Numbers of people subject to compulsory powers on 1 July 2009
Summary:
At the start of every quarter we use our database to conduct a census of people subject to compulsory powers on the selected date. Figures for the last four quarterly censuses show a gradual increase in the number of people subject to CTOs based in the community but we cannot be confident at this stage that this represents a real trend. (Table 64; Figure 3). The numbers on short term detention vary marginally from quarter to quarter but the direction is not consistent. (Table 64).
On the July 2009 census date, a total of 2746 people were subject to compulsion. Gender and age patterns amongst the census populations have changed little since the last report: 35% of people counted on the census date were women, 65% men. (Table 65). Similar numbers of women (116) and men (105) were on short-term orders. Of all those on hospital based compulsory treatment orders on the census date, 39% were female, 61% male. Of those on community based compulsory treatment orders 35% were female, 65% were male.
Of those subject to compulsory powers, men were more likely to be subject to criminal proceedings: 23% compared with 8% of women.
As pointed out in earlier reports, the fact that the number of women detained on our census dates has been consistently lower than that of men indicates that women who are detained remain so for a shorter time than men. The age distribution on 1 April, as shown in pie charts (Figures 4a and 4b), differs between men and women who are detained. For example, there are proportionately more men in the 25-44 age band than women, and proportionately more women in the 65-84 age band than men.
Table 66 shows rates of detention per 100,000 population by order type and health board area, and Table 67 shows actual numbers. Excluding island health boards (see notes), Table 66 shows variation in rates by health board area. Short-term detention rates range from 2 to 7 per 100,000 population. Hospital-based CTO rates range from 12 in Borders to 38 in Tayside, similar to previous census dates. Community-based CTO rates range from 8 to 17, and are highest in Dumfries and Galloway and lowest in Ayrshire and Arran, similar to previous census dates.
Table 64: Number of people subject to compulsory orders, by type, at quarterly census dates
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Figure 3: Trends in the prevalence of compulsory treatment orders
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Table 65: Number of people subject to compulsory orders, by gender on 1st April 2009
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Figure 4a: Age distribution of females detained (n = 976) on 1 April 2009
Figure 4b: Age distribution of males detained (n = 1774) on 1 April 2009
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Table 66: Number of people subject to compulsory powers, rate per 100,000 population# by NHS Area, 1 April 2009
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Table 67: Number of people subject to compulsory powers, by NHS Area, 1 April 2009
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Notes on the data:
Figures presented in table 64 for previous quarters are "re-run" figures. This means that there may be slight variations from those reported for previous census dates. Following analysis of the effects of time delay on point prevalence figures, it was decided that, while there was a little variation to figures over time, this was not sufficient to require delays in reporting.
*This figure does not include short-term orders extended for up to 5 days where a CTO has been submitted to the Tribunal (see Code of Practice Volume 2, pages 45-48)
**There were 28 hospital-based CTOs granted by the state hence the difference between tables 64 and table 67 in the total number of CTOs granted.
People detained in the State Hospital are not included in Tables 66 and 67
Although rates of emergency and short-term detentions within island health board areas are published in this report, they are excluded from the discussion, because numbers are so small and may be skewed by sharing of service provision with NHS Grampian and NHS Highland.
Rates per 100k population are based on population projections from June 2008 published by the General Register Office for Scotland in January 2009.
November 2009
