Mental Health Act Reform

Lisa Cameron Excerpts

Wednesday 13th January 2021 Commons Chamber

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP) [V]]

This long overdue reform of the Mental Health Act rightly seeks to ensure parity of mental health, improve access to advocacy and individualised decision making, and enable treatment within the least restrictive environment. It also attempts to address the systematic inequalities we have heard about that have existed for those with autism and learning disability. Too often their rights have been quashed within the system, and it is absolutely correct that that is addressed. The Scottish Government recognise the importance of individual rights within treatment and are currently reviewing mental health and incapacity legislation in Scotland within the mental health strategy, following on from the learning disability and autism review.

As chair of the all-party parliamentary group on psychology, I hear about difficulties in the current mental health system across the UK from patients themselves, including for those who self-harm but who may not meet a diagnosis of mental disorder. There exists a cycle of assessment and discharge for patients. Will the progress announced meet their treatment needs?

There is also an issue about accessibility of services for those with comorbid mental health and addiction issues, including access to rehabilitation units. How will comorbidity be addressed within the reforms? We know that those with autism are currently overrepresented in our criminal justice systems. Will diversion services make sure that this great disparity in access to care in a crisis for the most vulnerable people with autism is finally addressed?

[Matt Hancock]

I welcome the comments of the SNP spokesman, and I appreciate her support and thoughtful questions. She is quite right about ensuring that we address the challenges that present themselves for people with autism who are, as she says, disproportionately likely to end up in the criminal justice system. This is an issue on which I have worked very closely with my right hon Friend the Lord Chancellor; I am delighted that he has been able to join us for this discussion.

Part of the point of separating the attitude in law towards those with mental ill health and those with learning disabilities and autism also relates to treatment when there is an interaction with the criminal justice system. It is absolutely critical to get this right. It is difficult, and a huge number of people are working very hard to get this right on the frontline, but at the moment they are hampered by the law when it comes to how that can happen. I hope that in the future they will be supported by the law such that they can make sure people get the right support and the right treatment, whether those people are in the criminal justice system or—as with the vast majority—they are law-abiding and need support from the state because they are in a vulnerable condition.