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We followed up 33 cases over three months where psychiatrists recommended the compulsory detention in hospital of mentally ill men and women but social workers disagreed. Seventeen of the cases were detained a mean of 25 days after the index date of assessment by social workers, but the group as a whole spent fewer days in hospital than a “control” set of patients whose detention had been agreed ( P  = 0.02). The terms of reference of the Mental Health Act Commission should be extended to cover such cases.

Disagreements between psychiatrists and social workers over compulsory admissions under the 1983 Mental Health Act