Mental Health Ordinance 2001 Assessment and Treatment of Mentally Disorder persons.

Assessment and Treatment of Mentally Disordered Persons 1.Care in the community (section 7) 2.Care and treatment on an informal or voluntary basis. (section 8) 3.Admission for assessment (section 10) 4.Admission for treatment (section 11) 5.Admission for assessment in case of urgency. (section 12) 6.Emergency holding (section 13)

Care in the Community Section 7 Provision of Guidance, education, rehabilitation after care and preventive measures in the community (Family, home, workplace or educational institutions etc).

Care and Treatment on Informal or Voluntary Basis Section 8 Patient comes himself or is brought by relative or referred by a medical practioner for Psychiatric assessment. Is Examined by Psychiatrist / medical officer. Treated on outpatient basis or otherwise. May be discharged on withdrawal of his consent.

Restraint /Detention for Assessment & Treatment a.Admission for assessment. b.Admission for treatment c.Urgent admission for assessment. d.Emergency holding.

Admission for Assessment Section 10 Grounds for detention. patient’s own interest or protection of other persons. Care and treatment in community on an informal and voluntary basis is not possible. Medical recommendation. Two 1. Psychiatrist, 2. Medical officer. Period of detention. 28 days Right of appeal ( To the court of protection ). only once within 14 days.

Admission for Treatment Section 11 Grounds for detention. Need of treatment in psychiatric facility in Patient’s own interest or protection of other. Medical recommendation. Two medical officers one of whom approved Psychiatrist. Period of detention. Six Months (Renewable for a further six months then for period of one years as many times required). Right of appeal (To the court of protection). Right of one appeal in each period of detention.

Urgent Admission for Assessment Section 12 Grounds for detention. Urgent necessity for detention and fact that procedure under Sec 11 will invite undesirable delay. Medical recommendation. One approved psychiatrist or his nominated medical officer. Period of detention. 72 hour Right of appeal (To the court of protection). No.

Emergency Holding Section 13 Grounds for detention. Necessity to hold an admitted patient for safety of his health and protection of other and it is not practicable to furnish medical recommendation to In charge of psychiatric facility or his nominated M.O. Medical recommendation. One by M.O. of the psychiatric facility. Period of detention. 24 hour Right of appeal (To the court of protection). No.

Type of Detention MedicalRecom.Period Right of Appeal Admission for Assessment Two 28 Days Yes Admission for Treatment Two 6 Month RenewableYes Urgent Admission for Assessment One 72 Hours No Emergency Holding One 24 Hours No

Chapter-5 Leave & Discharge- Leave- A relative can apply for grant of leave from psychiatric facility of an admitted patient to psychiatrist in charge on submission of undertaking:- i.To take care of mentally ill ii.To prevent the patient to cause injury to himself or to other. iii.To bring back patient after expiring of leave.

Discharge of patient- Section – 21. The psychiatrist In charge of the treatment may order discharge of the patient at any time be deem it appropriate. Section-22 i.Any patient who feels that he has recovered, apply to magistrate. ii.Magistrate after making necessary inquiry, order for discharge.

Section - 23 If person admitted for assessment is found not mentally disordered & is capable of taking care of himself & managing his affairs. He will be discharged by psychiatrist of the faculty. Section - 25 Application by relative for discharge of patient admitted under section 10 & 11, his relative will apply to magistrate for his discharge & magistrate in consultation with psychiatrist in charge of treatment will allow or dismiss the application.

Section – 19 Mentally disordered persons found in public places. 1.If an officer-in-charge of police station finds in a place to which the public have access, a person whom he has reason to believe, is suffering from mental disorder and to be in immediate need of care/control, the said officer may, if he thinks it necessary to do so in the interest of that person or for the protection of other persons, remove that person to a place of safety, which means only a Government run health facility, a government run psychiatric facility, hand him over to any suitable relative who is willing to temporarily receive the patient.

2. A person removed to a place of safety under this section may be detained there of period not exceeding 72 hours for the purpose of enabling him to be examined by a psychiatrist or his nominated medical officer and for making any necessary arrangements for his treatments or care.

Chapter-VII Protection of human right of mentally disorder persons. 1.Cases of attempted suicide- Such persons should be assessed by approved psychiatrist & if found to be suffering from mental disorder should be treated.

2.Confidentiality- No patient shall be publicized not his identity disclosed to the public through press or media unless such person chooses to publicize his own condition. 3.Informed Consent- Before commencing any investigation (s) and or treatment has been given to patient or if the patient is a minor, his nearest relative or a guardian, as the case may be.

1. Where the consent of a patient of any form of investigation (s) and or treatment (s) has been given by the patient or or if the patient is a minor, his nearest relative or a guardian, as the case may be, may withdraw his consent in writing at any time before the completion of the treatment.

2.Without prejudice to the application of sub- section (s) above to any treatment given under the plan of treatment to which a patient or if the patient is a minor, his nearest relative or a guardian, as the case may be, who has consented, to such a plan may, anytime withdraw his consent in writing to further treatment, or to further treatment of any description under the plan of treatment.