There were more than 7,000 detentions for compulsory mental health care and treatment in Scotland last year, figures show.
The data, in a report published by the Mental Welfare Commission for Scotland (MWCS), shows there were 7,109 detentions between April 1, 2023 and March 30, 2024.
This is a rise of 5.6% on the year before, above the average year-on-year increase of 4.2%.
Just under half of the 7,109 detentions started with an emergency detention certificate (EDC), which is designed to be used in crisis situations to detain someone who requires urgent care or treatment for mental ill health.
Under the Mental Health Act an EDC should be decided by a doctor with the consent of a mental health officer – a specialist social worker – except where obtaining this consent is “impracticable”.
READ MORE: Scots reporting mental health issues more than doubles
The MWCS said it was “concerned” by the fact only 35.8% of emergency detentions in 2023-24 had the consent of a mental health officer, which was the lowest rate for the last 10 years.
The report noted mental health officer consent provides a “safeguard against arbitrary detention”, and called for local services to assess why in many parts of the country it is “now clearly the norm that it is impractical to consult a mental health officer”.
Dr Arun Chopra, medical director at the MWCS, said: “Once again we are concerned about the way emergency detentions are taking place.
“Today’s report shows that whilst the expectation is that a mental health officer should be involved in these detentions, in nearly two-thirds of cases there was no mental health officer consent.
“For young people aged under 25, mental health officer consent was present in only 32% of cases, the lowest of any age group. This is particularly troubling given that they are perhaps the most vulnerable of a vulnerable group of people.”
The MWCS also said a “disproportionate” number of detentions affected people living in more deprived areas of the country, which they said showed the link between deprivation and mental ill health.
They said more than 35% of emergency detentions related to people from the 20% most deprived areas, with only 10% in the 20% most affluent areas.
The MWCS publishes the figures each year as part of its statutory duty to monitor how the Mental Health Act is being applied.
Mental Wellbeing Secretary Maree Todd said: “Patient safety is always our highest priority, that is why, in some cases, compulsory treatment is needed to provide a person with medical treatment to alleviate suffering and for the protection of both the person and others.
“Compulsory treatment is only allowed under mental health legislation in Scotland in very strict circumstances.
“An increase in compulsory treatments may represent an increase in need for such treatments but may also represent the effects of more people coming forward for treatment and increased awareness and response to mental ill health.”
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