Medico-legal psychiatry Flashcards
1
Q
what are the 4 criteria for detention under MHA?
A
- patient is likely to be suffering from a mental disorder
- detention is necessary for health or safety of patient or others (with no alternatives to admission to safeguard from that risk)
- patient refuses voluntary admission
- appropriate treatment is available (for treatment orders)
2
Q
what are the features of a section 2
A
- 28 days
- allows undiagnosed patients to be admitted and assessed
- instituted by 2 doctors (at least one section 12(2) approved) + 1 AMHP
- can appeal within first 14 days - heard within 7 days by a tribunal
- may have leave under section 17 to walk outside, go home for several hours, overnight or even longer
3
Q
what are the features of a section 3
A
- 6 months
- allows treatment of a known mental health disorder
- instituted by 2 doctors (at least 1 should be section 12(2) approved) + 1 AMHP
- 1 appeal to both hospital managers panel and tribunal
- may have leave under section 17 to walk outside, go home for several hours, overnight or even longer
- entitled to section 117 aftercare from local authority
4
Q
what are the different types of section 5?
A
Section 5(2)
- 72 hours
- allows an RMO or nominated deputy to detain an inpatient to allow formal mental health act assessment to be completed
- only a consultant can take off section
Section 5(4)
- 6 hours
- allows an RMN to detain an inpatient for medical assessment where mental illness is suspected
5
Q
which section can be used by the police?
A
Section 136
- 24 hrs (+/- 12 hrs)
- allows police power to remove to a place of safety from a public place for an assessment by an AMHP + 1 doctor (further doctor may be required for a MHA assessment for section 2/3)
- police to stay with person
6
Q
what is a community treatment order?
A
- patient on section 3 who is well enough to leave hospital but may default on treatment/follow-up
- treatment necessary for patient’s health, safety or protection of others
- patients can be recalled to hospital if they do not comply with treatment, attend appointments, etc.
- can still appeal to tribunal
