1. Mental Health An outline

2. Objectives of session Identify framework of mental health legislation Understand mental health act and code of practice Aware of key concepts

3. Legislation Mental Health Act 1983 Mental Health Patients in the Community Act 1995 Mental Health Act 2007 Remember other legislation is applicable – Community care legislation – Homeless law – Welfare benefits law

4. MHA 1983 MHA 1959 – Reforms – Reduce compulsory treatment – Community treatment not institutional MHA 1983

5. Regulations MHA 1983 – 10 parts – 176 sections – 5 schedules Guidance – Code of practice 4 th edition 2008 Code of Practice

6. Principles Purpose Least restriction Respect Participation Effectiveness, efficiency and equity

7. Using the principles

8. Key definitions Mental Disorder Patient Nearest relative Approved Mental Health Professional Responsible clinician Hospital

9. Informal patients Informal patient requests treatment There is no order, application or direction from the courts or anyone else.

10. Compulsory admission

11. Admission for assessment – s.2

12. Admission for assessment – s.4

13. Admission for treatment – section 3

14. Practice issues

15. Reception into guardianship

16. Compulsory detention of informal patients

17. Mentally disordered persons found in public places

18. Warrant to search for and remove patients

19. Discharge from hospital Informal patients Detained patients – Discharge by responsible clinician or hospital managers – Discharge by nearest relative – Discharge by Mental Health Review Tribunal

20. After-care

21. Criminal proceedings

22. s.17 leave

23. Community Treatment Orders (CTO) s.17A