1. 13/01/2014created by b.moore1 What is a Form 2? Order for Examination under Section 16 of the Mental Health Act Guarantees an examination by a physician; Not admission Issued by a Justice of the Peace The form is legal for issue by the police for 7 days

2. 13/01/2014created by b.moore2 What Is a Form 2? Three criteria: self care, danger to self, danger to others Since Brians Law there is also a subsection for previous treatment

3. 13/01/2014created by b.moore3 Who Can Apply? Anybody who has knowledge of a person who fits the criteria Generally requested by family members, friends or workers Hearsay evidence is permissible

4. 13/01/2014created by b.moore4 The Form Itself Three specific categories and two sections Part A deals with present, what the person is doing at this time Part B deals with previous treatment and history of illness For Form 2 you do not need a SDM

5. 13/01/2014created by b.moore5 The Criteria There are 3 criteria: 1)Bodily harm to the person or self 2)Danger to others, threat or actual statement/act of violence to others 3)Self care, lack of competence to care for self or serious physical impairment to the person

6. 13/01/2014created by b.moore6 Bodily Harm to the Person or Self This is where you report on behaviour/beliefs that are currently or in the future will result in actual harm Suicide, walking in traffic, provocative or lack of clothing ALWAYS do a risk assessment

7. 13/01/2014created by b.moore7 Danger to Others, Threat or Actual Statement/act of Violence to Others Can be real or implied Indicate your opinion of the risk level and your estimation of seriousness Give supportive examples

8. 13/01/2014created by b.moore8 Self care, lack of competence to care for self or serious physical impairment of the person Can be neglect of a medical condition, can be related to dress, can be related to physical environment, can be related to physical appearance Give supportive examples

9. 13/01/2014created by b.moore9 Part B Slightly different in that it allows for previous treatment and a pre-existing illness When using this section, try to have approximate dates and the most recent place of treatment Differs from Form 1: you do not need to account for competency

10. 13/01/2014created by b.moore10 Form 2 Checklist Refer to Handout 2-7

11. 13/01/2014created by b.moore11 Hints and Guidelines Fill out the form 2 yourself, the Justices like this, it makes it easier for them and ultimately improves your chances of success. Write a letter (on agency letterhead) detailing clients behaviour, both current and past (see handout 2-8) This letter should support your evidence for the form. Use the checklist as a guide for the evidence.

12. 13/01/2014created by b.moore12 Give examples and use strong words. Strong words include: assaultive, extreme, filthy, distressed, debilitated, and substandard. Always use your agency letterhead, it is a powerful and hard to ignore tool.

13. 13/01/2014created by b.moore13 Letter In the letter include: – your name, –Agency – professional designation, –any contact numbers (cell and office) and an encouragement to call. –If possible, get permission from other professionals to include information from them such as contact phone numbers (cell and land lines), collateral documentation etc. For a sample letter, see Handout 2-8

14. 13/01/2014created by b.moore14 Call the emergency rooms at the very least. Its always better to attend in person and advocate for your client. Answer your phone when it rings

15. 13/01/2014created by b.moore15 Always bring at least 2 copies of all supporting documentation Save a copy on computer disk Ask the Justice to staple a copy to the form If you have a business card, use it to introduce yourself to the justice Include the card with the documentation

16. 13/01/2014created by b.moore16 Hand deliver the form to the police station yourself Do this as soon as you get the form If the person is treated at a specific hospital, ask to have the Justice to indicate it on the form Reiterate this request to the police Get a case report number from the police and record it in your notes

17. 13/01/2014created by b.moore17 Before going to the police, try to find out where your client is Make others aware that you have a form and that it is being issued Do your follow up!!!!!!! PROMPTLY RETURN CALLS FROM THE HOSPITAL- promptly means that day ASAP

18. 13/01/2014created by b.moore18 Supportive Documentation At the very least, include a brief letter (use the sample guideline) If possible, include recent assessments, especially if they indicate a change in status Ask other professionals to provide a supporting letter