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Consultants' views of Leave of Absence and Community Care Orders in Scotland

Department of Public Health, University of Glasgow

James A. T. Dyer, Director

Mental Welfare Commission for Scotland, 25 Drumsheugh Gardens, Edinburgh

Fiona Hutcheson, Research Assistant and Lesley Patterson, Research Assistant

Department of Public Health, University of Glasgow, 2 Lilybank Gardens, Glasgow G12 8RZ

^* Correspondence

Following consultation in 1994, changes were proposed to mental health legislation. In Scotland these included the limitation of Leave of Absence (LOA) to 12 months and the introduction of Community Care Orders (CCOs). All consultants in general psychiatry in Scotland were surveyed regarding their views on LOA and CCOs. The results of our survey showed that the majority of consultants use LOA and extended LOA, giving lack of insight and threat of stopping medication as the main reasons. Consultants reject both CCOs and the limitations on LOA. Those who have been consultants for more than 16 years are significantly more likely to agree with restriction of LOA than others.

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