3.2 Mental Health Act 1992 Flashcards
What is a mental disorder in relation to any person?
s2 MHA 1992 interpretation
An abnormal state of mind (whether continuous or intermittent) characterised by delusions or by disorders of mood or perception or volition or cognition of such a degree that it
a) poses serious danger to that person or of others; or
b) seriously diminshes the capacity of that person to take care of her/him self.
D. o D. o M. o P. o V. o C
Under Section 109 - Mentally affected person in a public place,
What powers do Police have?
Answer:
If a person is found wandering at large in any public place acting in a manner that gives rise that he or she may be mentally disordered, Police may
a) take that person to a Police Station, hospital or surgery and
b) arrange for a medical practitioner examine the person
Take the person to some other place nominated by the doctor for an assessment.”
Cannot detain for longer than 6 hours.
In relation to providing mental health services, Who does the responsibility lie with?
Answer:
The responsibility for providing services rests primarily with mental health services
but Police provide assistance where legislation provides for Police intervention.
Memorandum of Understanding (MOU) between the Police and Ministry of Health covers:
Answer:
Responsibilities, transportation of patients and use of force
and it states that the DAO is the official in charge at any incident under MH (CAT) Act 1992
Provides that where a person needs to be assessed under Mental Health (CAT) Act 1992 that this should take place in the least restrictive environment possible.
A persons degree of Intoxication should not delay any mental health assessment.
Under s41 Assessment and Treatment - What is the Police procedure at incident
Police provide assistance only when required as statutorily provided in the act.
Under s41 of MHA (CAT) 1992
- enable a medical practicioner to examine the person
- if assessment required, help the DAO take the person and ensure that they are examined, detain that person
- take all reasonable steps to take or return patients to places of assessment if they are refusing or are absent without leave
What is the role of a DAO?
Answer:
A DAO is required to investigate and decide whether or not the person needs to have a medical examination and whether this is required urgently.
In Section 41 - Assisting a DAO, what does this allow Police to do?
Answer:
Powers under s41 are as follows:
- May enter the premises where that person is.
- If not in uniform, produce ID that you are a Constable.
- Detain a person to enable an urgent medical examination.
- Hold for up to 6 hours, or for only as long as the exam takes.
- assist DAO to take a person who is sectioned to the a place where the medical examination will be conducted.
- return patient to place of assessment (hospital).
If it is reasonably practicable to obtain a warrant, a Constable must not exercise the power to enter without a warrant.
Section 110 - Assisting a medical practitioner. What are you authorised to do?
110 (4) - assist medical practitioner when called upon so an urgent examination can be completed.
110 A (5) - if the medical practitioner issues a certificate that a person needs to be sedated due to significant danger to himself or others, you can help the doctor administer the drug (restrain the person).
110 B (4) - when a person is undergoing an assessment, you can help the doctor who is carrying out the assessment.
How long can you detain a person for when using the mental health powers?
Answer:
For up to 6 hours or the time it takes to complete the examination, whichever is shorter.
Powers when assisting a DAO/ Medical Practitioner
Each power allows police to enter the premises where the person is and use reasonable force as required.
note: you can only use force in emergency situations when assisting a medical practitioner.
You must produce identification if you are not in uniform.
Bill of rights to be given.
What authority do Police have under the mental health act to enter private property?
Unless assisting a DAO or medical practitioner, Police have no power under the mental health act to enter private property or to detain a person on private property.
What are the other options when dealing with mentally affected on private property?
Police have an implied license to enter private property. If asked to leave and there is no lawful justification to stay, you must leave.
Sec 41 Crimes Act allows you to use such force to prevent suicide or the commission of an offence that would likely cause serious injury to any person or serious damage to property.
Sec 7 (SAS 2012) - Enter and search and arrest a person who is unlawfully at large
Sec 8 (SAS 2012) - Enter and search and arrest person to prevent person from avoiding arrest or CADD’ing evidence
Sec 14 (SAS 2012) - Enter private premise if you suspect on reasonable grounds that your entry will stop or prevent an offence from being committed that may injure someone or damage property or cause serious loss of property
What are the key principles regarding Section 38 - assistance when person may need an assessment
Anyone who Believes that a person may be suffering from a mental disorder may at any time request the assistance of a DAO.
The DAO must investigate the matter and decide on reasonable grounds if the person making the request is genuine and the person to whom the request relates is suffering from a mental disorder.
If they decide it’s not urgent, but the person does need to be assessed, they arrange for a doctor to examine the person with a view of issuing a certificate under section 8.
If it is urgent, arrange for a doctor to come and see that person with a view of issuing a certificate under section 8. If they can’t see that person, try to get that person to go willingly to the doctor.
If the person refuses to go, section 41 comes into play.
Using force under the Mental Health Act:
If you do use force what must you do?
If assisting in an emergency helping a DAO, you can use such force as reasonably necessary in the circumstances.
If the force is more than minimal or inconsequential force, you must complete a TOR. This report is collated and forwarded to the Director of Area Mental Health Services on your behalf.
What must you ensure before using force against the 1M? What must be done/said by the DAO to you?
If the person is being transported for an assessment under section 9, 11 or 13, do not use force unless a health professional has issued a notice under the relevant section and this has been explained to the patient.
The notice states the reason for the assessment, the time and place of the assessment and the person who will perform it.
The person cannot be moved without this.
