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22 Cards in this Set

  • Front
  • Back

CTO

If detained under section. 3 but not section. 2 or section. 131


If diverted from criminal justice

Consent to treatment part IV - MHA 1983/2007

Lack of consent = refusal or MC


Section. 2 and 3 cannot refuse treatment


ECT - Consent and 2nd opinion required


Overseen by MHA commission


Covered if detained for more than 72 hours (except section.35)


Cannot be detained if only drug/alcohol dependency - free legal aid

Section 2

Admission for assessment


28 days (not renewable)


AMHP/NR (within 14 days)


2 medical recommendations


Psychiatrist and one other (within 5 days or together)


MHRT Within 14 days


IMHA


Discharge - RC, NR, MHRT, Hospital Managers Review


Section 131 informal admission

Any person may enter for treatment without order being made


Can leave anytime


Can refuse treatment


Has access to courts

Section 4 Emergency Admission

72 hour duration


AMHP/NR


Can convert to section 2 with additional recommendation


1 medical recommendation


IMHA


No MHRT


HMR


Discharge HMR/RC

Section 5 (2) Doctor's Holding Power

72 Hours


Any type of hospital


IMHA


Not renewable


No MHRT

Section 135

Warrant to search for and remove patient


72 hours


IMHA


Not renewable


No MHRT

MCA 2005 PRINCIPLES

Assume capacity unless proved otherwise


Capacity on a decision by decision basis


Right to make unwise decisions


Made in service user's best interest


Least restrictive option

Section 3

6 months for treatment


Renewed for 6 months then yearly


AMHP/NR (within 14 days)


2 medical recommendations (as s.2)


MHRT- once in 1st 6 months then one in each subsequent detention


IMHA


HMR

AMHP

Introduced in MHA 2007


Can be any professional ie. nurse, sw, doctor etc


Gives social view instead of medical dominant view


Makes application for sections


Can displace nearest relative


Provides reports to MHRT and Hospital

Mental Health Act 2007 Definition

Any disorder or disability of the mind

Welfarist View

Public/Personal safety prime concern


Best Interest of service user sometimes is intervention


Mental illness = Mental incapacity

Test of Capacity

Can person retain and understand info


Can they use info to inform decision making


Can they communicate decision


Have you provided info in a form acceptable to service user

IMHA

Statutory right to if detained under MHA, CTO or Guardianship


Only half of people entitled get one

MHA or MCA

If person lacks capacity then treat under MCA 2005


If refusing treatment but has capacity then treat under MHA 83/07


If advance statement made use MHA 83/07

Section 117

Duty for health and social services to provide aftercare if detained under section. 3,37,45a,47 & 48


No charge


Assessment required


Provided until no longer required


May be CTO


Discharge from detention but not necessarily hospital

Liberal View

Dispute Mental health existence


Personal responsibility


Mental Health law not required


Detention unlawful

Compulsory Admission

Application from; AMHP, NR, DOCTOR, HOSPITAL MANAGER, SERVICE USER


PART I - to whom it refers


PART II- compulsory admission


PART III - Admission through courts


PART IV - Treatment



Tribunals

S.2, S.3, & S.37 can apply


S.2 - within 14 days (takes place within 7)


S.3 - once in first 6 months then once in every other renewal period


Usually takes 6-8 weeks after application

Section 136

Police Holding Powers


72 hours


Not renewable


IMHA


No MHRT

Section 5 (4)

Nurses holding power


6 hours


Only used if receiving in-patient psychiatric treatment


Right to refuse treatment


IMHA


Not renewable/ Can convert to Section.5 (2)


No MHRT

Consent to Treatment

Lack of consent - refusal or MC


Section.2&3 cannot refuse treatment


ECT consent & 2nd opinion required


Overseen by MHA commission


Covered if detained for more than 72 hours (except sec.35)


Cannot be detained if only drug/alcohol dependency


Free legal aid