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SIAA Mental Health Tribunal Advocacy Guidelines

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SIAA Mental Health Tribunal Advocacy Guidelines Mental Health Tribunal Advocacy Guidelines A companion to the Code of Practice for Independent Advocacy Published by: Scottish Independent Advocacy Alliance, Melrose House, 69a George Street, Edinburgh, EH2 2JG www.siaa.org.uk Scottish Charity No. SC033576 Company No. 236526 Any part of this publication may be reproduced in any material form. The SIAA would like this document to be distributed as widely as possible. If you would like to photocopy it, feel free to do so. An electronic copy can be found at www.siaa.org.uk The Scottish Independent Advocacy Alliance is funded by a grant from the Scottish Government. Design and typesetting by Luminous Creative www.luminouscreative.co.uk Copyright © Scottish Independent Advocacy Alliance 2012 ISBN: 978-0-9558394-7-4 Foreword The Mental Health (Care and Treatment) (Scotland) Act 2003 made a number of innovations in Scottish mental health law. For example, not only did section 21 of the Act establish the Mental Health Tribunal for Scotland, but section 1 sets out fundamental principles which those discharging functions under the Act — including the Tribunal — require to have regard to. The Tribunal is the body that grants and reviews compulsory measures for the detention, care and treatment of people with mental disorder. The Tribunal’s work is important because it impacts directly on the liberty of individuals. In my view, the principles set out in section 1 of the Act clearly put the focus on those individuals’ involvement in Tribunal proceedings. Section 259 is another innovative provision of the Act providing every person with a mental disorder with the right of access to independent advocacy. Empowering individuals by assisting them to articulate their views on issues affecting them in situations which they may find unfamiliar and stressful is an important safeguard, assisting in keeping the focus firmly on the patient. The Tribunal, while relatively young in years, has developed its understanding of the best practice of independent advocacy in its own proceedings. The publication of these Mental Health Tribunal Advocacy Guidelines is a substantial step in the understanding of the role of independent advocacy within the Tribunal setting. It is my hope that these Guidelines will be read not only by independent advocates, but by service users, mental health professionals, lawyers and members of the Tribunal, ensuring that all who participate in Tribunal proceedings have a clear understanding of the nature and scope of independent advocacy. I commend the skill and professional approach taken by independent advocates within the Tribunal system, and I welcome these Guidelines as a tool to consolidate the skills of independent advocates and to ensure consistent advocacy of a high quality in Tribunal hearings throughout Scotland. Dr. Joe Morrow President, MHTS, March 2012 SIAA Mental Health Tribunals: Guidelines for Independent Advocates, 2012 Acknowledgements The Scottish Independent Advocacy Alliance would like to thank the following people for their contribution to these Guidelines: • The Patients’ Advocacy Service who shared their good practice for advocates at Tribunals, providing a starting point for these guidelines. • The SIAA member organisations who contributed staff time, knowledge and expertise at the consultation events. • The Tribunal Members who took part in the consultation event and gave comments and feedback. • Valerie Mays, Legal Secretary to the Mental Health Tribunal for Scotland. • All of the people who gave their comments and feedback. Thanks also to the Scottish Government Reshaping Care & Mental Health Division for the financial contribution to the publication of this document. Contents Introduction . 2 What is Independent Advocacy? . 3 What is the SIAA? . 3 Different types of Advocacy . 4 Principles and Standards for Independent Advocacy . 5 What is the Mental Health Tribunal for Scotland? . 6 Before the Tribunal Hearing . 8 During the Tribunal Hearing . 18 After the Tribunal Hearing . 23 Appendix 1 — Advocacy is, Advocacy is not . 25 Appendix 2 — Glossary of Terms . 27 Appendix 3 — Principles of the Mental Health Act . 30 SIAA Mental Health Tribunals: Guidelines for Independent Advocates, 2012 1 Introduction The Mental Health (Care & Treatment) (Scotland) Act 2003 recast mental health law in Scotland. It put in place a new statutory framework to provide, where appropriate, for the detention in hospital of people suffering from mental disorder and for the compulsory treatment — whether in hospital or in the community — of people suffering from mental disorder. It removed decisions in respect of mentally disordered patients from the existing courts and passed them to a newly established specialist tribunal, the Mental Health Tribunal for Scotland (‘the Tribunal’). It also set out a series of principles which those discharging any function under the Act must have regard to. It should be noted that the section 1 principles do not apply to a person providing Independent Advocacy to a person (see section 1(7) of the Act). The Act includes the right to have support from an Independent Advocate at Tribunal hearings. (See Section 259(1) of the Act). These guidelines have been informed by the Principles & Standards for Independent Advocacy, information from the Tribunal and practice guidelines developed by Independent Advocacy organisations. They have been developed to provide guidelines for Independent Advocates supporting a person, before, during and after attending a Tribunal hearing. The aim is to ensure consistent good practice on the part of those advocates and also to increase understanding of members of the Tribunal as to what can be expected of Independent Advocates. The Guidelines work alongside the Principles and Standards and Code of Practice for Independent Advocacy and, where necessary, alongside the Non-Instructed Advocacy Guidelines. They have been written to apply to all types of advocacy. Throughout Scotland advocacy organisations share the same core Principles although they might do things in a slightly different way. The responsibilities of organisations in relation to providing advocacy support for an individual at a Tribunal hearing are the same as for advocacy in any situation and can be found in the Code of Practice for Independent Advocacy. The document also includes a few responsibilities that should be specifically considered in providing advocacy for individuals in a Tribunal situation. The Guidelines are divided into sections detailing what should happen before, during and after Tribunal hearings. For each recommended action the related Principle and Standard is detailed. 2 SIAA Mental Health Tribunals: Guidelines for Independent Advocates, 2012 What is Independent Advocacy? Independent Advocacy is about standing up to injustice. Many of us find it difficult, at times, to get our voice heard about decisions or actions that affect our lives. Some people have family, friends or carers to help them to speak up. Some don’t have anyone in their lives to help them. Sometimes a family member may have their own ideas about what would be best for the person, which might not be the same as what the person wants. Carers and professionals have a ‘duty of care’ for the person, which may conflict with their wishes. Advocacy: • safeguards people who are vulnerable and discriminated against or whom services find difficult to serve • empowers people who need a stronger voice by enabling them to express their own needs and make their own decisions • enables people to gain access to information, explore and understand their options, and to make their views and wishes known • speaks up on behalf of people who are unable to do so for themselves. What is the SIAA? The Scottish Independent Advocacy Alliance (SIAA) is a membership organisation responsible for promoting, supporting and defending Independent Advocacy in Scotland. The SIAA is working towards ensuring that the best quality Independent Advocacy will become available to anyone who needs it in Scotland. The SIAA provides information and support, gathers and distributes information, represents advocacy organisations at various levels and raises awareness and understanding of Independent Advocacy across Scotland. The SIAA works to influence legislation, policy and practice in relation to Independent Advocacy. SIAA Mental Health Tribunals: Guidelines for Independent Advocates, 2012 3 Different types of advocacy Citizen advocacy Citizen advocacy is when ordinary citizens are encouraged to become involved with a person who might need support in their communities. The citizen advocate is not paid and not motivated by personal gain. The relationship between the citizen advocate and their Advocacy Partner is on a one-to-one, long term basis. It is based on trust between the Partner and the advocate and is supported but not influenced by the advocacy organisation. The advocate supports their Partner using their natural skills and talents rather than being trained in the role. Group or Collective advocacy Collective advocacy is where a group of people who are all facing a common problem get together on a formal basis to support each other over specific issues. Individual members of the group may also support each other over specific issues. The group as a whole may campaign on an issue that affects them all. A collective voice can be stronger than that of an individual, as groups are more difficult to ignore. Being part of a collective advocacy group can help to reduce an individual’s sense of isolation when
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