MHA and MCA Flashcards
common law, statutory law
in forensic section
MHA - definition
assess/treat person with disorder/disability or the mind
over-rules capacity/autonomy
only applies to mental illness, or direct physical effects
life-threatening situations
MHA - contents
safeguards against misuse
149 sections
code of practice
can appeal section 2 or 3
MHA - section 2
assessment (no clear Dx); hold and treat
28 days; can’t renew
2 doctors + AMHP
MHA - section 3
treatment (Dx); hold and treat
6 months; can renew (6/12, then 1y)
2 doctors + AMHP
MHA - section 5(2) and 5(4)
emergency IP; ‘holding power’ for MHA
doctor, 72h
or nurse, 6h
*not A/E or OPD
MHA - section 17a
CTO
must have previous MHA
MHA - section 135
court-approved access
magistrate
entry/removal; private to safety
72h
MHA - section 136
police
public to place of safety (A/E, suite, police station)
72h
assess, then ?section 2/3
MHA - CTO
allowed to leave
return if conditions broken
MCA - definition
ability to make decisions
time and decision-specific
MCA - principles
assume capacity UPO all steps possible to help capacity unwise doesn't preclude best interests least restrictive
MCA - assessment
1) mind/brain disturbance affecting function
2) effect: understand/retain/deliberate/communicate
MCA - best interests and restraint
patient beliefs, values, culture, wishes
consult family, staff, carers etc.
consider ?regain capacity
restraint if risk of harm; minimal necessary
MCA - provisions (e.g. LPA)
LPA: proxy patient
AD: refusal of Rx in specific situations
DOLS: protection
