People with learning disabilities or autism are currently subject to detention in mental health hospitals without necessarily having an accompanying mental health condition, a practice which has long drawn concern from disability advocates and politicians alike. According to the charity Mencap, the average length of stay for individuals detained under these circumstances is nearly five years, with more than 2,000 people living in such settings. Many argue that this situation largely stems from a lack of adequate social care and appropriate housing options in the community.

Labour MP Jen Craft, representing Thurrock, has raised alarm over the issue, emphasising that legislative change is urgently needed to prevent people from being detained for their conditions alone. She has tabled an amendment to the Mental Health Bill, which is scheduled for debate in the Commons, seeking a clear government roadmap that outlines how sufficient community services will be established to support these individuals outside hospital settings. Speaking to the PA news agency, Ms Craft described the ongoing detention of people with autism and learning disabilities as “almost a moral failing of our society.” She voiced particular concern about the lack of clarity on what constitutes “sufficient community services” and the risk that without a defined plan, many vulnerable people could remain in hospital indefinitely.

Highlighting the personal dimension of the issue, Ms Craft spoke of her own experience as the mother of a disabled daughter, underscoring the profound challenges faced by families and carers. She warned that in the crowded landscape of government priorities, the needs of this relatively small but highly vulnerable group might be overlooked or deprioritised. The community support envisioned includes a variety of options such as residential care, live-in carers, and support workers to help individuals participate in work, volunteering, and attend medical appointments, thereby promoting their health and social inclusion.

The call for urgent reform has been echoed by leading disability organisations. In a joint statement, Mencap, the National Autistic Society, and the Challenging Behaviour Foundation described the harrowing experiences of many detained individuals, citing reports of abuse, neglect, and prolonged solitary confinement. They urged MPs to back Ms Craft’s amendment as a critical step toward publishing a comprehensive plan to bolster community-based support and activate legislative changes promptly.

Data from the Care Quality Commission (CQC) adds further weight to these concerns. Its 2023-2024 report noted that over half of autistic individuals and those with learning disabilities in inpatient care have stays exceeding two years, with nearly 17% experiencing hospitalisation for more than ten years. Alarmingly, fewer than a quarter of these individuals have a planned discharge date, with many remaining institutionalised due to shortages in suitable housing and social care services. The CQC’s findings underscore a systemic issue in the transition from hospital to community care, signaling the need for urgent investment and strategic planning.

Concurrently, NHS England’s Learning Disability and Autism programme continues to address these challenges, acknowledging the ongoing inequalities faced by these populations. Its latest update from September 2025 outlines planned efforts to reduce reliance on inpatient care and improve service provision for autism and ADHD, emphasising that all sectors within the NHS must better accommodate the complex needs of this group. These initiatives align with the demands for comprehensive community support that advocates and politicians like Ms Craft are championing.

Historically, Mencap has highlighted the consequences of insufficient social care investment, pointing to over 2,200 individuals with learning disabilities and autism detained in inpatient units and the increasing use of restrictive interventions, including physical and chemical restraints. The charity has consistently called for proper funding and political commitment to build community-based support infrastructures that prevent unnecessary hospitalisation and improve quality of life.

The debate over the Mental Health Bill thus represents a pivotal moment. While Ms Craft praises parts of the legislation proposed by the House of Lords for their potential benefits, she insists on the necessity of a robust, transparent, and detailed plan for community care services. Without this, she fears the “legislative powers” aimed at reducing detention could remain dormant, allowing the current troubling status quo to persist.

The stories behind the statistics reveal a stark reality: individuals with learning disabilities and autism face prolonged stays in hospital environments that can cause lasting trauma, social isolation, and a breakdown of autonomy. The move toward community-based care not only aligns with modern principles of dignity and human rights but also promises to better meet the diverse needs of these individuals. It remains to be seen whether government action, spurred by parliamentary advocacy and pressure from charities, will deliver on these promises and effect meaningful change.

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Source: Noah Wire Services