Psychiatric emergencies

Author(s):  
Punit S. Ramrakha ◽  
Kevin P. Moore ◽  
Amir H. Sam

This chapter outlines psychiatric emergencies, including acute confusion (assessment, management), rapid tranquillization, acute alcohol withdrawal, neuroleptic malignant syndrome, dealing with violent patients, deliberate self-harm, the Mental Health Act, treating patients without their consent, the Mental Capacity Act, the law on consent and capacity, treating patients who do not wish to stay in hospital, detaining a patient in an emergency, and mentally ill patients in hospital.

Author(s):  
Punit S. Ramrakha ◽  
Kevin P. Moore ◽  
Amir Sam

Acute confusion: assessment 670 Acute confusion: management 672 Acute alcohol withdrawal 674 Dealing with violent patients 676 Deliberate self-harm 678 The Mental Health Act and common law 680 Treating patients against their will 682 The law on consent and capacity 683 Patients who do not wish to stay in hospital ...


2012 ◽  
Vol 36 (7) ◽  
pp. 243-244 ◽  
Author(s):  
Simon Wilson

SummaryIt is generally stated that the Mental Health Act 1983 does not apply to prisoners, and this is a useful shorthand to remind those unfamiliar with British prisons that treatment cannot be administered under the Mental Health Act, even to the most severely mentally ill prisoners. However, the legal situation is actually more nuanced given that the Mental Health Act does make provision for prisoners – intending that they be promptly transferred to hospital for treatment. This does not happen in practice for service reasons. It is not clear whether the Mental Capacity Act 2005 applies to those falling through the cracks.


Pharmacotherapy, Developmental disorders, Eating disorders, Dementia, Mental Capacity Act 2005


Author(s):  
Anthony Holland ◽  
Elizabeth Fistein ◽  
Cathy Walsh

Mental health is everyone’s concern, an idea epitomized by the campaign tag line of the Royal College of Psychiatrists, ‘No Health Without Mental Health’. This chapter will demonstrate how an understanding of a patient’s mental health within his/her social and family context is central to clinical practice. We will consider the legal basis for the treatment of mental ill-health and how it can complicate the treatment of physical illness and lead to ethical and legal concerns. The general legal principles that govern health interventions are explored, and two specific statutes for England and Wales—the Mental Capacity Act 2005 and the Mental Health Act 1983 (as amended 2007)—are both considered in some detail. It will be shown how a sound appreciation of the clinical issues, an understanding of the law, and an ability to apply that law in clinical settings are essential when faced with situations involving mental ill-health.


2021 ◽  
pp. 134-155
Author(s):  
Jo Samanta ◽  
Ash Samanta

This chapter focuses on statutory provisions governing mental health and mental health disorders, with particular reference to the Mental Health Act 1983 and the Mental Capacity Act 2005. It first outlines modern approaches to mental disorders, including legal reforms and the MHA 1983 Code of Practice (2015). It considers the main routes by which patients are admitted to the mental health system (voluntary or involuntary), deprivation of liberty, including Cheshire West and the proposed liberty protection safeguards, and the issue of consent with regards to medical treatment. Finally, the chapter discusses community care that must be provided to people with mental health disorders following discharge from hospital, particularly aftercare and supervised community treatment orders. Relevant cases are considered.


Author(s):  
Kay Wheat

This chapter will examine two key areas of law relating to medical treatment and care of those with mental disorder. The question of decision-making capacity is important for health care professionals, and other carers and agents dealing with older people. The law relating to this is covered by the Mental Capacity Act 2005 supplemented by previous case law where this is still relevant, and the key aspect of the law is the ability to treat people without capacity in their best interests. However, in the case of some patients, it may be necessary to use the Mental Health Act 1983. This legislation is focussed, not on the capacity of the patient, but upon the effect that a mental disorder can have upon the patient risking damage to their own well-being, or to the well-being of others. The relationship between the two areas is not always clear.


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