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needs, can take steps to ensure the individual benefits from services where they do not have thecapacity to make this decision for themselves. Section 13za enables Local Authorities to take“any steps” they believe are necessary to ensure the individual benefits from such services. Theinterface between the various relevant pieces of legislation and guidance including section 6 ofthe Adults with Incapacity (Scotland) Act, 2000 and the European Convention on Human Rights(ECHR) are complex and Local Authorities must ensure that any steps that are taken do notcontravene an individual’s human rights. This relates particularly to Article 5 of the ECHR, interms of deprivation of liberty. This paper will explore the continuing differences among variousprofessional groups in terms of their understanding of what Section 13za allows LocalAuthorities to do. There are mixed views for example when moving an adult who has beenassessed as being “incapable but compliant” into residential care as to whether this represents theleast restrictive option, complying with the principles set out in the Adults with Incapacity(Scotland) Act, 2000, or whether in actual fact this represents a deprivation of liberty. This paperwill draw on data compiled by the Mental Welfare Commission for Scotland on the use ofSection 13za and will complement this with data drawn from focus groups and interviewsconducted with key stakeholders in this field, namely Solicitors, Mental Health Officers andPsychiatrists.The Impact of Significantly Impaired Decision Making on High ReadmissionRates to Hospital: A Psychological PerspectiveNicola Cogan, Lanarkshire NHS Trust, South Lanarkshire, UK(nicola.cogan@lanarkshire.scot.nhs.uk)Polash Shajahan, NHS LanarkshireJulie Langan, NHS LanarkshirePsychiatric hospitalization is a major life event for both patients and families and has significantsocietal costs. It is the most expensive intervention in mental health service provision.Readmission rates have been used to monitor success in preventing, or reducing, unplannedreadmissions to hospital for acute psychiatric services. Repeated emergency admissions to acutein-patient psychiatric units have been variously defined and such individuals have been known as“high readmission” patients. In 2008 the Scottish Government set NHS Health Boards specificHealth Efficiency Access and Treatment (HEAT) targets. Target 3 was to “reduce the number ofreadmissions (within one year) for those that have had a hospital admission of over 7 days by10%”. The Scottish Patients at Risk of Readmission and Admission (SPARRA) is a riskprediction algorithm, developed by the Information Services Division (ISD) Scotland. It aims toidentify patients at greatest risk of emergency admission. The SPARRA for mental disorders hasbeen considered potentially useful in planning healthcare provision and measuring the effects ofservice redesign. This paper will present data on the clinical and demographical characteristics of“high readmission” patients within a NHS Lanarkshire locality. It will draw upon empiricalfindings on how “high readmission” patients were significantly more likely to have CompulsoryTreatment Orders under the Mental Health (Care and Treatment) (Scotland) Act 2003 usedbetween admissions compared to patients with less frequent admissions. Issues concerning59