MENTAL HEALTH AND THE LAW Flashcards

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1
Q

To which age group does the Mental Health Act apply?

A

All ages. There is no minimum age limit unlike the Mental Capacity Act.

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2
Q

Do people with learning difficulties fall under the Mental Health Act?

A

Yes, however, there are strict definitions. The Learning Disability Qualification states that: “a person with a learning disability alone can only be detained for treatment or be made subject to Guardianship if that learning disability is associated with abnormal aggressive or seriously irresponsible conduct.”

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3
Q

Are mental disorders secondary to substance intoxication or withdrawal (e.g delirium tremens) covered by the Mental Health Act?

A

Yes. However, the MHA does not regard dependence on alcohol or drugs alone as evidence of a mental disorder.

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4
Q

What does admission under Section 2 of the Mental Health Act mean?

A

This is compulsory detention for assessment. It is used when a diagnosis and response to treatment are unknown. It may eventually be converted to a Section 3 if longer admission is needed. Medication may be given as part of the admission process.

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5
Q

How long does admission under Section 2 of the Mental Health Act last for?

A

28 days

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6
Q

Who can apply for an admission under Section 2 of the Mental Health Act?

A

An Approved Mental Health Professional

OR the patients nearest relative, who must have seen the patient within 14 days of the application.

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7
Q

For admission under Section 2 of the Mental Health Act, who must the patient have seen for the admission to be approved?

A

Recommendations must have been made by two doctors, one of which must be Section 12 trained.

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8
Q

How many times can a Section 2 of the Mental Health Act be renewed?

A

It cannot be renewed but it may be converted in a Section 3.

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9
Q

Can medication be given to a patient admitted under Section 2 of the Mental Health Act?

A

They can be as long as this is part of the assessment rather than as treatment. Patients cannot be treated for medical problems under the MHA if they have capacity. If they do not have capacity, they are treated under the Mental Capacity Act, not MHA.

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10
Q

What does admission under Section 3 of the Mental Health Act mean?

A

This is compulsory detention for treatment. It is used when the diagnosis and treatment response have been established (often under Section 2).

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11
Q

How long does admission under Section 3 of the Mental Health Act last for?

A

6 months

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12
Q

Who can apply for an admission under Section 3 of the Mental Health Act?

A

An Approved Mental Health Professional

OR the patients nearest relative, who must have seen the patient within 14 days of the application.

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13
Q

For admission under Section 3 of the Mental Health Act, who must the patient have seen for the admission to be approved?

A

Recommendations must have been made by two doctors, one of which must be Section 12 trained.

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14
Q

Can detention under Section 3 of the Mental Health Act be renewed?

A

Detention under Section 3 can be renewed. It is renewed initially for another 6 months, after which it can be renewed for periods lasting a year. Section 3 can only be renewed if the patient has been given an assessment by the doctor responsible for their care in hospital, during the two months before their Section 3 is due to end.

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15
Q

Can medication be given to a patient admitted under Section 3 of the Mental Health Act?

A

Yes. Section 3 is used to treat a patient for their mental illness. Remember though that patients cannot be treated for medical problems under the MHA if they have capacity. If they do not have capacity, they are treated under the Mental Capacity Act, not MHA.

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16
Q

What does admission under Section 4 of the Mental Health Act mean?

A

This is emergency of a patient to hospital from the community for assessment when there is no time to wait for Section 2 procedures in the community.

17
Q

How long does admission under Section 4 of the Mental Health Act last for?

A

72 hours

18
Q

Who can apply for an admission under Section 4 of the Mental Health Act?

A

An Approved Mental Health Professional

OR the patients nearest relative, who must have seen the patient within 14 days of the application.

19
Q

For admission under Section 4 of the Mental Health Act, who must the patient have seen for the admission to be approved?

A

Recommendations must be made by 1 doctor with full GMC registration (usually FY2 or above). A second doctor should assess the patient as soon as possible, to decide whether detention under Section 2 is necessary.

20
Q

Can detention under Section 4 of the Mental Health Act be renewed?

A

No. The patient must either be discharged or admitted under Section 2 for further assessment or Section 3 for treatment.

21
Q

Can medication be given to a patient admitted under Section 4 of the Mental Health Act?

A

No. For a patient to be given medication against their will, they need to be formally admitted under Section 2 or 3.

22
Q

What does detention under Section 5(2) of the Mental Health Act mean?

A

This is a doctor’s holding power. An in-patient receiving any form of treatment can be detained under Section 5(2) in order to allow time for a Section 2 or 3 to be arranged.

23
Q

How long does detention under Section 5(2) of the Mental Health Act last for?

A

72 hours

24
Q

Who can apply for a detention under Section 5(2) of the Mental Health Act?

A

Any doctor responsible for the patient’s care or other nominated doctor with full GMC registration (usually FY2 or above)

25
Q

Can detention under Section 5(2) of the Mental Health Act be renewed?

A

No. The patient must either be discharged or detained under Section 2 for further assessment or Section 3 for treatment.

26
Q

Can medication be given to a patient admitted under Section 5(2) of the Mental Health Act?

A

No. For a patient to be given medication against their will, they need to be formally admitted under Section 2 or 3.

27
Q

What does detention under Section 17 (CTO) of the Mental Health Act mean?

A

CTO (Community treatment order) allows for supervised treatment in the community of a patient who would otherwise be liable to be detained under Section 3. It stipulates that the patient must attend all appointments and may be recalled to hospital if they are non-concordant with treatment or if they become unwell.

28
Q

How long does detention under Section 17 (CTO) of the Mental Health Act last for?

A

6 months

29
Q

Can detention under Section 17 (CTO) of the Mental Health Act be renewed?

A

Yes, in the same way as a patient under Section 3 of the MHA. It is renewed initially for another 6 months, after which it can be renewed for periods lasting a year. Section 17 can only be renewed if the patient has been given an assessment by the doctor responsible for their care, during the two months before their Section 17 is due to end.

30
Q

Can medication be given to a patient admitted under Section 17 (CTO) of the Mental Health Act?

A

Yes, in the same way as a patient under Section 3 of the MHA. Section 17 is used to treat the patient.

31
Q

What does Section 135 of the Mental Health Act allow?

A

This allows police to enter private premises to move someone with a suspected or known mental disorder to a place of safety for further assessment.

32
Q

How long does detention under Section 135 of the Mental Health Act last for?

A

72 hours

33
Q

Can detention under Section 135 of the Mental Health Act be renewed?

A

No, a patient held against their will under Section 135 must be seen by an Approved Mental Health Professional or a doctor within 72 hours to assess whether the patient needs admitting under Section 2 or 3 of the MHA. Otherwise they must be allowed to leave the place of safety.

34
Q

Can medication be given to a patient admitted under Section 135 of the Mental Health Act?

A

No. For a patient to be given medication against their will, they need to be formally admitted under Section 2 or 3.

35
Q

What does Section 136 of the Mental Health Act allow?

A

This allows police to remove someone with a suspected or known mental disorder from a public area to a place of safety for further assessment.

36
Q

How long does detention under Section 136 of the Mental Health Act last for?

A

72 hours

37
Q

Can detention under Section 136 of the Mental Health Act be renewed?

A

No, a patient held against their will under Section 136 must be seen by an Approved Mental Health Professional or a doctor within 72 hours to assess whether the patient needs admitting under Section 2 or 3 of the MHA. Otherwise they must be allowed to leave the place of safety.

38
Q

Can medication be given to a patient admitted under Section 136 of the Mental Health Act?

A

No. For a patient to be given medication against their will, they need to be formally admitted under Section 2 or 3.