MHA sectioning

Question 1

Mental Health Act

Answer 1

Allow compulsory admission to hospital for assessment / treatment of a mental disorder

1. Purpose of minimising undesirable affect
2. Least restrictive
3. Respect needs, values
4. Participation principle- involve patient
5. Effectiveness, efficiency and equity

Question 2

Sectioning

Answer 2

• Referral can be done by medical professional or nearest relative*
  
  • AHMPS
  • Approved mental health Practitoner
  • 2 doctors
  • Assessment can take place in hospital, home, outpatient/ED, suite, GP surgery, police station or custody suit

1. A mental disorder of nature or degree that warrants detention in hospital for at least a limited period
2. Ought to be detained in the interest of their own health and safety or for the protection of others

Question 3

MHA sections in summary

Answer 3

MHA

section 2: 28 days. 2 doctors

section 3: 6 months and can be extended but renew each year

section 4: in emergency- 1 doctor (hospital for 72hrs)

section 5(2): temporary detention 72 hours >fy2

section 5(4) psychiatric nurses and learning disability nurses (6 hours) whilst arranging review.

section 7: guardianship. patient in the community where an approved mental health practicioner (AMHP) e.g. social worker requests for compulsory treament.

section 135: police

Question 4

section 2 of MHA

Answer 4

• allows patient to be sectioned up to 28 days
• signed by 2 doctors and approved social worker (ASW)
• agree that patient is mentally unwell and require full assessment in psychiatric setting

patient must have been examined by the 2 doctors within 5 days of eachother and the 2 doctor can’t be employed by the same organisation. 1 of the doctors should previously know the doctor.

cannot be renewed
the type of disorder does not need to be disclosed
tx can be given against patient’s will

Question 5

section 3 MHA

Answer 5

treatment order (same as section 2 but for 6 months)

approved social worker must seek consent of the nearest relative. if relative objects then the pt cannot be detained.

6 months (sometimes to 1 year)

treatment can be given but after 3 months the patient needs to consent or a 3rd doctor has to review.

Question 6

section 4 MHA

Answer 6

emergency order
admission for emergency tx which lasts 72 hours.
signed by doctor and ASW

can be ‘converted’ into section 2
cannot treat against patient’s will this is just for assessment

Question 7

section 5 MHA

Answer 7

compulsory detention of a patient who has come to hospital voluntarily

section 5(2): temporary detention 72 hours
(in this 72 hrs they can be assessed by an approved mental health professional and a doctor (section 12) and either taken off the section or switched to a more appropriate) *Dr must be FY2 or above to detain

section 5(4) psychiatric nurses and learning disability nurses (6 hours) whilst arranging review.
.

Question 8

section 135

Answer 8

police constable can enter patient’s premises and remove the pt to a place of safety for up to 72 hours. can use force if needed be. social worker has obtained warrant. cannot tx against patient will

Question 9

section 136

Answer 9

same as public space but don’t need a warrant before hand and cannot treat.

Question 10

section 7

Answer 10

section 7: guardianship. patient in the community where an approved mental health practicioner (AMHP) e.g. social worker requests for compulsory treament