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Mental health crisis care for Londoners

London’s section 136 pathway and Health Based Place of Safety specification. This guidance has been updated to reflect the changes made to the Mental Health Act that came into effect on 11 December 2017.

Mental ill health affects many Londoners. This year around one in four will experience a diagnosable mental health condition. That means 13 people on the bus this morning, more than 100 people on the tube on their way to work, and for children it’s about three in every school class.

These figures are staggering. They show we must work harder to prevent mental illness and provide a range of support for Londoners that can prevent them reaching crisis point. This guidance document is aimed at stakeholders involved in the section 136 (s136) pathway. Specifically, London’s police forces, London Ambulance Service, Approved Mental Health Professionals and Acute and Mental Health Trusts. It outlines a consistent pathway of care across London and a minimum standard for Health Based Place of Safety sites.

Both the s136 pathway and Health Based Place of Safety specification focus on all ages and should be used together to improve consistency of care in London. This document should be used in addition to London mental health crisis commissioning standards and recommendations (2014), the Mental Health Act 1983: Code of Practice (2015) and core principles of the Mental Health Crisis Care Concordat and Future in Mind (2015).

The guidance covers the s136 pathway from when the individual is detained in a public place, conveyance processes, the interface with Accident and Emergency departments and processes at the Health Based Place of Safety (including the Mental Health assessment and arranging follow up care).

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