When someone has been detained under certain sections of the Mental Health Act in England and Wales, they may be entitled to free aftercare support once they leave the hospital. This is known as Section 117 aftercare, and it plays a crucial role in helping individuals transition back into their communities while maintaining their mental well-being. Understanding what this provision entails, who qualifies for it, and how it works can make a significant difference in the recovery process for those with mental health conditions.
The Legal Basis of Section 117 Aftercare
What Is Section 117?
Section 117 of the Mental Health Act 1983 imposes a legal duty on health and social services to provide aftercare for individuals who have been discharged from detention under specific sections of the Act. Unlike other forms of mental health support, Section 117 aftercare is free of charge, meaning recipients should not be asked to contribute financially, regardless of their income or savings.
Who Is Eligible?
Not everyone who receives mental health treatment qualifies for Section 117 aftercare. Eligibility depends on whether the person was previously detained under:
- Section 3 (for treatment)
- Section 37 (a court order for hospital treatment)
- Section 45A (a hybrid order for offenders)
- Section 47 or 48 (transfer from prison)
Those detained under Section 2 (assessment) do not qualify, as this is considered a short-term hold.
The Purpose of Section 117 Aftercare
Supporting Recovery and Preventing Relapse
The primary goal of Section 117 aftercare is to help individuals reintegrate into society while reducing the risk of relapse. Mental health recovery is not just about symptom management—it involves rebuilding independence, social connections, and daily functioning. Aftercare services may include therapy, housing support, medication management, and vocational training.
A Holistic Approach to Mental Health
Psychological research emphasizes the importance of a biopsychosocial model in mental health care, meaning treatment should address biological (medication), psychological (therapy), and social (housing, employment) factors. Section 117 aligns with this by providing tailored support that goes beyond clinical treatment.
What Services Are Included in Section 117 Aftercare?
Mental Health Treatment and Therapy
Aftercare often includes continued access to psychiatric care, counseling, or cognitive behavioral therapy (CBT). This ensures that individuals do not experience a sudden drop in support after leaving the hospital.
Accommodation and Housing Support
Stable housing is a critical factor in mental health recovery. Section 117 may cover supported housing, help with rent, or assistance in finding suitable accommodation. Homelessness or unstable living conditions can worsen mental health, making this a key component.
Social and Community Support
Reconnecting with society is vital. Aftercare might involve:
- Support groups
- Day centers
- Help with social activities
- Assistance in rebuilding family relationships
Employment and Education Assistance
Returning to work or education can boost self-esteem and provide structure. Vocational training, job coaching, or educational support may be offered under Section 117.
How Is Section 117 Aftercare Funded and Delivered?
The Role of Local Authorities and the NHS
Section 117 aftercare is a joint responsibility between the NHS and local social services. They must work together to assess needs and provide appropriate services. Disputes over funding should not delay or reduce the care a person receives.
Can Section 117 Aftercare Be Charged For?
No. Unlike other social care services, Section 117 aftercare must be provided free of charge. This includes all aspects of support, from therapy to housing. If a person is asked to pay, they should seek legal advice.
Challenges and Criticisms of Section 117 Aftercare
Inconsistent Implementation
One major criticism is that the quality and availability of aftercare can vary depending on location. Some areas have well-coordinated services, while others struggle with funding gaps or poor communication between agencies.
Lack of Awareness
Many individuals—and even some professionals—are unaware of their rights under Section 117. This can lead to people missing out on essential support simply because they didn’t know to ask for it.
Discharge Planning Issues
Effective aftercare requires careful discharge planning. If a person is released without a proper plan, they may face unnecessary struggles in accessing the help they need.
Psychological Perspectives on Aftercare
The Importance of Continuity in Mental Health Care
Studies in clinical psychology show that continuity of care significantly improves long-term outcomes for people with severe mental illnesses. Abrupt transitions from hospital to community life increase the risk of relapse, making structured aftercare essential.
Empowerment and Autonomy in Recovery
Person-centered care, which emphasizes individual choice and empowerment, is a key principle in modern mental health practice. Section 117 aftercare should involve the person in planning their support, giving them control over their recovery journey.
How to Access Section 117 Aftercare
The Care Planning Process
Before discharge, a Care Programme Approach (CPA) meeting should be held to discuss aftercare needs. The individual, their care team, and sometimes family members will collaborate to create a support plan.
What to Do If Support Is Denied
If someone believes they are entitled to Section 117 aftercare but are not receiving it, they can:
- Request a formal assessment
- Seek advocacy support
- Complain to the local NHS or council
- Take legal action if necessary
Conclusion
Mental health recovery is an ongoing process, and Section 117 aftercare provides the safety net needed to help individuals thrive outside of hospital settings. By offering free, tailored support, it addresses the complex needs of people with severe mental health conditions. However, awareness and consistent implementation remain challenges. Understanding this provision ensures that those who qualify can access the help they deserve—leading to better mental health outcomes and a more supportive society.
Would you like further details on any specific aspect of Section 117 aftercare? Whether you’re a patient, caregiver, or professional, knowing your rights can make all the difference.
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