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Article
Publication date: 25 January 2011

Khurram Tanveer Sadiq, Akbar Moghal and Prem Mahadun

The aim of this study is to ascertain a trend of the section 136 assessments over a period of time and compare it with the standards laid down by the code of practice.

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Abstract

Purpose

The aim of this study is to ascertain a trend of the section 136 assessments over a period of time and compare it with the standards laid down by the code of practice.

Design/methodology/approach

The study looks at trends over a period of eight months since the opening of the section 136 services. The demographic details such as age, gender, and ethnicity were recorded. The other variables recorded include reason for using section 136, the place of assessment, time of referral, total time of assessment, the assessors undertaking the assessment, outcome of referral, whether the patient was under the influence of alcohol and suffered any concomitant physical problems and whether the police were present during the assessment

Findings

A total of 45 assessments were undertaken under section 136 of the Mental Health Act. The majority (93.3 percent) of the assessments were done in section 136 suite. Threats to self harm (35.5 percent) was the most common reason of detention. Mood disorders were the commonest diagnosis (22.2 percent each). A total of 17 (37.8 percent) of the patients detained were admitted to the inpatient units.

Research limitations/implications

It was noticed that rate of section 136 assessments decreased over months after an initial surge. It was also noted that the conversion rate of admissions was low which raises questions about the rightful use of section 136 detentions.

Practical implications

It will be interesting to conduct future studies to find out the reasons for the surge in the use of section 136 detentions when a new service is set up for the same. It also need to be noted that the conversion rate was low which raises the appropriateness of section 136 detentions, together with the finding that one‐third of the detained patients had a discharge diagnosis of alcohol and drug problems raises the possibility whether section 136 is overused among this group.

Originality/value

Previously studies have been conducted regarding the section 136 assessments but this study monitors all the variables identified, to be monitored, by the code of practice.

Details

Clinical Governance: An International Journal, vol. 16 no. 1
Type: Research Article
ISSN: 1477-7274

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Book part
Publication date: 17 August 2011

Riaz Ahmed Shaikh

Pakistan's present war against extremists has many folds and sheds. The country's initial participation in the Afghan War in 1979 later gave birth to different extremist trends in…

Abstract

Pakistan's present war against extremists has many folds and sheds. The country's initial participation in the Afghan War in 1979 later gave birth to different extremist trends in the country. State patronage of the extremist Wahabi Islamists during the Afghan jihad opened another conflict in Pakistan, and things became more complicated. The combination of external and internal factors gave birth to the worst kind of conflict, which now has not only become dangerous for the country's own existence but also a major threat for global peace. The Afghan jihad initially started as a war against Soviet occupation and later became the hub of global jihad-war against infidels.

This chapter analyzes how external factors promoted internal contradictions in Pakistan due to which the country became not only an exporter of jihadis for the world but also the worst kind of sectarian conflicts, including. Shia–Sunni, Deobandi–Wahabi clashes, entered into in the past two decades. Such a strong link exists with Pakistan's official support to global jihad. Draft sectarian groups now head to head with their opponents have killed thousands of members of rival sectors, have strong support from external sympathizers, and have spread in the country. The well planned terrorist activities of these groups reflect the fact that support to these groups in the past is now leading to a severe crisis in Pakistan. The nexuses of these indigenous extremists like Lashkar-e-Jhangvi, Lashkar-e-Taiba, Tehrik-e-Taliban Pakistan, and Hizb-ul-Mujahideen with external terrorist organizations like Al-Qaeda, the Taliban, and Islamic Movement of Uzbekistan of Tahir Yuldasher Chechen Guerilla War has led to several bloody clashes in the country and outside.

Details

Governance, Development and Conflict
Type: Book
ISBN: 978-0-85724-896-1

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