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Psychiatric Bulletin (2004) 28: 126-129. doi: 10.1192/pb.28.4.126
© 2004 The Royal College of Psychiatrists
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Psychiatric Bulletin (2004) 28: 126-129
© 2004 The Royal College of Psychiatrists

The Disability Discrimination Act 1995 and psychiatry: lessons from the first seven years

Nick Glozier, Consultant Psychiatrist

Department of Occupational Health, King’s College Hospital, Bessemer Rd, London SE5 9RS and Department of Health Services Research, Institute of Psychiatry, London SE5 8AF, UK

Declaration of interest

None.

AIMS AND METHOD

To extract relevant information for clinicians from reported and/or accessible cases involving psychiatric illness brought under the Disability Discrimination Act 1995 (DDA). Institutional databases were searched for DDA cases and relevant guidance from case law extracted.

RESULTS

Over half the cases reaching higher courts involve psychiatric illness. A number of decisions provide guidance for clinicians wishing to aid their own patients, and those involved as expert witnesses. These cover which conditions are included as impairments (almost everything in ICD-10), what associated effects are to be considered, and the relevance of comorbidity and treatment. Cases often involve recovery of clinical documents that reveal interesting variation in professional standards.

CLINICAL IMPLICATIONS

Virtually all patients of psychiatrists in secondary care would be covered by the DDA. Knowledge of this Act could be used to enhance a patient’s access to employment and services, and potentially overcome some of the effects of stigmatisation.






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British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2004 The Royal College of Psychiatrists.