J-341-06-06MHR11.3Septinsides 23/8/06 10:43 am Page 19 Colloquium Paper II Is it Time to Close the Doors? Mat Kinton Senior Policy Analyst Mental Health Act Commission grew up in 1970s Nottingham streets door” is spreading rapidly throughout the hospitals of that were overlooked by the smoking tower of the country’ (Unsworth, 1987). Mapperley Hospital, a neo-Gothic, soot-blackened, The legacy of this open-door movement continues old lunatic asylum that was then approaching its to be felt in current policy guidance. The Mental centenary as a working institution. The hospital’s Health Act Code of Practice, ﬁrst published in 1993, reputation for enlightened policy rather belied its states that the practice of locking wards should be sinister appearance: under Duncan Macmillan, the avoided through the maintenance of adequate staffing medical superintendent in the early 1950s, it was one levels, and suggests that locked wards and secure areas of the pioneering establishments that adopted a should only be used where patients’ individual hospital-wide open-door policy. Like many old circumstances make this a necessary restriction on asylums, it is no longer a hospital, having been cleaned their freedom. But the reality of service provision and converted to serve as city apartments, although appears to be
Mental Health Review Journal – Emerald Publishing
Published: Sep 1, 2006
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