Mental Health Act RD Flashcards
S131
Enter voluntarily and leave voluntarily to access treatment
Act dates?
1983 and 2007
2007 Changes
redefine professional roles inc broadening range of professionals who can be responsible for treatment against a person’s will
AMPH Approved Mental Health Professional
Nearest relative - can now be civil partner
Intro’d supervised community treatment - replaced supervised discharge
When can you use a community treatment order?
S3 or diverted to hospital from criminal
can’t have on s2 or s131 (voluntary)
What does MHRT stand for
Mental Health Review Tribunal
ECT - what is it and when can’t you have it
Electro convulsive therapy - can’t have if patient has capacity to refuse concent, and can’t conflict any advanced directive, or decision of court protection
Who can sign a compulsory admission order?
AMPH
Who can apply for a compulsory admission order?
AMPH, Nearest relative, Drs, Psych, Hospital managers, service users
What is section 26
Defines nearest relatives
Who are nearest relatives
spouse child parent sibling grandparent grandchild uncle/aunt nephew/niece someone you've lived with for 5 years+
What is s114
AMPH
tenth Biennial report
best interest
least restrictive option
Which section does the amph come under
s114
What act does voluntary admission and treatment come under
s131
What can an AMPH do?
Apply for sections
take a SU to hospital (or take back if absconded)
Apply to displace a nearest relative
Interview a person under polic 136/137
What does IMHA stand for?
Independent Mental Health Advocate
Statutory right
What is S2
Admission for assessement
Which S is Admission for assessment
S2
How long is a S2
28 days
Who can apply for a s2
AMPH and NR
Must have seen person within 14 days of application
What is needed to apply for a S2
Criteria and reports
Mental Distress
1 x psych and 1 other. Must have seen pt within 5 days
Whose responsibility is it to tell someone how to get out of a section?
AMPH
Who can discharge a s2
RC, NR, MHRT, HMR,
What is s34
Responsible clinician
Which section covers RC
s34
What does an RD do
decisions re treatment review detentions assess if renew detentions grant leave barr NR from discharging SU Discharge
What is HMR
Hospital Managers review
they review detentions, 3 or more people associate managers, or MHA managers.
Can apply with s2, 3 or 37
attended by SU, managers, RD, nurse, SW and poss NR
Can an AMPH discharge?
Never
Who can apply / appeal to MHRT
s2,3
Timescales for s3 MHRT
apply within 1st 6 months, meeting within 6-8 weeks of application
Then can only reapply once within every renewal period
Timescales for s2 MHRT
can appeal within 14 days of start of detention, tribunal has to be within 7 days of application
What is s3
Admission for treatment
Which S is admission for treatment
S3
How long is a S3
6 months, then can be renewed for periods of up to a year
Who can apply for s3
AMHP or NR
have to have seen within 14 days
What’s needed for a s3
1 psych and 1 other - must have seen pt within 5 days or together
Who can discharge a s3
RC, NR, MHRT or HM
What is S4
Emergency Admission
Which S is emergency admission
S4
How long is an S4 - emergency admission
72 hours
Who can apply for an S4
AMPH / NR
What’s the criteria for an S4 emergency admission
medical disorder and urgent
1 medical recommendation - psych
Who can discharge an S4
RC, HMR
What is an S5.2
Drs holding power
Which S is Dr’s holding power
S5.2
How long is an S5.2 Dr’s holding power
72 hours
What is an S5.4
Nurses holding power
Which S is nurses holding power?
S5.4
How long is 5,4 nurses holding power?
6 hours
Where can you use a 5.4
only in in patient psych
Where can you use a 5.2
Any hospital
Can you refuse treatment on a 5.4
nurses holding power - yes
What is a S135
Warrant to search for and detain/remove pt
Which section do police use as a warrant to search for an remove a pt
S135
What is a S136
Police holding powers
Which S is police holding powers
S136
How long is a 135 and 136
72 hours
S117?
Duty for H&SC to provide aftercare following s3,37,45a,47&48
Which act is a Duty for H&SC to provide aftercare following s3,37,45a,47&48
S117
What act is used for s117
NHS Community Care Act 1990
Which sections is 117 for
s3,37,45a,47,48
Which part of the act is re consent for treatment
Part 4
Part 4 of the act is…
Consent for treatment
Who can’t refuse treatment
S2 and S3
What is required to give psychosurgery and ECT
Consent and 2nd opinion req
Who oversees consent to treatment
Mental Health Act Commission
Who can’t be detained
Anyone who only have Drug and Alcohol or learning disability i.e. not mental illness
What is part 1 of the act about
Who
What it part 2 of the act about
Compulsory admission
What is part 3 of the actabout
Admission from court
What is part 4 of the act about
Treatment and consent
