The English and Welsh Codes of Conduct state that you must be fully involved in any decision-making process to terminate your follow-up services. It is important to note that after receiving S117 tracking, “P” may choose to move to another location and, in these circumstances, CCG and LA may order services in this new region and negotiate with CCG and LA in this area to transfer responsibility. If P moves and is subsequently detained again in the new zone, then S117 would be the CCG and LA for the area where P had his habitual residence. You can get free follow-up care under section 117 if you have been detained: The person who has been detained “P” is entitled to S117 follow-up if he or she has been detained under sections 3, 37, 45A, 47 or 48 of the Mental Health Act (MHA) and is subsequently discharged from hospital. If you are not eligible for free follow-up care under section 117 (for example, if you were discharged from section 2), you do not have to pay for your current medical treatment. However, you may have to contribute to the cost of your means-tested social treatment. For more information, please visit our Financial Evaluations page. You are also entitled to follow-up § 117 if: The Juvenile Justice Officer (JCA) draws up an individualised follow-up contract. The contract will be reviewed with the youth, his/her parents/guardians and facility treatment staff (if applicable). Each of the parties also signs the contract. The JCA implements the contract with the release of the placement. You will receive follow-up services in accordance with Article 117 until the clinical commissioning group/local health board and the local authority are satisfied that you no longer need these services.
There are no clear rules in the Mental Health Act to decide when a person no longer needs follow-up; But section 117 of the MHA states that it is up to the health and social services that handle your case to decide jointly that you no longer need it. While they may require services for a separate physical or mental disorder during section 117 follow-up for a mental disorder, care for these services should be managed by a separate plan of care under the Act. A JCA responds to each violation, with the response being proportional to the violation. A revocation of the follow-up may result in your return to an establishment mandated by the DOC. The duty of the CCG or LA is to cover the follow-up needs of P. They have the discretion to respond to these needs and may consider the impact on resources and funding. However, the Care Act 2014 (CA) now provides that P can pay an increase in S117 follow-up if he wishes (p.75 CA), for example, the follow-up needs were hospital care and P (or the person managing P`s funds) wanted to pay extra to stay in a more expensive dormitory. Clinical commissioning groups/local health boards and local authorities are required by law to provide follow-up services under section 117, although they have a choice of exactly what services are provided.
It is their responsibility to provide you with follow-up services or to arrange for them to be provided. They often provide them with voluntary organizations. The English and Welsh codes of conduct provide examples of the kinds of things that could constitute monitoring services under section 117. Adolescents are enrolled in the DOC until the age of 21 or until discharge, as set out in SDCL 26-11A-5 and 26-11A-7. The actual duration of DOC attachment depends on several factors, including a history of crime, the adolescent`s behaviour during DOC linking, and the success of follow-up care. If follow-up care is discontinued, it can be reinstated if it is found that the withdrawal of benefits was premature or illegal. Medicines can fall under Article 117, which means that they must be provided free of charge. If you usually have to pay for your prescriptions, talk to your care coordinator. They should be able to help you claim free prescriptions for all medications that are part of your section 117 follow-up.
If the Clinician in Charge (RC) is considering discharge, they should determine whether P`s follow-up needs have been identified and addressed. This would also apply in cases where the RC “P” grants extended leave under section 17. Sometimes there are disputes between different clinical collection groups, local health authorities, and local authorities over who should provide or pay for your follow-up services. Even if this happens, your care planning and discharge should not be delayed. You are unlikely to receive regular accommodation under section 117 of the follow-up services. For example, after you leave the hospital, you will almost certainly not receive a normal apartment from the municipality. However, you can receive free specialized accommodation in accordance with § 117. The YCW supervises the youth during follow-up, ensures the effectiveness of referrals to benefits, establishes contact with the youth, and documents any incidents where the terms of the follow-up contract are not met. Contacts can take place at home, at school, at work or anywhere in the community. The guidelines state that even if you have settled well in the community, follow-up care can still prevent you from getting sick or getting worse. You need to be able to provide clear reasons for your decision, and your needs need to be reassessed before completing follow-up to see how your mental health and ability to manage are affected.
Follow-up care lasts as long as there is a need and must continue until CCG and LA are satisfied that P no longer requires follow-up services. Local authorities may make payments directly to you or another appropriate person to pay for tracking services under section 117. For this to happen, you must be an adult and: P`s needs may be reviewed periodically by CCG and LA, and follow-up care may change as needs change. If your follow-up services have been removed and your mental state has worsened, services should be postponed to prevent your condition from worsening. A follow-up service is defined in the Care Act and can be provided for a wide range of needs, provided that the need results from the mental disorder and that the service contributes to reducing the likelihood of the disorder worsening. It includes not only immediate health care and social services, but may also include, for example, employment supports, service to address cultural or spiritual needs, or service to help “P” learn, regain or improve skills to support community life (and stay out of hospital). If you have problems with follow-up services, you have a number of options: You are entitled to follow-up care § 117 after leaving the hospital, that you: You may be entitled to follow-up care if you are discharged from hospital. If your leave is indeterminate, unaccompanied, or for extended periods, you should be able to get follow-up care during the leave if you need it. You can talk to your doctor about the support you need.
A follow-up service is a service provided or organized to address a need arising from or related to P`s mental disorder. It may be a need to treat a mental disorder and/or to prevent the worsening of a mental disorder (and thus reduce the risk of P returning to the hospital). It is less clear whether section 117 would apply if someone was imprisoned (e.g. schizophrenia) and a few years later their need for follow-up was due to another mental disorder (e.g. dementia). Undoubtedly, the case law clarifies this shortly. Section 117 cannot be withdrawn without reassessing P`s needs. P must be fully involved in any decision-making process regarding the termination of follow-up, including, where appropriate, consultation with P`s supervisors and lawyers. Section 117 imposes an enforceable obligation on health services (clinical commissioning group (CCG)) and social services (local authorities/boards (LA)) to provide follow-up services for P after discharge from hospital. Neither CCG nor LA can charge for services used to meet these needs – Section 117 tracking is free of charge. If P has a hearing with hospital managers or a mental health court, CCG and LA should be notified as they are expected to provide information on follow-up actions that may be provided.