Mental Health Flashcards
Mental Disorder/Mentally disordered definition
mental disorder, in relation to any person, means
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.
Section 38 Mental health act 1992. Assistance when person may need 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.
Section 41 Mental health act - Police assisting DAO
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.
Sect 109 - Police powers in relation to mentally disordered people in public.
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 or other
appropriate place and
b) arrange for a mental health practitioner to examine the person
If the mental health practitioner believes an assessment examination is needed then a Constable
a) can continue to detain at that place or
b) Take the person to some other place nominated by the mental health practitioner for an assessment examination.
Cannot detain for longer than 6 hours.
What is the role of a DAO?
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.
Section 122B 1 and 2 of Mental Health Act. Use of force.
122B allows you to use as such force that is reasonably necessary in the circumstances if acting in an emergency when assisting DAOs
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 person Intoxicated should not delay any mental health assessment.
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.
What are the other options (powers of entry) 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 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.
In relation to providing mental health services, Who does the responsibility lie with?
The responsibility for providing services rests primarily with mental health services
but Police provide assistance where legislation provides for Police intervention.
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 some of the reasons in which the procedure for a mental health assessment should not be invoked?
Simply because of a person’s:
Criminal delinquent behavior
Political, religious or cultural
Intellectual disability
Sexual preferences
Substance abuse
