other suitable place where the occupier is willing temporarily to receive the patient.
4. The data published in this report includes some information published by the NPCC for England and Wales, which is available here: https://news.npcc.police.uk/releases/use-of-police-cells-for-those-in-mental-health-crisis-more-than-halves There are however some differences in the NPCC data, which for example includes activity of the British Transport Police whose work is not restricted to England (unlike NHS Digital data). It may also include movements to hospitals that do not result in an actual inpatient detention and might not be recorded by the hospital. Further explanation is in the report.
5. The Mental Health Act 2007 (which amended the Mental Health Act 1983) introduced Community Treatment Orders (CTOs, sometimes referred to as supervised community treatment) in November 2008.
6. This is the last official annual statistics report published using the KP90 collection as the data source. For 2016/17 the Mental Health Services Dataset (MHSDS) will be the data source for these official annual statistics about the Mental Health Act. There is more information about this in the report 'Mental Health Act Statistics: Improved reporting to support better care' that accompanies this year's release.
7. The measures from the Mental Health Bulletin were produced to provide additional context to the measures in this report. The Mental Health Bulletin also includes contextual information about the numbers of people who access secondary mental health and learning disability services and those spending time in hospital in the year. Because the MHSDS is a person level dataset it includes detail not available in the KP90 aggregate collection. The limited information on gender previously provided in this report has been omitted in favour of the richer data on age, gender and ethnic group published in the Mental Health Bulletin.
8. Users of these statistics should however bear in mind that the numbers presented in this year's bulletin are an undercount both in terms of coverage and the period covered. This is because this year's report is based on eight months' data from April to November 2016 and include estimates for the full year.
9. The APMS report is published every seven years. This is the fourth publication in the series. High quality screening and assessment tools are used and undiagnosed conditions are identified. Methods are kept comparable, so trends over time can be examined with surveys carried out in 1993, 2000, 2007 and 2014. A random sample of the household population is used, covering the whole adult age range and including people who do not use mental health services.
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