Quiz 2

THE MENTAL HEALTH ACT

 

FILL IN THE SECTIONS IN BRACKETS

 

Section 2 – Allows detention for (TIME??)for (PURPOSE??)– (WHO is required?)

 

Section 3 – Allows detention for (TIME??)for (PURPOSE??) –(WHO is required?)

 

Section 4 – Allows detention for (TIME??)for (PURPOSE??) –(WHO is required?)

 

Section 5(2) – Allows detention for (TIME??)for (PURPOSE??) –(WHO is required?)

 

Section 5(4) – Allows detention for (TIME??)for (PURPOSE??) –(WHO is required?)

 

Section 136 – – Allows detention for (TIME??)for (PURPOSE??) –(WHO is required?)

 

Section 135 – – Allows detention for (TIME??)for (PURPOSE??) –(WHO is required?)

 

Community treatment order – Allows detention for (TIME??)for (PURPOSE??) –(WHO is required?) How is this different from the other sections?

ANSWERS:

Section 2 – 1-month (28 days) assessment – 2 doctors are required for recommendations and then the section is completed by an AMHP (Approved Mental health professional) who completes a legal application. An AMHP is a social worker with additional training and qualifications in the Mental Health Act

 

Section 3 – 6 month treatment – 2 doctors and an AMHP-  This is similar to Section 2. 2 doctors are required for recommendations and then the section is completed by an AMHP (Approved Mental health professional) who completes a legal application. An AMHP is a social worker with additional training and qualifications in the Mental Health Act

 

Section 4 – 72 hours emergency, 1 doctor and an AMHP

This occurs rarely, when there is no time to wait for 2 doctors as there is significant risk to the patient’s health, the safety of the patient or the safety of others

 

Section 5(2) – 72 hours, the ‘doctor’s holding power’.

It can be recommended and completed by the Responsible Consultant or their designated deputy. This means it is usually the on call doctor. It is completed when an informal patient would like to leave the hospital and there are significant concerns about the patient’s health, the safety of the patient or the safety of others. Therefore, they can be detained under a Section 5(2) until a formal Mental Health Act assessment can be arranged- normally to consider a Section 2 or 3. 

 

Section 5(4) – 6 hours, nurse, ‘nurse’s holding power’

It can be considered and completed by a nurse on the ward, whilst waiting for a doctor to come and assess the patient (to consider a Section 5(2). It is completed when an informal patient would like to leave the hospital and there are significant concerns about the patient’s health, the safety of the patient or the safety of others. 

 

Section 136 – 24 hours police, public place (ie not someone’s home)

This will take place as an emergency, if the police feel that the patient requires further assessment of their mental health due to concerns about their mental state and risk to themselves, their health or others. It must take place in a public place- this can include the street or a hospital. Following this section, the patient is normally brought to the Section 136 suite, so that a Mental Health Act assessment can be arranged. They may be taken to a local A&E department for the same purpose, if there is no available Section 136 suite.

 

Section 135 – 24 hours police, private place (warrant from magistrate’s court required – AMHP requests) 

With this section, the police are allowed to remove a patient from their home, if there are concerns about their mental health, so that a Mental Health Act assessment can take place. It will only be granted by the magistrate’s court in an emergency situation, so that care can be arranged.

In reality, this might take place at the time that the police visit the home to take the patient to a place for a Mental Health Act assessment. Sometimes the police would take the patient to the Section 136 suite or somewhere similar for a Mental Health Assessment.

 

Community treatment order – 6 months, not inpatient, RC and AMHP, while under section 3. A CTO is arranged by the Responsible Clinician (normally the ward consultant) and is then completed by the AMHP. It allows a patient to have supervised treatment on discharge from hospital. The CTO has specified conditions with it. Normally they state that a patient must: engage with the community team, attend appointments, be compliant with medication. If they do not meet these conditions, the Responsible Clinician (who might now be the community consultant) can recall the patient to the ward- where a Section 3 will be completed.