^ ALPHABETICAL INDEX · INDEX INDEX PARAGRAPH AARVOLD BOARD. See Advisory Board on Restricted...

44
^ ALPHABETICAL INDEX ^ [11 ISSUE NO. 4

Transcript of ^ ALPHABETICAL INDEX · INDEX INDEX PARAGRAPH AARVOLD BOARD. See Advisory Board on Restricted...

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^ ALPHABETICAL INDEX

^ [11 ISSUE NO. 4

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ISSUE No.'4 ^

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INDEX

INDEX

PARAGRAPH

AARVOLD BOARD. See Advisory Board on Restricted Patients

ABDUCTION OF SEVERELY MENTALLY HANDICAPPED WOMEN. See alsoSexual offences 25.08.2, A4

ABETTING SUICIDEconsent, and

ABNORMALITY OF MIND. See also Mental disorder

ABNORMALLY AGGRESSIVE CONDUCT

ABSENT WITHOUT LEAVEfrom hospitalharboring patients

ACCESS TO COURTS. See Protection of staff, Limitation of actions

ACCESS TO MEDICAL RECORDSfor employment or insurance purposes 20.31, 24.38A

ACCESS TO MEETINGS. See Freedom of Information

ACCUSED PERSONmeaning of 14.14.1

ACQUITTALinsanity, by reason of. See Insanity

ACTING NEAREST RELATIVE. See also Nearest relative. Relativeappointment by county court ... 8.05-8.09

21.07

13.07

9.05

11.14, 11.15, 11.16... 25.04, A146

application forfunctionsobjection toorder, discharge of

expiration ofvariation of

procedure

ADMISSION FOR ASSESSMENTadmissionapplication

approved social workers, andnearest relatives, and ...

consent to treatment

conveyancedetentiondischarge, andemergency

8.05

8.068.07

8.08

8.08

8.08

8.09

11.05, A42-A4311.05.4

11.05.2

7.14-7.17

... 8.03

11.05.5

11.05.4

11.05.4

11.05.6

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ADMISSION FOR ASSESSMENT-continuedmedical recommendationform

groundsjoint medical recommendation

formmedical recommendations ...

by registered practitionerform

ADMISSION FOR TREATMENTadmissionapplication

approved social workers, andnearest relative, and ...form

conveyancedetentiondischargeexpiration of authority to detaingrounds

"appropriate to receive treatment in hospital"joint medical recommendation

form

leave of absence from hospitalmedical recommendations

by registered practitionerform

mental disorder, form of"necessary for health or safety"procedurerecall of patientreclassificationrenewal of authority to detain

person on leave of absence"treatability" criterion"viability" criterion

ADVISORY BOARD ON RESTRICTED PATIENTSjudicial review of decision

ADVOCACYby social workerfor disabled persons. See Disabled Persons

AFTERCARE. See Social Services

AGENCY. See also Enduring Power of Attorney, Power of Attorney

ALIEN PATIENTSremoval of

ANTIDEPRESSANTS

APPEALcases of insanity, inconviction, againstCourt of Protection, andCrown, by

detention of defendant on appealData Protection Act 1984, andhospital order, andmagistrates' courts, fromorder for continued detention under Act of 1983order for custody pending trialprotection of staff, andregistration of residential care homes, andregistration of mental nursing homes, andsentence, against

seeking a hospital orderunfitness to plead, and

ISSUE No. 4

... B28

11.05.1

... B24

11.05.3... 6.15

... B25

... 11.06

11.06.4

7.14-7.17

... 8.03

... B30

11.06.4

11.06.4

11.06.711.06.5, 11.06.5A

11.06.1

11.06.1, 11.06.5A

B31

11.06.1, 11.1311.06.3

6.15

B32

11.06.6

11.06.1

11.06.2

11.06.5A, 11.1311.06.6

11.06.511.06.5A, 11.13.2

11.06.1

11.06.5

15.20

21.31

7.26

... 23.27

19.05, A120-A121

20.05.3

13.05, A25-A28A18-A20

23.11.2, A133, B106-B107

A30-A31

20.34.4

15.05.3

15.05.3, A86... A33

... A33

... 21.28

... A175

A187-A188

A22-A2515.03.1

14.10, A28-A29

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INDEX

11.12, A54-A55

23.14

APPLICATION FOR HOSPITAL ADMISSIONby approved social worker. See Approved Social Workerby nearest relative. See Nearest relativerectification of

APPOINTEESHIP

APPROPRIATE MEDICAL OFFICER. See also Medical practitioners6.17.3, A56, Bll

APPROVED MEDICAL PRACTITIONERS. See also Medical practitioners ... 6.17.5

APPROVED SOCIAL WORKER 7.01-7.27, A137, C15-C197.26advocacy, and

application for admission for assessment, byform

backgroundapplications under Part II of the Mental Health Act

"canvassing" opinionsconveyance to hospital after completiondisplacement of guardiandisplacement of nearest relativeduty of social services authority to direct consideration oduty to interview beforeduty to makeevidence to be taken into account ...hospital, based inimplications of decision not to make"most appropriate way of providing carepersonal and independent responsibilitypower to makerestraint beforesatisfaction as to statutory criteria ...social reportsterritorial limitationtrespass before

appointment ofapproval

directions of Secretary of Statetransitional

approval arrangementsassessment

content ofprocedures

backgroundcompulsory admission decision

implications for social work practiceco-operation with other servicescrisis interventiondefinitionduties ofduty to inform or consult nearest relativeentry and inspection of premisesinvestigation of patient's social situation ...least restrictive alternative, and"liberty interest", andmental welfare officermonitoring statutory procedure

courts

hospital managersMental Health Act Commission

movement to another authoritypowers of entry and inspectionproposals forre-approval ofreplacement of mental welfare officers byrole ofselection of

B231.11.2

7.11

7.14.5

7.23

7.207.19

7.17

7.16

... 7.14, 7.267.14.4

7.21

7.14.6

7.16.1

7.14.3

7.15

7.22

7.14.2

7.18

7.14.1

. . . 4,10.1, Alll7.05

7.05.27.05.4

€167.05.3, C15-C16

7.08

7.087.01-7.03

... 7.26,7.27

... 7.08.1,0197.08,7.26

7.04

7.10-7.025, C187.12

4.09.17.26

7.26

7.13

... 7.02,7.037.13

7.13

7.13

7.13

7.05.5

... 4.09, A1377.03.27.05.5

7.02, 7.03, C157.08, 7.26, 7.27

7.07

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APPROVED SOCIAL WORKER-cortftnwerfsocial report a.# ^*a5source of authority 7.04-7.09 . ,statutory duties

summary 7.27statutory functions 7.10-7.25

summary 7.27training 7.06, CIStransitional arrangements 7.09tribunals, reports for 7.24, 18.22.1

disclosure to patient 7.24.1

ARRAIGNMENT. See also Unfitness to pleadinsanity on 1.03.3

ARRANGEMENTS FOR SERVICES. See also Social Servicesreplacement of National Assistance Act Schemes by 4.05-4.06, C3-C8services for the mentally disordered, and 4.07-4.08, C9-C13

ASSAULT 21.02.1

ASSISTING PATIENTS TO ABSENT THEMSELVES FROM HOSPITALWITHOUT LEAVE. See also Absent without leave 25.04, A146

proceedings 25.04.4ASSISTING PATIENTS TO ESCAPE 21.18.2, 25.04.2

ASYLUMS. See also Hospital, Madhousecounty"idiot" 1.07.1

ATKIN COMMITTEE 1.03.2

AUCTIONS 23.30

AUTOMATISM. See also Insanitynon-insane

insanity distinguished 13.02

BBATTERY 21.02.1

BEHAVIOUR MODIFICATION 20.08

BOARD OF CONTROLMental Deficiency Act 1913, under 23.02.2successor to Commissioners in Lunacy 1.06.2

BREACH OF THE PEACEprevention of 21.09

BRITISH ASSOCIATION OF SOCIAL WORKERS 1.09.2, 1.11.2Community care orders 11.13.2

BROADMOOR HOSPITAL. See also Special hospitals 3.06.1early history of 1.04Hospital Board 3.05.2 , jseclision at 3.12A W

BUTLER COMMITTEE on Mentally Abnormal Offenders 1975 1.09.2decision to prosecute, and 12.04.1

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INDEX

CARE PROCEEDINGS 24.21juvenile court orders 24.21,2mentally disordered minors 24.2l!3social enquiry reports 24.21.1

CHANNEL ISLANDSpatients absent from hospital in A122-A123removal of patients to and from 19.04, A119-A120return of patients absent from hospital in 19.06.3

CHEMOTHERAPY. See also Treatment 20.05CHILDREN. See also Minors

special needs of. See Education

CHRONICALLY SICK AND DISABLED PERSONS 22.24CIVIL PRISONERS

transfer to hospital 14.03.3, A93CLASSIFICATION OF PATIENT

form 9,01, 9.06, B51CLINICAL JUDGEMENT

exercise of when recommending transfer 16.18.1COMMISSIONERS IN LUNACY ... 1.05.3, 1.06.2, 22.02.1COMMUNITY CARE. See also After Care, Community Treatment, Social Services

order; BASW proposal 11.13.2reports to Parliament, on 22.27

COMMUNITY CHARGESexemptions for specified persons 24.43

COMMUNITY HEALTH COUNCILS 2.27-2.31advising on operation of Health Service 2.30.2attendance at meetings of District Health Authorities and Family

Practitioner Committees 2.30.7complaints ... 2.3o!6conduct of meetings 2.31consultation 2.30.3District Health Authorities, information to be furnished by 2.30.4establishing authority 2.27Family Practitioner Committees,

information to be furnished by 2.30.4functions ... 2.30local interests, representation of 2.30.1membership 2.28staffing ' 2!29visits to health services premises 2.30.5

COMMUNITY TREATMENT. See also Leave of absencecompulsory powers 11.13.2,11.13.3

COMPLAINTS. See also Health Service Complaints Procedurehealth service complaint procedure 22.161. ;;; 2.30.6

... 22.1722.11-22.11A

... 3.12.2

... 22.1822.18.222.18.1

... 3.12

22.15-22.17

investigation by community health councilinvestigation by Health Service Commissioner

L J investigation by Mental Health Act Commissioninvestigation by Parliamentary Commissionerserious, investigation of

independent inquiry by Health Authorityinformal investigation

special hospitals

COMPLAINTS PROCEDUREHealth Service. See Health Service Complaints ProcedureHealth Service Commissioners. See Special hospitals

COMPULSORY ADMISSION TO HOSPITAL. See also Admission for observation,admission for treatmentadmission for assessment. See Admisson for assessment

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COMPULSORY ADMISSION TO HOSPITAL-continuedadmission for treatment. flfco Admission for treatment ... ... A43-A44application in respect of patient already in hospital. See also Holding powers

A45-A46applicationsconveyance. See Conveyance to hospitalcounty court applications. See also Acting nearest relativedischarge, andduration of authorityduty of approved social workers to make applications foreffect of applicationemergency. See also Emergency applicationformsframework forgeneral provisionsmedical recommendations. See also Medical recomendations ...

NHS patientsprivate patients

patients absent without leave, and See also Absent without leavepatients sentenced to imprisonmentposition of patients subject to detentionprocedure

health or safety or protection of othersmental disorder warranting detentiontreatability

rectification of applications and recommendationsregulationssocial reportssummary of procedural requirementstransfer of patientstransfers between hospitals under different managerstransfers between hospitals under same managerstransfers from hospital into guardianshipwards of court"willing" patients

CONDITIONAL DISCHARGE. See Discharge; Mental HealthRestriction Orders

CONFESSIONS

CONFIDENCEextended 20.30.3

CONFIDENTIALITY 20.30-20.34background 20.30.1common law 20.32.1conditionally discharged patients, information about 7.25Acourt order, disclosure required by 20.32.7Data Protection Act 1984. See Data Protection Act 1984definition 20.30.2disclosure of information in public interest 20.32.6independent medical reports 18.23B, 20.30-20.33information must be secret 20.32.5law 20.32Mental Health Act Commission, and 22.10.1, 22.11A.2negligent disclosure of information, and 20.32.4ownership of medical records 20.31parties to relationship 20.32.3personal information held on computer. See Data Protection Act 1984privilege, and 20.32.8professional responsibility 20.30proposals for reform of law 20.33relationships in which information becomes impressed with obligation of 20.32.2remedies 20.32.9statute, disclosure required by 20.32.7

CONSENT. See also Consent to Treatmentabetting suicide, and 21.07

ISSUE No. 4

11.11, A.50-A51

A71

A63A59-A62

7.14, A53-A54A46-A47

11.04, A44-A45B22-B55

11.01

... 11.10-11.12

11.10, A51-A5311.10

11.10

A6211.17

... 11.13-11.18

... 11.01-11.0611.01

11.01

11.0111.12, A54-A55

A71-A727.18, A54

E1-E7

11.1811.18.111.18.2

11.18.3

11.0311.02

Review Tribunal;

12.05.3

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INDEX

CONSENT—continuedmercy killing, and 21.07restraint, and

actual act performedeffective, elements ofvoluntarywithdrawal of

sexual intercourse, by mentally handicapped

21.05-21.0721.05.1

... 21.0521.05.2

21.05.3... 25.06

CONSENT TO TREATMENT. See also Treatment 20.10-20.28, A96-A100, B19-B20absence of consent 20.16, 20.16A, 20.16Bbackground to 1.11.2causation 2o!l2!2certificate of 20.20.3, 20.21.3, 20.22

form B55children aged sixteen or older 20.13.1clinical trials 2o!l2!3common law 20.10-20.16

statute, and 20.10competency 20.13, 20.16, 22.11 A. 1complaints about 22.11Aconsent and second opinion 20.20, A96^A97

form B54consent or second opinion 20.21, A97-A98court can override decision of parent where in child's best interests ... 20.13.2Court of Protection 20.16B.2duty of disclosure 120.12.1, 20.12.2emergency applications, and 11.04.6foreseeability of risks 20.12^2forms B22l^B55incompetency 20.16, 20.16A, 20.16Binformation 20.12Mental Health Act 1983, Part IV 20.17-20.28

appointment of doctors to certify consent and give second opinions 20.22background 20.17form of treatment governed by 2o!l9inspection of records . . . 20^23"medical treatment" not "restraint" 20.19.3patients to whom applies ... 20.18plans of treatment ... 20.24review of treatment 1 2o!26second opinion, and HI 20^20

appropriateness of treatment 20.20.3code of practice 20.20.5commentary 2o!2o!4procedure 20.20.3to whom applicable 20.20.1treatments giving rise to special concern 20.20^2

second opinion, or 20.21appropriateness of treatment 20.21.3commentary 20.21.4procedure 2o!2l!3"three months" rule 20.21.2

/ , treatments applicable 20.21 !ltreatment

complaints about 22.11Atreatment must be for mental disorder 20.19.1

sexual deviancy, and 30.19!ltreatment must be under direction of RMO 20.19!2urgent treatment ... 20.27visiting patients H! !!. 2o!23withdrawal of consent 2o!25

medication, to 20.25.1mentally disordered persons 20.13.4"Minors io.02.2, 20.13necessity. See Necessity

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CONSENT—continuedparent, decision of

overridingplans of treatmentpsychological distress to patient ...requesting informationreview of treatmentspecificitytherapeutic/non-therapeutic distinctiontreatment not requiringtrespass to the personurgent treatmentvoluntarinesswithdrawal of

20.13.2, 20.13.3... 20.24, A98

20.12.220.12.2

20.26, A98-A9920.15

20.12.2

... 20.28, A99... 20.11

... 20.27, A9920.14

... 20.25, A98

CONSULTANTS. See also Medical practitioners and Responsible Medical Officercontracts

CONTEMPORARY LEGISLATIONprinciples of

CONTRACTSCourt of Protection jurisdiction, andliability undernecessaries, for

2.10

1.08-1.12

... 23.2623.26.4

23.26.123.26.2

CONVEYANCE TO HOSPITALadmission for assessmentadmission for treatmentemergency admission

CORRESPONDENCE OF PATIENTS ... 24.30-24.36, A149-A150, B20-B21addressee requesting that correspondence should be withheld ... 24.31.1distress or danger, likely to causeduty to record inspectionhospital managers, functions ofin-cominginformal patientsinspection and opening of postal packetsnotice of withholdingout-goingpatients detained in local hospitalspower to open and inspectprivileged

review of decisions to withhold postal packetsreview procedureswithholding by management

COUNCIL ON TRIBUNALS. See Mental Health Review Tribunals

11.05.411.06.4

11.04.3

24.31.2

24.36.1

... 24.35

... 24.3224.30.1

B20-B21

24.36.2... 24.31

24.30.2

... 24.34

... 24.3324.36.3, B21

... 24.36

... 6.10

COUNTY ASYLUMS

COUNTY COURTacting nearest relative, appointment ofguardian ad litemnext friend, appointment of

COURT OF APPEALappeal toreview of cases tried on indictment

... 1.04

... 24.268.05-8.09

24.26,224.26.1

A18-A20... A29

COURT OF PROTECTION. See also Enduring power of attorney 23.01-23.13, A124accounts ... ... ... ... ... ... ••• ••• ••• B20^B109alternatives to 23.14amendment of application ... B106appeals ... 23.11.3, A133, B106-B107applications 23.03, B96-B99approval of deeds B112background 23.01composition 23.02.2consent of proposed new trustee to act, form ofconsent to treatment

ISSUE No. 4

B11920.16B.2

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INDEX 11

COURT OF FROTECnON ̂continuedcontracts, and 23.26.4copies of documents 8112costs ;;; Bii5-Bii6custody of funds and other property B111-B112disclosure of information 23.04.1disposal of funds and other property B111-B112divorce, and 24.15duty to act judicially 23.11.2Aeffect and proof of orders A135emergency, and 23.07, A128enduring power of attorney 23.27Aenforcement of orders B104-B105entry of orders ... B104-B105evidence B101-B103execution of wills 23.05.1exercise of jurisdiction 23.11.1, B96exercise of jurisdiction under Part VII of 1983 Act 23.02fees B112-B114, 8123-8125general form of application BUSgeneral functions 23.04general powers with respect to proceedings 23.1L2, AliTr-AlSShearing of proceedings 23.11, 8103inability to manage property and affairs, and 23.03.1inquiries BllOinvoking jurisdiction of 23.03judge, exercise of functions Ai24-A125litigation, and 24.24Master 23.02.3medical evidence, and 23.03.3mental disorder, and 23.03!2Mental Health Act 1959 23!oi!lminors, and 23.03^4nominated judges * . 23!o2!lnominated officers ]. 23.02)4notice of appeal

form B121notice of proceedings 23.11.2Aorder for examination of patient B106parent under jurisdctionchild, and 24.17Percy Commission, and 23.01.1powers in cases of emergency 23.07powers of . . . 23.05powers of judge Aiis-AlZlpreservation of interests in property 23.10, A129^A130principles established under European Convention on Human Rights, and 23.01.2proceedings 23.11Public Trustee 23.02.5receivers. See Receiversreceivership. See Receivershipreciprocal arrangements in relation to Scotland and Northern Ireland

23.13, A135-A136request for leave to give security by lodgment in court, form of B122rules of procedure A133-A134, 891-8125security 8107-8108service 899-8101settlement of deeds 8112short procedure . . . . . . 23.08summoning of witnesses Bio5"the patient" 23.03, Ai24-A125treatment 20.168.2vesting of stock in foreign curator 23.09wills 23.05.1, Ai27-A128Witness summons

form B120

ISSUE No. 4

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COURTS. See also County Court, Court of Appeal, Litigationaccess to. See Protection of staffcharacteristics of under the European Convention on Human Rightslimitation of actions and disability

COURTS-MARTIAL

CRIMINAL INSANITY. See also Insanity

CRIMINAL LUNACY

CRIMINAL LAW REVISION COMMITTEE 1963

CRIMINAL PROCEEDINGSconfessionsinterrogation of mentally disordered personuncorroborated evidence of mentally disordered witness

CRIMINAL RESPONSIBILITYmental disorder at the time of the offencenot relevant for hospital order

CRISIS INTERVENTION. See Social Services

CROWN COURTcommittal to, magistrates by

making of restriction order, for

... 15.11

... 24.29

... A15

... 1.03

... 1.03.1

... 1.03.2

12.05.3

... 12.05

... 12.06

... 13.0115.02, 15.03.1

15.14

DDANGEROUS LUNATIC 1.02.2

DATA PROTECTION ACT 1984appeal, rights of 20.34.4exemptions

health and social work 20.34.6principles 20.34.3registration 20.34.2rights of data subjects 20.34.5

DECISION TO PROSECUTE 12.04, 12.05Home Office guidelines 12.05.4public interest, and 12.04.1

DECLARATIONS. See Judicial Declarations

DEEDS 23.26.3

DEFAULT POWERS 22.20Health Authority in default 22.20.2Local Social Services Authority in default 22.20.1Secretary of State, of 22.20

DEFECT OF REASON 13.04.2

DEFECTIVES. See also Mental handicap, mental impairmentabduction of 25.08.2, A4legal machinery for care and detention 1.07.3meaning of A5, A9segregation from society 1.07.2transfer of responsibility from local authorities to health service 1.07.4

DEPRESSION. See Antidepressants

DETENTION DURING HER MAJESTY'S PLEASURE 15.21

DETENTION OF PATIENT. See also Restraintrecord of

form B33renewal of authority for 11.06.5, B17

form B49

DEVELOPMENT TEAM FOR MENTALLY HANDICAPPED PEOPLE. Seealso Defectives, Mental handicap. Mental impairment 22.23

ISSUE No. 4

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INDEX 13

DIMINISHED RESPONSIBILITY"abnormality of mind"

"substantially impaired his mental responsibility'burden of proofevidence by prosecutionjury, andmandatory life sentence for murder, andmedical evidenceraising of pleasentencing

DISABILITY IN RELATION TO THE TRIAL. See Unfitness to pleadDISABLED PERSONS. See also Chronically Sick and Disabled Persons

authorised representativesaccess to meetings

advocacydefinedself

assessment of needslocal authority, bypersons discharged from hospital, ofpersons leaving special education, of

authorised representativedisabled children, forguardian, asincompetent adult, fornearest relative, asrights of

Community carereports to Parliament, about

DISABLEMENTmeaning of under Registered Homes Act 1984 ...

DISABILITIES OF PATIENTS

DISCHARGEadmission for assessment or treatment, andconditionaldisabled persons from hospitalexamination of patients, andguardianship applications, andguardianship orders, andhospital, fromhospital managers, byhospital orders, andjudicial review. See Judicial reviewmental health review tribunal, by. See Mental Health Review Tribunalnearest relative, by

formsreport barring

formpatients detained in Mental Nursing Homepatients subject to Part III of Actresponsible medical officer, byrestriction directions, andrestriction orders, andvisiting of patients, and

DISEASE OF THE MIND. See also Insanity, Mental disorder, M'Naghten Rules13.04.1

13.06-13.09... 13.07

13.07.1... 13.06

13.06, A15... 13.06... 13.09... 13.06... 13.06... 13.08

22.24-22.27... 22.25

22.24, 22.25.2

... 22.24

... 22.24

... 22.26

22.26.1

22.26.322.26.2

... 22.2522.25.122.25.122.25.1

22.25.122.25.2

... 22.27

... A178

24.01-24.42

17.01 et seq.... 17.02

... 18.1422.26.3

... 17.04

... 17.03

... 17.0617.01-17.07

17.02.1

... 17.05

17.02.3... B52

17.02.3... B53

17.02.2

17.05, 17.0617.02.1

... 17.06

... 17.06

... 17.04

DISTRICT HEALTH AUTHORITIESconduct of meetingscriteria for establishmentduties in relation to special educational needsfunctionsinformation to be furnished to Community Health Councilsmanagement arrangementsmembership

2.11-2.15... 2.13... 2.14

... 4.23.2... 2.14

... 2.30.4

... 2.15

... 2.12

ISSUE No. 4

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14 INDEX

DIVORCEadulterybehaviour

Court of Protection, anddesertiongrounds forliving apart

five yearstwo years

DOCTORS. See Medical Practitioners

DOCUMENTSadmission to hospital, andforgery of 25"incorrect or defective"

meaning ofservice by managementrectification of

DRIVING LICENCESapplication by disabled driverdisabilities, information as to"prospective disability"

meaning ofrefusal of

appeal against"relevant disability"

meaning ofrevocation for unfitness

appeal against

DRUG TREATMENT

DULY AUTHORISED OFFICER. See also Approved social workerentry and inspection of premises

24.14, 24.1524.14.124.14.2

... 24.1524.14.3

... 24.14

24.14.5

24.14.4

B12

.02, A144, A145

6.05.16.13

11.12, A54, A55

... 24.30-24.4224.39

24.40

24.39

24.42

24.3924.41

24.42

20.05

... 7.01,7.024.09.2

E

EASTDALE UNIT. See also Special Hospitals

EDUCATIONage of nineteen, untilclassification of childrendisabled persons leavingduty of parent to ensure that child receivesexamination in aid of exercise of Secretary of State's powershospital, inindependent schoolsintegration of handicapped children in ordinary schoolslegislative structureparental involvementparental rights and responsibilitiesplace ofreview of governors discretion

default powers of Secretary of Statereview of local authority's discretion

default powers of Secretary of Stateschool governors, duty ofspecial needs

assessment of children withchildren aged two or olderchildren under age twoDistrict Health Authority, duties ofexaminations for purpose of assessment

ISSUE No. 4

... 3.06.2

4.18^.31... 4.21.1

... 4.18.222.26.2

... 4.26.1

... 4.25

... 4.30.1

... 4.284.18.3, 4.29

... 4.20

... 4.26.2

... 4.26

... 4.30

... 4.31

... 4.31.2

... 4.31

... 4.31.2

... 4.22.2

... 4.22.1

... 4.23

... 4.23.4

... 4.23.2

... 4.23.2

... 4.23.6

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INDEX 15

EDUCATION—continuedidentification of children with 4.23parental requests for assessments 4,23.5referral for advice of voluntary organisation 4.23.2statement of 4,24

special provision 4.22special schools. See Special schoolsstatement of special needs 4.24

appeals against 4.24.2duty to make and maintain 4.24.1

statutory duty to provide 4.21transfer of responsibilities to local education authorities 4.18.1Warnock Report 4.18.4

ELECTED OFFICIALS 24.07, 24.08

ELECTROCONVULSIVE THERAPY (ECT). See also Treatment 20.06Nurse's duty to follow reasonable instructions 6.21

EMERGENCY APPLICATION 11.04Act of 1959, criticism of 11.04.7admission 11.04.3application 11.04.1consent to treatment 11.04.6"conversion" into section 2 application 11.04.4conveyance 11.04.3detention 11.04.3discharge, and 11.04.6grounds 11.04.1medical recommendation 11.04.2notice to Social Services Authority of Hospitals having arrangementsfor admitting urgent cases 11.04.5

EMPLOYMENT 24.37, 24.38access to medical records for purposes of 24.38Adisablement quota 24.37dismissal of mentally disordered persons from 24.38

failure to disclose history of mental illness 24.38.2incapacity 24.38.1

non-discrimination 24.37

ENDURING POWER OF ATTORNEYaction on actual or impending incapacity of donoralternative to court of protection .application of Mental Health Actbenefits ofbackgroundcourt of protection ...creation and characteristicsform ofLaw CommissionPublic Trusteeregistration

legal position afterrevocation and disclaimer

ENTRY OF PREMISESconsent to

powers ofby approved social workerby duly authorised officerby person authorised by local authority

ESCAPED PATIENTS. See also Restraintassisting escapeinducing escaperetaking

time limit for ...

ETHICAL COMMITTEES

23.27A

23.27A.423.14

23.27A.7

23.27.1

23.27.1

23.02.523.27A.2

23.27A.1, B15923.27A.1

23.02.523.27A.423.27A.523.27A.6

... 4.09, 21.13.521.13.5

4.09

4.09.14.09.2

4.09.3

21.18.2, 25.04.221.18.2, 25.04.2

21.18

21.18.1

22.21.2

ISSUE No. 4

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16 ^ INDEX

EUROPEAN CONVENTION FOR THE PREVENTION OF TORTURE ANDINHUMAN OR DEGRADING TREATMENT OR PUNISHMENT .. .20.29B

EUROPEAN CONVENTION ON HUMAN RIGHTS ... 1.10, 9.09, 15.11, 20.29access to courts under Article 6

protection of staff, and 21.33inhuman or degrading treatment 3.12A, 20.08A, 20.29A, 20.29Bjudicial review of detention 15.11principles relating to property of patients 23.01.2right to liberty 20.29right to treatment under 20.29seclusion ... ... ... ... ••• • •• •• 3.12A, 20.08Asexual offences, and"unsoundness of mind" under 9.09, 13.04.1, 18.13.1

discharge of persons by tribunal ... 18.13.1"in accordance with a procedure prescribed by law" 9.09.1insanity defence, and 13.04.1"lawful detention of a person of unsound mind" 9.09.2

EXAMINATION OF PATIENTS 17.04, A64

F

FALSE IMPRISONMENT 21.02.2access to courts 21.25

FALSE STATEMENTS 25.02, A144-A145FAMILY PRACTITIONER COMMITTEES 2.17

information to be furnished to Community health councils 2.30.4FAMILY, ROLE OF. See also Nearest relative 8.01-8.09FINANCIAL AFFAIRS OF PATIENT 23.01-23.31

FIREARM

sale to mentally disordered person 25.13FITNESS TO PLEAD. See Unfitness to plead

FOREIGN CURATORvesting of stock in 23.09

FORGERY 25.02, A144-A145

formslist of D1-D6

FRANCHISE. See also Voting rights 24.02-24.06, A34-A36FREEDOM OF INFORMATION 22.24

Community Health Councils 2.31employment or insurance purposes 20.31, 24.38AJoint Consultative Committees 2.23.1local government 4.04.4

GENERAL MEDICAL COUNCIL 6.14procedures of committees 6.14.1

GENERAL VISITORS 23.12

GOWERS COMMISSION 1.03.2

GREEN BELTrestrictions on development on 4.17.1

ISSUE No. 4

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INDEX 17

GUARDIAN. See also Guardian ad litem. Guardianship, Private Guardianapplication for displacement 7.20authorised representative for disabled person 22.25.1functions of 11.08, B18-B19nearest relative, as 8.02offence against patient 25.11.2

GUARDIAN AD LITEM 24.25.2, 24.25.4, 24.26.2

GUARDIANSHIP. See also Guardianship orderacceptance of applicationsapplication by approved social worker

formapplication for

effect ofauthority for transfer from hospital to

formauthority for transfer of patient from one guardian to

formauthority for transfer to hospital from

formbackgrounddeath of guardiandischargedurationduty of approved social workers to make applicationseffectformsgroundsill treatment of patientsincapacitationjoint medical recommendation for reception into

formjoint medical recommendation for transfer to hospital

formmedical recommendation for reception into

formmedical recommendation for transfer to hospital from

formmedical recommendationsnegligent performance of functionsposition of patients subject topowers

procedure for applicationsprivate guardian. See Private guardianrecord of acceptance of application

formregulations as torenewal of authority for

formsummary of procedural requirementstransfer between guardianstransfer from hospital intotransfer ofvisiting of patientsvoluntary decision by guardian to relinquish duties

GUARDIANSHIP ORDERcriteria

discharge, andeffect ofmakingmedical evidence

procedures ...who can be subject ofwillingness of guardian

11.07-11.09, A47-A5011.07.3, B14

... 11.07.3, B37-B3811.07, A47-A48

... 11.07.5, A48-A49

another

for

from

B44

B45

B46

1.07.1, 1.11.211.09

11.07.7, 17.03, A6311.07.6, A59-A62

7.14, A53-A5411.07.5

B22-B55

11.07.2

25.03.2

. 11.09

11.07.4

B39

11.18.5

B47

11.07.4

B40

11.18.5

B48

11.07.4

. 11.09

11.13-11.18

11.07.5

11.07.3, B14

B40

11.08, A49, A71-A7211.07.6, B17

B50

E1-E7

11.18.411.18.3, 11.18.5, B14-B1511.09, A49-A50, B15-B16

11.08

11.09

15.22, A77-A8215.22.2

17.06

... 15.22.4, A81-A8215.22

15.23

15.22.2

15.22.1

15.22.3

ISSUE No. 4

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18 INDEX

H

HABEAS CORPUS. See also Judicial reviewdoctor's holding power, andearly casespatients subject to Part II of Actpatients subject to Part III of Actwhether there is need to obtain leave of court under s. 139

.. 17.07. 10.04

. 1.05.2

17.07.1

17.07.2

.. 21.31

HANDICAPPED CHILDRENintegration into ordinary schools 4.18.3

HARBOURING PATIENTS ABSENT WITHOUT LEAVE. See also Absent withoutleave ... ... ... ... ... ... ... •. ••• ••• 25.04.3

HEALTH ADVISORY SERVICE 22.23

HEALTH AUTHORITY. See also District Health Authority, Regional Health Authority, Special Health Authoritymanagement arrangementsvicarious liability of

HEALTH SERVICE COMMISSIONERS. See also Complaintsbodies subject to investigationmaking a complaintmatters not subject to investigationmatters subject to investigationprocedure on investigationreportsspecial hospitals, application to

HEALTH SERVICE COMPLAINTS PROCEDUREbackgroundclinical judgementcomplaints within jurisdiction of other bodiesdesignated officerform of complaintfurther action for certain complaintsHospital Complaints Procedure Actinforming patient of proceduresinvestigation of complaintsmonitoring complaintstime limitswho can make a complaint

HEALTH SERVICES HOSPITAL. See also Hospital; Special Hospitalmeaning of

HER MAJESTY'S PLEASUREdetention during 15.21, A86-A87

HIGH COURT 24.25

.. 2.15

.. 21.32

.. 22.1722.17.1

22.17.3

22.17.2

22.17.1

22.17.4

22.17.5

.. 3.12.2

.. 22.16

22.16.1

22.16.12

22.16.1122.16.4

22.16.622.16.9

22.16.2

22.16.322.16.8

22.16.1022.16.7

22.16.5

.. 3.02

case stated by Mental Health Review Tribunal ...mental disorder of plaintiff or defendant after proceedings begun"patient" must act by next friend or guardian ad litemperson under disability

HIPPOCRATIC OATH

HISTORICAL REVIEW OF LEGISLATION

HOLDING POWERSapplication in respect of patients already in hospitaldoctor'sin-patients, andnurse's

HOME SECRETARYpowers ofpowers over restricted patients

HOMELESS PERSONpriority need

mentally disordered persons ...

ISSUE No. 4

... 18.2524.25.3

24.25.224.25.1

20.30.1

1.01-1.12

10.01-10.05

10.03-10.05

... 10.04

... 10.03

6.20, 10.05

... 1.11.2

15.16, 15.17

... 4.13

... 4.13.2

... 4.14.5

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INDEX 19

HOMELESS PERSON-conHnuedco-operation between authorities 4.13.7housing authority duties 4.13.5intentional 4.13.3

mentally disordered persons 4.14.3local connections 4.13.6

mentally disordered persons 4.14.6meaning of 4.13.1mentally disordered persons, and 4,14

incapacity to manage affairs 4.14.4protection of personal property 4.14.7

possible, inquiries into 4.13.4threatened 4.13.1

mentally disordered persons 4.14.2

HOMOSEXUAL ACTS. See also Sexual offences 25.09, A11-A12HORMONE IMPLANTS. See Sex hormone implant treatmentHOSPITAL. See also Special hospitals

absence without leave 11.14,11.15,11.16compulsory admission to. See Compulsory admission to hospitalconveyance to. See Conveyance to hospitaldefinition

purposes of compulsory admission, fordischarge of disabled person, fromeducation inethical committeeshealth serviceleave of absence fromno duty to admit mentally disordered persons tono formal designation ofno power of managers to refuse admission, whenrefusal to admit patients

discretion of managersHOSPITAL ADMISSIONS. See also Admission for assessment. Admission for treatment, Emergency admissionprocedure for B12-B14record of B12-B14

HOSPITAL BEDdifficulties in finding

HOSPITAL IN-PATIENTpower to hold. See Holding powersreport on

form

HOSPITAL MANAGERS. See ManagersHOSPITAL ORDER. See also Interim hospital order

admission to hospital within twenty-eight days ofantecedents of offenderappeal, and

from magistrates' orderfrom sentence of imprisonment

defendant incompetent to consent to summary trialdifficulties in finding hospital beddischarge, andeffect ofevidence of mental disorder after the imposition of prison sentence ...gravity of offencegrounds

3.02, AlOO, A157.. 3.02.122.26.3

... 4.30.1

22.21.2

... 3.02.1

... 11.13

... 3.03

1.08.4, 3.02... 3.03.1... 3.03

... 3.03

15.08

B33

15.02-15.21, A77-A8215.07

15.06

15.05.315.03.115.05.1

15.0815.10, 17.05

15.10, A81-A8215.01.1

15.03

15.06information as to availability of hospital bedjury trial, defendant electing forleave of absencemagistrates' court, powers ofmedical evidence . ].mental disorder making it appropriate for offender to be detained for medicaltreatment

15.08-15.09, A80-A8115.05.215.10

15.05

15.23

15.06

ISSUE No. 4

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20 INDEX

HOSPITAL ORDER—continuednature of offenceno bed available in secure hospitalno causal connection between mental disorder and offenceno conviction recorded, wherepreference for, sentence of imprisonment overproceduresrestrictions on discharge, with. See also Restriction order

court, characteristics ofgrounds for making orderjudicial review, andX V The United Kingdom

transfer, and"treatability", andwho can be made subject of

HOSPITAL SERVICES

HOUSINGenforcement of dutiesgeneral obligationshomeless persons. See Homeless personsinvestigation of complaintsneeds, review of ...planning permission. See Planning permissionprovision of accommodation and accompanying services

HOUSING ASSOCIATIONassistance offinancial assistance"joint funding" arrangementspromotion of

HOUSING CORPORATION

HUMAN RIGHTS. See European Convention on Human Rights

... 15.06

... 15.08

... 15.02

... 15.05

... 15.03

... 15.0615.11-15.21

... 15.11

... 15.12

... 15.11

... 15.11

... 15.10

15.03, 15.06... 15.04

3.01-3.14

4.11-4.17

... 4.12.4

... 4.12

... 4.12.4

... 4.12.2

... 4.12.3

... 4.16

... 4.16.1

... 4.16.2

... 4.16.3

... 4.16.1

... 4.15

IDIOTS ACT 1886

ILL-TREATMENT OF PATIENTS ...guardianship patientshospital patientsmeaning ofpatients under custody or careprosecution

IMMIGRATION ACT 1971persons detained under

transfer to hospitaldeputation of mental patient

IMPRISONMENTpatients sentenced to

special provisions as topersons serving sentences of

removal to hospital of. See also Transfer to hospital16.01-16.03, AST-

restriction on discharge ...transfer to hospital. See also Transfer to hospital

preference for hospital order overINCEST

INCOMPETENCY. See Consent to Treatment, Parens Patriae Powers

INDEPENDENT SCHOOLS

ISSUE No. 4

1.06

25.03, A145-A14625.03.2

25.03.1

25.03.4

25.03.325.03.5

... 14.03.3, A9314.03.3

11.17, A62-A63

A88, A8^A89, A89-A9i16.03, A8916.01-16.03

15.03

A3-A4

4.28

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INDEX 21

INDEPENDENT SECTOR CARE AND TREATMENT 5.01-5.17

INFANTICIDE 13.10

INFORMAL ADMISSION TO HOSPITAL. See also Voluntary mental patients10.01-10.05, A147

background 1.08.2correspondence 24.30.1legal position of informal patients 10.02Mental Health Act Commission 10.02.3minors 10.02.2Percy Commission, and 10.01power to hold. See Holding powersprocedure 10.02.1rights of patients 10.02.4"voluntary" admission, and 10.01

INFORMATIONas to availability of hospital bed 15.08-15.09for detained patients 6.07, A148for nearest relative 6.08, A148-A149

INQUIRIES 22.18, 22.19formal

Secretary of State, established by 22.19investigation of serious complaints

22.18

INSANITY. See also M'Naghten Rules 13.02-13.05, A13appeal, and 13.05, A25-A28arraignment, on. See Unfitness to pleadbackground 1.03.2cannot commit crime 21.08.5defence of 13.02-13.05defendant's costs 13.05evidence by prosecution 13.03, A15execution of insane criminal 1.03.2history of 1.03.2medical evidence 13.04.5M'Naghten Rules. See M'Naghten RulesMental Health Review Tribunal, and 13.05.2non-insane automatism distinguished 13.02proof that defendant committed act charged 13.03special verdict 13.03

mandatory disposal 13.05Mental Health Review Tribunal, and 13.05.2

time of offence, atwho can raise issue

13.03

13.03

INSPECTION OF PREMISES. See Entry of premises

INTERCOURSE WITH DEFECTIVES. See also Sexual offences ... A3, A9

INTERIM HOSPITAL ORDERS. See also Hospital order ... 14.16, A79-A80application of 14.16.1duration of 14.16.3effect of iil6.4, A81-82grounds 14.16.2procedures 14.16.2referral for unduly lenient sentence 14.16.5

INTERROGATION 12.05

ISLE OF MAN

patients absent from hospital in A122-123removal of patients to and from 19.04, A119-A120W return of patients absent from hospital in 19.06.3

ISSUE No. 4

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22 INDEX

JOINT CONSULTATIVE COMMITTEESduties and powers of Secretary of State ...establishment offunctions ofopen meetings

JOINT FINANCING OF COMMUNITY SERVICEShousingpower of Secretary of State for Wales to make payments towards

expenditurevoluntary organisations

JUDGE. See Court of protection

JUDICIAL AUTHORITIES. See Court of protection

JUDICIAL CURATORvesting of stock in

JUDICIAL DECLARATIONSlawfulness of treatment without consent

JUDICIAL REVIEW. See also Habeas corpuscompulsory admission decisionhospital order with restrictions on discharge, andmental health review tribunal decisionmistake of lawprotection of staff, and

JURYdefendant electing for trial by

hospital order, anddiminished responsibility, andfitness to plead, determination of

JURY SERVICE

2.23.12.23.2

2.23.12.23.1

2.23.1

2.24

4.16.3

2.24.3

2.24.2

... A129

...20.16B

... 17.07

21.04.1, 21.31... 15.11

18.24.1, 18.2521.25.2, 21.31

... 21.31

15.05.2

. 13.06

. 14.09

. 24.09

LAW COMMISSIONenduring powers of attorney

LEAVE OF ABSENCE FROM HOSPITALadmission for treatment, andfor patients not requiring treatment as in-patientshospital orders andJudicial review, andrecallrestricted patients, andtreatment in community

LEGAL VISITORS

LEGALISM, ADVENT OF

LIMITATION OF ACTIONSextension in case of disability

successive disabilities

LITIGATION. See also Courts, Protection of staffactions gainst persons acting in pursuance of Mental Health ActCounty Court. See County CourtHigh Court. See also High Courtlimitation of actions. See Limitation of actionsmatrimonial proceedingspatients under jurisdiction of Court of Protection

LOCAL ADVISORY COMMITTEES

ISSUE No. 4

23.27A.1

11.06.1, A56-5711.13.2

15.1021.31

11.13.1

15.15

11.13.3

23.12

1.06

24.29

24.29.124.29.3

... 24.24-24.2924.27

24.25

24.2824.24

2.20

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INDEX 23

LOCAL AUTHORITIESadvocacy and assessment of needs of disabled personsafter care. See After careassumption of parental rights byco-operation with health authoritieseducation. See Educationfunctionshousing. See Housingmeaning of

housing purposes, fornearest relative, asopen meetingsprosecution under Mental Health Act 1983servicessocial services. See Social Serviceswelfare of hospital patients

LOCAL COUNCILLORmentally disordered person

LOCAL SERVICES AUTHORITYdefinition of

LORD CHANCELLORMental Health Review Tribunals, and 18.01.1

LORD CHANCELLOR'S VISITORS. See also Court of Protection23.12, A130-A131functions of 23.12.1, A131-132

4.01^.31.2

22.24-22.27

24.19... 2.21-2.26, 7.08.1

4.01-4.31.2, A137-A144

... 4.12

... 8.02

... 4.04.4

... A147

4.01-4.31.2

4.10.2, A138

24.07.2

... 4.04.1

LUNACY ACT 1980

LUNATICrestraint of ...

LUNATICS ACT 1845

1.06.2

21.11

1.05.4

MMADHOUSE, PRIVATE. See also Asylum, HospitalMACMILLAN COMMISSION

MAGISTRATES' COURTcommittal to crown court for making of restriction orderhospital order, andmatrimonial proceedings inpersons remanded by transfer to hospitalpower to commit for restriction order

appeal

MANAGEMENT OF PATIENTS' PROPERTY AND AFFAIRS. See also Court ofProtection, Enduring Power of AttorneyCourt of Protection

MANAGERS ...admission, andarrangements byconcept ofcontinuing detentioncorrespondence, anddefinitiondischarge of unrestricted patients .duty to admit patientsduty to inform detained patients .general functions"incorrect or defective" documentsinsufficient medical recommendationmanagers' hearingmonitoring statutory procedures ...

1.05.1

1.06.3

15.14

15.0524.16

14.03.215.14, A84, A85-A86

A86

... A124-A137

... A124-A137

6.01-6.13

6.03

2.156.02, A157-A158

6.066.10, 24.34, 24.356.01, A157-A158... 6.06, 17.02.1

3.03.1

... 6.07, A1486.12

6.05.1

6.05.26.06

7.13

ISSUE No. 4

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24 INDEX

MANAGERS—continuedno duty to admit patientsrecord keepingrectification of documentsincorrect or defective documentsinsufficient medical recommendationreference to Mental Health Review Tribunal ...regional secure unitsreportsscrutiny of documents ...

access by patients to admission formsMental Health Act Commission

service of documentsspecial hospitalstransfer, and

MARRIAGEcapacity to enter intocaveat against granting special or common licencecaveat with superintendent registrardetained persons, ofdissent from publication of bannshouse-bound persons, ofplace ofprevention ofvoidable. See Voidable marriage

MATRIMONIAL PROCEEDINGSmagistrates' courts, in

... 3.03

... 6.11

... 6.05

... 6.05.1

... 6.05.2

... 6.09

... 3.15

... 6.11

... 6.04

... 6.04.1

... 6.04.2

... 6.13

... 3.05

... 6.03

24.10-24.13

... 24.10

... 24.11

... 24.11

24.12.2

... 24.1124.12.2

... 24.12

... 24.11

24.16

A93-A94

11.18.1

. 6.17.4

. 6.15

.. 2.19

. 6.17

. 6.17

MEDICAL EVIDENCEMental Health Act 1983, Part III, and

MEDICAL PRACTITIONERS. See also Appropriate medical officer; Approved medicalofficer. Nominated medical attendant. Responsible medical officer ... 6.14-6.17approved 6.17.5exercise of clinical judgementregistered

treatment, in charge ofregistration ofsection 12, Mental Health Act 1983, understatutory definitionsstatutory functions

MEDICAL RECOMMENDATIONS. See also Admission for assessment; Admission fortreatment; Emergency application

general provisions as to 11.06.3, A51-A53record of receipt of

form B54rectification of 11.12, A54-A55

MEDICAL RECORDSaccess to for employment or insurance purposes 20.31, 24.38Aownership of 20.31

MEDICAL TREATMENT. See also Treatmentdefinition 11.06.1, 18.13.1, 18.14.1, 20.02, A158detention without 18.13.1nursing, and 0.20RMO, and 6.17.1

MEDICAL VISITORS 23.12

MEDICATION. See Drug treatment

MEMBER OF PARLIAMENTcomplaints on behalf of a patient ...disqualification from officemental illness, suffering fromremoval from office

22.11.3, 22.11A.224.07.1

A155

24.08

MENCAP

ISSUE No. 4

9.03.2

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INDEX 25

MENTAL DEFICIENCY LEGISLATION

MENTAL DISORDER. See also Psychiatric diagnosesabnormality of mindclassification

formdefinitiondisease of the mindreclassification. See also Reclassificationsexual deviancy, andunsoundness of mind

MENTAL DISORDER AT TIME OF OFFENCE. See also InsanityMENTAL DISORDER AT TIME OF SENTENCING. See also Hospital orders

15.01-15.25

MENTAL DISORDER AT TIME OF TRIAL. See also Unfitness to plead 14.01-14.16MENTAL HANDICAP. See also Defectives; Mentallyhandicapped persons; Mental impairment 9.03.2, 9.08, 11.06.1

1.07

13.07

9.01, 9.06B51

9.01-9.09, 11.06.1, A42, A19613.04.1

9.06, A55-A569.01, 20.19.1

9.09

13.01-13.10

parens patriae powerssterilisation

20.09, 20.16.2, 23.01... 20.09

MENTAL HEALTH ACT 1959 1.08.5process of reform 1.09provisions remaining in force 1.12public enquiries 1.09.1

MENTAL HEALTH ACT 1983 1.12amendment of local acts, and A157Nothem Ireland, application to ! A159orders A156protection for acts in pursuance of. See also Protection of staff A154regulations A156rules A156Scotland, application to A159

MENTAL HEALTH ACT COMMISSION 1.11, 22.02, 22.22.14, A141-A143advent of 22.02.4background 1. 1.11.2,22.02biennial report 22.08case study 22.11Acentral policy committee 22.04.2Code of Practice. See also Consent to treatment 22.14

consultation required before preparing or altering 22.14.3consent to treatment 20.20.5content 22.14^1negative resolution of Parliament 22.14.4scope 22.14.1treatments giving rise to special concern 20.20.5, 22.14.2

committees 22.04.2confidentiality 22.10.1, 22.11a'.2

case study 22.11A.2constitution of 22.04duty to investigate complaints. See also Complaints 22!llappropriateness to resolve all questions raised 22.11A.3

discretion not to investigate 22.11.4case study 22.11A.3

exercise of powers and duties conferred by Mental Health Act ... 22.11.2case study 22.11 A. 1

matters occurring while patient detained 22.1l!lMember of Parliament, made by 22.11.3overlap with other complaints bodies 22.11.5

duty to publish reports 22.08duty to visit and interview detained patients 22.10

confidentiality 22.10.1establishment and constitution B8-B9establishment of 22.03functions ' 22!o5

undertaken on behalf of Secretary of State 2.05

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26 INDEX

MENTAL HEALTH ACT COMMISSION-conriwwedgeneral protection of detained patients 22.09Health Service Commissioner, jurisdiction of 22.03.1 V Jinformal patients, legal position of 10.02.3leave of absence, legal position of 11.06.1meetingsmembership zz.m.imonitoring statutory procedures 7.13payment of persons appointed by 22.13power of Secretary of State to direct Commission to perform functions 22.05power to interview patients 22.12power to visit patients 22.12proceedings ofproduction of records, power to require 22.12regulations Vreview of care and treatment of informal patients 22.06review of decisions by managers to withhold patients' correspondence ... 22.07review of powers and duties relating to detention of patients 22.09.1scrutiny of documents, and 6.04.2treatment in community, and 11.13.2

MENTAL HEALTH (AMENDMENT) ACT 1982 1.11consent to treatment

clarification on 1*11limits on exercise of compulsory powers 1.11.2maintaining civil and social status of patients 1.11.3mental impairment 1.11.2services, nght to 1.11.1treatability 1*11

MENTAL HEALTH REVIEW TRIBUNALS1.11.1, 18.01-18.26, A100-A114, A163-A164

adjournment of hearing 18.20A, B68administration 18.01, 18.02applications ... ... ... ... 18.03-18.06, 18.20, AlOO—A102, AllO

admission for assessment 18.04.1admission for treatment 18.04.2guardianship order 18.04.6hospital order patients who can apply within first six months of order 18.04.7hospital order without restrictions 18.04.4nearest relative, by 8.03reception into guardianship 18.04.3restriction direction 18.04.5restriction order 18.04.5tables 18.84withdrawal of ... 18.04.8

applications by persons detained for assessment B72-B74appointment of ®85assessment applications 18.26automatic references 18.05background I'll *2case stated i ?aconditional discharge by 18.14, 18.14A

deferred direction for. See deferred directionconditionally discharged patients 18.18

application to a tribunal ... ... 18.18cessation of restriction order or direction 18.18.2change of conditions 18.18.1reclassification 18.18.3

conduct of proceedings ... 18.23"speedy and just determination" 18.23.1

confidentiality 18.23B, 20.30-20.33constitution 18.01, AlOOcontempt of court ^8.23ACouncil on Tribunals, and 18.01.2, 18.23A

delays in tribunal hearings 18.23.1prejudicial publicity 18.23A

ISSUE No. 4

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INDEX 27

MENTAL HEALTH REVIEW TRIBUNALS-cowrmMec/decisions

reasons fordeferred direction for conditional discharge

distinguished from delayed dischargeno power to reconsidernot to be used to effectuate a transfer

delayed dischargedelays in scheduling a hearing

definitionsdetention without treatmentdirectionsdischarge of patients

admission for assessmentadmission for treatmentdeferreddelayedguardianship patientshospital order patientsnot mentally disorderedrestricted patients

restriction directionconditionally discharged

unrestricted patientsdisclosure of documentsduty of hospital managers to refer cases toevidenceexamination of patientsfunction offurther considerationfurther informationguardianship orders, andhearinghospital orders, andincidental mattersinformation relating to conditionally discharged patientsinformation for

disclosure offurther documents received by tribunalHome Secretary's statementresponsible authority's statementstatement relating to conditionally discharged patients

information relating to patientsirregularitiesjudicial review from a decision of

whether tribunal is an equally effective remedyLord Chancellor, andmaking an applicationmanagers

duty to refer casesmedical examinationmedical expert's confidentialitymembers

legalmedical

noticeofficespatients subject to restriction direction

absolute discharge of sentenced prisoners transferred to hospitaladvising Home Secretaryconditional discharge of sentenced prisoners transferred to hospitaldischarge of unsentenced prisoners transferred to hospitalreclassification

patients who have access to

1

powers

delayed discharge

8.24,370-7118.24.118.14A18.14A

18.14A.118.14A.2

18.0918.23.1

B61-B6218.13.2

B68

18.08, A105-10918.08.1

18.08.2

18.14A

18.0918.08.318.08.218.13.1

18.12-18.14, A106-A10918.17

18.18, A10918.07-18.09

... 18.22.5, B67-B68

... 6.09, A102-A103B68

17.04, AllO18.07

18.14A, B71B68

... 18.04.6, A103-A10418.19-18.24, B69-B70

... 18.04.4, A103-A104B63

... 18.23.3,376-37718.22

18.22.5

18.22.4

18.22.218.22.118.22.3

18.22, 375-376372

18.24.1,18.2521.31

18.01.1

363

... 6.09, A102-A103367

... 18.233, 20.30-20.3318.02

18.02.118.02.2

18.20,363-36418.20

. 18.17

18.17.118.17.518.17.218.17.318.17.4. 18.03

. 18.09

ISSUE No. 4

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28 INDEX

MENTAL HEALTH REVIEW TRIBVNALS-continueddeferred discharge 18.14Adischarge 18.08 W Jleave of absence, recommendation for ... 18.10

not applicable to restricted patients 18.14A.2reclassification of patients 18.11restricted patients, in respect of 18.12-18.18transfer, recommendation for 18.10

not applicable to restricted patients 15.18, 18.16unrestricted patients, and ... 18.07-18.11powers to postpone consideration of application ... ... ... B65-B66

prejudicial publicity 18.23Apreliminary mattersprocedures ... ... ... ... ... .•■ ••• 18.19—18,26, A110-A113proceeding on opinion of medical member 18.25.1publicity 18-23Areasons for the decision 18.13.1, 18.24.1reference by managers ^•09references 18.03-18.06

discretion of Secretary of State 18.06references with respect to persons detained for assessment ... ... B72-B74references by Secretary of State 18.06, A102reports by social worker 7.24, 18.22.1

disclosure to patient ... 7.24.1,18.22.5reports relating to conditionally discharged patients 18.22.3, B77reports relating to patients 18.22, B76representation 18.21, B66-B67restricted patients, and 18.22-18.18, A104-A105

absolute discharge 18.13conditional discharge 18.14

deferred direction for 18.14.1leave of absence 18.16reclassification 18.15removal of restrictions ... 18.16transfer 18.16

restriction order, and 15.15, 15.18rules ... ... ... ... ••• ••• ••• ••• ••• B60—B75service of notices ^"72social work reports for 7.24, 18.22.1special verdict of insanity, and 13.05.2statement by responsible authority 18.22, B75-B77statement by Secretary of State 18.22.2, B75-B77statements by responsible authority and Secretary of State 18.22, B64statistics 18.01structure ... ... ... ... ... • • ••• ••• 18.01, 18.02time, rules as to ®71transfer of proceedings B68-B69treatability

admission for treatment patients 18.08.2hospital order patients 18.08.2restricted patients 18.13

two or more pending applications B09visiting and examination of patients 17.04, AllOwithdrawal of application 18.04.8, B69

MENTAL ILLNESS. See also Mental disorder 9.02, 9.07MENTAL IMPAIRMENT. See also Mental disorder. Mental handicap. Defectives 9.03

background 1.11.2definition 9*83, A42derivation of 9.03.3

MENTAL NURSING HOMES 5.02-5.09, A178-A191absence of person in charge ... B82additional registration conditions A185-A186ancillary provisions of Mental Health Act 1983 A191annual fees B80, B87cancellation of registration 5.03.4, A184

ISSUE No. 4

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INDEX 29

MENTAL NURSING HOMES-continuedChristian Science homesdefinitionsdischarge of patients detained indual registrationeffect of cancellation or death on registrationfees to accompany applicationsfrequency of visiting patientsinspection of

obstructioninterviewing patientsMental Health Act 1983, ancillary provisionsnotices in respect of deathsoffencesordinary procedure for registrationPart II or III Mental Health Act 1983, andparticulars required to be furnished by applicantprohibition of holding out premises asprovision of facilities and servicesrecordsrefusal of registrationregistration

additional conditions ...appealscancellationdeath, effect ofdecision of Secretary of Statenotice of conditions or refusal ofrefusal of

requirement for.regulations ...

conduct, as to .suplementary

review processappeal ...notice of conditions or refusal of registratioright to make representations

service of documentsspecially controlled techniquessupplementary regulationsvariation of conditions of registrationvisiting patients

obstruction

MENTAL TREATMENT ACT 1930 ...

MENTAL WELFARE COMMISSION FOR SCOTLAND

MENTAL WELFARE OFFICER. See also Approved social workerambiguity of roleBrady's Caseno statutory requirements as to qualificationreplacement by approved social workers ...variable quality of service

MENTALLY HANDICAPPED PERSONSdetention and interviewing ofparens patriae powers ...sexual relations withsterilisation of

MERCY KILLINGconsent, and

METROPOLITAN COMMISSIONERS

MILIEU THERAPY

MIND

. A Human Condition (1975)removing mental handicap from the Act.

07.1

... A190

5.02, A18017.02.2

... 5.01.1

. A189-A190

... B86

... 5.07.3

A188-A189, B82-B83.. 5.07.4

5.07.2

5.09

B82A193-A195, B85

A186

5.02.1

B86-B875.04, A181-A182

B83-B84B81-B82, B87-B89

... A182-A1835.03, A181, B80

5.03.35.06.3, A187-A1885.03.4, 5.03.5, 5.08

5.08

A187

5.06.1

5.03.2

5.03.15.05, A183, B79-.B89

5.05.1

5.05.2

5.065.06.3

5.06.15.06.2, A186-A187

A195

B80, B84... A183-A184

B80-B815.07, A188-89

5.07.4

1.06.3

22.02.3

7.02,7.037.03

7.03.1

... 7.03

7.03, C157.03

12.0520.09, 20.16.2, 23.01

25.07

20.09

21.07

1.05.3

20.03

1.09.2

9.03.2

ISSUE No. 4

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30 INDEX

MINORScare proceedings 24.21.3

20.13

23.03.4

20.0910.02.2

8.028.02

consent to treatment

court of protectionsterilisation and parens patriae powersinformal admission to hospitalunder guardianshipward of court

MISTAKE. See also Protection of stafffact, of

protection of staff, and 21.25.1law, of

protection of staff, and 21.25.1M'NAGHTEN RULES. See also Insanity 1.03.2, 13.04

criticism of 13.04.6"defect of reason" 13.04.2"did not know he was doing what was wrong" 13.04.4"disease of the mind" 13.04.1medical evidence 13.04.5

MONEY FOR PATIENTS 23.18-23.25ability of patients to handle cash 23.24personal allowance 23.20

reduction below 23.22pocket money 23.21, A143reduction in State benefits 23.19resettlement benefit 23.25reward payments 23.23Secretary of State duty 2.05

MONITORING SERVICES 22.22, 22.23

MOSS SIDE HOSPITAL. See also Special Hospitals 3.06.3Hospital Board 3.05.2

MURDERmandatory life sentence for

diminished responsibility, and 13.09

NNATIONAL ASSISTANCE ACT SCHEMES

arrangements, replacement by C3-C8NATIONAL HEALTH SERVICE 2.01-2.31

co-operation between health authorities and local authorities 2.21-2.26care in the community 2.25coterminosity 2.22exchange of goods and services 2.26joint consultation and planning 2.23joint financing of community services. See also Joint financingof community services 2.24transfer of resources from health authorities to local authorities ... 2.25

current legislation 2.02delegation of authority 2.18duty to provide services 22.21establishment of 2.01organisation of ... 2.01-2.31"patients first" 2.01.2Royal Commission on 2.01.1

NEAREST RELATIVE. See also Acting nearest relative. Relative ... 8.01-8.04acting. See Acting nearest relativeapplication for admission for assessment, by 8.03

form ®22

ISSUE No. 4

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INDEX 31

NATIONAL HEALTH SERVICE-continuedemergency application

formapplication for admission for treatment

formappointment by court. See also Acting nearest relative

discharge of ordersvariation of orders

authorised representative of disabled personauthorising another person to act aschildren and young persons in care of local authoritycomplaints on behalf ofcounty court, appointment by. See also Acting nearest relativedefinitiondischarge by

formsfunctions of

authorising medical examination of patientconsultation before application madedischarge of patientmaking applicationsMental Health Review Tribunal, application toreceipt of information

husband or wife, aslocal authority, asminor under guardianshipminor who is ward of courtrestrictions on discharge by

NECESSITY. See also Treatmenttreatment in absence of consent 20.

NEGLECTED PERSONS. See also Wilful neglect of personswarrant for search and removal

NEGLIGENCEdisclosure of confidential information, andmental capacity, andtreatment, andunlawful restraint, and

NOMINATED MEDICAL ATTENDANTdefinition

NON-PAUPER INSANE

NORTHERN IRELANDapplication of Mental Health Act 1983 toremoval of patients fromremoval of patients toreturn of patients absent from hospital in

NOT GUILTY BY REASON OF INSANITY. See Insanity

NURSESholding powerMental Health (Nurses) Order 1983reasonable nursing instructionsregistrationstatutory functionsUnited Kingdom Central Council and National Boards

NURSING HOMES. See also Mental nursing homesmeaning ofregulations

NURSING STAFFregistration

removal from registerrestoration to register

statutory functions ...United Kingdom Central Council

8.03B26

8.03

B298.05, A68-A69

8.08, A708.08, A70

22.25.18.04

... 8.02, A6722.11A

8.05-8.098.02, A65-A67

... 8.08, 17.02.3B52

8.03, B18-B198.03, 22.11A.2

8.03

8.03

8.038.03

8.038.02

8.028.02, A67-A68

8.028.03, A64-A65

16, 20.16A, 20.16B

21.16.1

20.32.423 31

20.12.1, 20.12.121.04.1

6.17.2

A72-A73

1.05

A15919.03.2, A117-A11919.03.1, A115-A11719.06.1, A121-A122

6.20, 10.05B7

... 6.21

... 6.19

... 6.20

... 6.18

A178-A1912, A178-A179

B79-B89

6.18-6.20... 6.19

... 6.19.1

... 6.19.1

... 6.20

... 6.18

ISSUE No. 4

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32 INDEX

oOBSTRUCTION

Mental Health Act 1983, and 25.05, A146-A147

OFFENCES. See also Sexual offences 25.01-25.13obstruction 25.05

OFFENSIVE WEAPONsearch for 21.22

OFFICIAL SECRETS ACTapplication to special hospitals 3.11

ORDERS FOR ADMISSION TO HOSPITAL A14, A32-A33effect of A16-A17

OVERSEER OF THE POOR 7.01

PARENS PATRIAE POWERS 20.09, 20.16A, 20.16B, 23.01, 24.23

PARENTAL RIGHTSlocal authority, assumption by 24.19

PARENTSEducation, and. See Education

PARENTS AND CHILDREN 24.17-24.23assumption of parents rights by local authority 24.19care proceedings. See Care proceedingsguardianship of minors 24.22parent under jurisdiction of Court of Protection 24.17place of safety provisions 24.20voluntary care 24.18wardship 24.23

PARK LANE HOSPITAL 3.06.4Hospital Board 3.05.2tribunal decision 18.13.1

PARLIAMENTARY COMMISSIONERapplication to special hospitals 3.12.2

PART III ACCOMMODATION 4.05local authority having power to provide 4.05.2management of 4.05.1

PARTNERSHIP 23.29

PATIENTScourt of protection 23.03defined A158ill treatment of 25.03, A145-A146money for 23.13-23.25protection of rights of 22.01-22.23sentenced to imprisonment 11.17 w-Vwelfare of .. 4.10.2

PATIENTS NOT SUBJECT TO SPECIAL RESTRICTIONS, application of MentalHealth Act 1983 to. See also Hospital Orders A161-A162

PATIENTS SUBJECT TO SPECIAL RESTRICTIONS, application of Mental Healthact 1983 to. See also Restriction Orders A162-A163

PAUPER LUNATIC 1.02.1

PAY

mentally disordered persons, of 23.16, A156

PENSIONSmentally disordered person, of

ISSUE No. 4

23.16, A156

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INDEX 33

PERCY COMMISSIONassimilation of psychiatry with general medicinecare without compulsionCourt of Protectionequivalence in status of patientsMental Health (Amendment) Act, andno "designation" of hospitals

PERSONAL ALLOWANCE. See Money for patientsPERSONAL CARE

meaning of

PERSONAL COMMUNITY CHARGEexemptions for specified persons

PERSONNEL

PHENOTHIAZINES

PLACE OF SAFETYdefinition

PLANNING PERMISSION"Green Belt" Land

POCKET MONEY. See Money for patientsPOLICE

powers of. See Powers of police

POOR INSANE

POORHOUSE

POWER OF ATTORNEY. See also Enduring power of attorneymental capacity

POWERS OF ENTRYsocial services, and

POWERS OF INSPECTIONsocial services, and

POWERS OF POLICEassistance to remove patients to place of safetyassistance to retake patientsconfessionsHome Office guidelinesinterrogationmaximum periods of detentionmentally disordered person found in public place

"a place to which the public have access" .."appears to be suffering from mental disorder and to be

immediate need of care and control"criticism ofdetentionhospital managers, duty ofmedical examination"place of safety"removalsocial work interviewright to have someone informed when arrested .,warrant to enter premises

POWER TO DETAIN PATIENTrecord of time at which power lapsed

form

PREDICTION OF DANGEROUSNESSpsychopathic disorder

PREMISESentry and inspection, of. See Entry of premises

PRISONERS. See Imprisonment, Patients, Prosecutions, Transfer totenced prisoners

... 12.02.3,

1.08, 1.11... 1.08.1

... 1.08.2

23.01.1

... 1.08.3

... 1.11

... 1.08.4

... A178

... 24.43

6.01-6.19

20.05.1

21.16.1, A94-A95

4.17

4.17.1

... 1.02

... 1.02.1

... 23.27

23.27.1

... 4.09

... 4.09

12.02, 12.03... 12.03... 12.03

12.05.312.05.4

... 12.05

12.05.1... 12.02

12.02.1

12.02.212.02.712.02.4

12.02.612.02.5

12.02.312.02.412.02.512.05.212.03.1

B35

9.04.2

hospital, Unsen-

ISSUE No. 4

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34 INDEX

PRIVATE GUARDIAN. See also Guardianshipmeaning of 11.07.3, Bll

PRIVATE MADHOUSE

PRIVILEGE

PROBATION ORDERpsychiatric treatment, with condition of

PROCUREMENT OF DEFECTIVE. See also Sexual Offences ...

PROFESSIONAL ADVISORY MACHINERY

l.OS.l

20.32.8

15.24, 15.25... 15.25

25.08.1, A3

... 2.20

PROPERTY OF PATIENT ...money. See Money for patientsmovable

23.01-23.31

23.17

PROSECUTIONSby local authorities, under Mental Health Act 1983 ... 25.04.4, A147decision regarding mentally disordered person. See Decision to prosecute

PROSTITUTION. See Sexual offences

PROTECTION OF PATIENT 22.01-22.23default powers. See Default powersinquiries. See Inquiriesmonitonng servicesstatutory duties, individual enforcement of 22.21

inadequacy of resources 22.21.1PROTECTION OF STAFF 21.25-21.33

access to courts under European Convention on Human Rights 21.33acts done in pursuance of Mental Health Act 21.29collective decisions of staff 21.29.2expressly or impliedly provided for 21.29.1appeals, and 21.28background 1.11.3burden of proof 21.26.1cross examination 21.25, 21.26.1habeas corpus, and 21.31history ^*^^4 ainformal patients, application of s. 139 to 21.30judicial review, and 21.25.2, 21.31mistake of fact 21.25.1mistake of law 21.25.2judicial review, of • • • 21.31performing act without actual authority 21.25.1procedural protection against litigation 21.26

burden of proof 21.26.1proceedings instituted without leave 21.26.2

section 139 not applicable, when ... 21.27substantive protection against litigation 21.25test for granting leave 21.25vexatious litigantvicarious liability, and 21.32

PSYCHIATRIC DIAGNOSES 9.07affective psychoses 9.07mental handicap 9.08mental illness 9.07organic psychotic conditions 9.07schizophrenia 9.07

PSYCHOPATHIC DISORDER. See also Mental disorder 9.04abnormally aggressive or seriously irresponsible behaviour 9.05criticism ofdefinition 9.04, A42, A196detention without treatment ...not solely by reason of sexual deviancy 9.01, 18.13.1, 18.24.1proposals for reform ... 9.04.2

ISSUE No. 4

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INDEX 35

PSYCHOSURGERY 20.07treatment which gives rise to special concern 20.20.2

PSYCHOTHERAPY 20.04

PUBLIC PLACEdefinition 12.02.1mentally disordered person found in 12.02

PUBLIC TRUSTEE. See also Court of Protection 23.02.5

RRAMPTON HOSPITAL. See also Special Hospital 3.06.2

Hospital Board 3.05.2Review Team 3.05i2, 3.06.2

RECALL TO HOSPITAL. See Leave of absence, Restriction Orders

RECEIVERS 23.06, B104accounts 23.06.5, B108-B109criteria for appointment 23.06.2, A134-A135difficulty in finding 23.06.4discharge 23.06.6duties 23.06.1first application for appointment

form butpowers 23.06.1public trustee, as 23.02.5receiver ad interim 23.07.1security 23.06.5, A134-A135, B107-B108who can be appointed 23.06.3

RECEIVERSHIP 23.06public trustee 23.02.5

RECLASSIFICATION OF PATIENTS. See also Mental disorder 9.06, A55-A56forms B41, B42procedure for B14record of *" ] b14

RECORD OF ADMISSIONform B34

RECORDSlist of D1-D6

RECTIFICATION OF DOCUMENTS 11.12, A54, A55REGIONAL HEALTH AUTHORITIES 2.06-2.10

conduct of meetings 2.08consultants'contracts [** 2.10functions ' 2.09membership ].* 2!o7

REGIONAL SECURE UNITS 3.14, 3.15background 3.14management 3.15

REGISTERED HOMES TRIBUNALS 5.16-5.17, A191-A193allowances A193appeals relating to registration, and a192constitution of 5.15, a192constitution of panels for chairmen and members A191expenses A193fees ;;; ;;; awsprocedure 5.17, A192-A193staff for A193

RELATIVE. See also Acting nearest relative, Nearest relativechild in care of local authority, and 8.02

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36 INDEX

RELATIVE—continueddefinitionfather or mothernearest. See Nearest relativenot UK residentordinarily residing with or caring for patientson or daughter

REMAND CENTREperson detained in

transfer to hospital

REMANDS TO HOSPITALreport, for

"accused person"meaning of

duration ofeffect ofgroundsprocedures

treatment, forduration

effectgroundsproceduresto whom applicable

REMOVAL OF PATIENTSaliens

Channel Islands, to and fromdate of reception

formgeneral provisions ...Isle of Man, to and fromNorthern Ireland, fromNorthern Ireland, toScotland, towarrant for

REPATRIATION OF PRISONERS 19.07consent of prisoner required 19.07.1

person acting on prisoner's behalf 19.07.1RENEWAL OF AUTHORITY TO DETAIN. See Admission for treatment

REPRESENTATION. See Advocacy, Mental Health Review Tribunals

RESIDENTIAL CARE HOMES. See also Registered Homes Tribunals5.10-5.15, A168-A178

conduct of A168-A177... 5.10

... 5.01.1

5.14, A176... 5.14.2

... 5.14.1

... 5.14.3

... 5.14.4

5, A193-A1955.15.2, A177

... 5.15.1

1, A168-A177... A171

... A175

5.11.6, 5.11.7, A172-A173... 5.11.4

... A171

A170, A1715.11.5, A171

... A174

... A169

8.02, A65-A67, A177-A1788.02

8.028.028.02

14.03.1

14.14, 14.15, A74-A7714.14

14.14.1

14.14.3

14.14.414.14.214.14.2

14.15

14.15.314.15.4

14.15.214.15.2

14.15.1

... 19.01-19.05, B1719.05

... 19.04, A119-A120

B51

A123

... 19.04, A119-A120

... 19.03.2, A117-A119

... 19.03.1, A115-A117

... 19.02, A114-A115A150-A152

definition

dual registrationinspection of ...

persons authorised by local social services authoritypersons authorised by Secretary of Staterecords, oftimes

offencesdefencespenalties

registrationannual fee

appealscancellation ofconditions ofdeath of only person registered in respect ofgeneralinspection of registerslocal authority, decision ofmanagers, of

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INDEX 37

RESIDENTIAL CARE WOMBS-continuednotice of conditions or refusal 5.12.1

A169

A170

A173

A169

5.11.23, A171-A172

... 5.11.1A173-A174

3, A175-A1765.12

5.12.3

5.12.1

5.12.2

A195

5.1

J offence of carrying on home withoutoptionalordinary procedure

persons in controlprocedure

refusal ofrequirement forright to make representations

regulations as to conductreview process

appealsnotice of conditions or refusal of registration

i . right to make representationservice of documents

RESPONSIBLE MEDICAL OFFICER (RMO). See also Medical practitioner . 6.17.1definition 6.17.1, A73, A94-A95, A99-A100discharge by 17.02.1exercise of clinical judgement 11.18.1restriction order, and 15.19

RESTRAINT 21.01-21.18admission to hospital, following 21.15consent as justification for use of restraint. See Consentconstraint of detained person within premises of hospital 21.15.1dangerous nientally ill person, of 21.11

interaction between statute and common law 21.11.1entry of premises, and 21.13.5incompetent patient, and 21.06insane person cannot commit crime 21.08.5inspection of premises, and 2l!l3!5Mental Health Act, 1983, and

after application under Part II completed 21.14application deemed to be duly completed 21.13.3before application under Part II completed ... 21.13

conveyance to hospital 21.14.1trespass, and 21*14*2

■custodycustody, conveyance and detention 21.17distinction between warrant issued under section 135(1) and (2) ... 21.16.3gaining access to patient for interview or examination 21.13^1

trespass, and 21.13^2licence to proceed from gate to door of dwelling house 21.13.4other methods of gaining access to patient 21! 13^5patients liable to be taken or retaken 21.* 16^2

retaking patients escaping from custody. S.ee also Escaped patients 21.18warrant to search for and remove patient 21.13.5

necessity, doctrine of 2l!o6!lobstruction of persons seeking to interview or examine, and 21.13.6offensive weapon, possession of 21*08*1powers of • ■ • 21.01-21.i8powers under Mental Health Act 1983 21.12-21.18

I i prevention of breach of peace ' 21*09prevention of crime, ancf ' ' ' . . . 21M

making of "fine" judgements not necessary 21.08.3prevention of harm as justification for 21.08-21.11"reasonable in the circumstances" * 21.08.2self-defence, and 21.iosuicide, and 21.08 4unlawful. Unlawful restraint 2l!o8!4warrant to search for and remove patients ] 21.io

RESTRICTED PATIENT. See also Restriction ordersabsolute discharge 15.16.2conditional discharge

by Home Secretary 15.16.3

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7.25A, 15.17.1 .. A113-A114. 18.12-18.18

... 16.03

38 INDEX

RESTRICTED PATIENTby tribunal 18.14supervision and aftercare

definitiondischarge by tribunalRestriction direction

RESTRICTIONS ON DISCHARGEhospital order with. See also Hospital order, Restriction order ... 15.11-15.21

RESTRICTION ORDERS. See also Home Secretary ... 15.11-15.20, A82-A86Advisory Board on Restricted Patients 15.20definition 15.01, 15.11discharge, and 15.15, 17.06

supervision and aftercare of conditionally discharged patients 7.25A, 15.17.1duration of 15.13effect of 15.15grounds for making 15.12

"serious harm" 15.12Home Secretary, and 15.15, 15.17

absolute discharge 15.16.2conditional discharge 15.16.3exercise of powers 15.17recall 15.16.3removal of restrictions 15.16.1

leave of absence, and 15.15Mental Health Review Tribunal, and 15.15, 15.18power of higher courts A82-A83power of magistrates to commit to Crown Court 15.14, A84, A85-A86, A92-A93

appeals, and ^86custody, in 15.14.1hospital, to 15.14.1

recall to hospital 7.25A, 15.16.3, 15.17.1renewal of detention, and 15.15responsible medical officer, and 15.19Secretary of State, powers of 15.16, A83-A84transfer, and 15.15

RETAKING OF PATIENTS ESCAPED FROM CUSTODY. See also Restraint21.16.2, A152-A154

RETRIAL A21-A22

RETURN OF PATIENTS 19.01-19.05absent without leave 19.06, A57-A58, A121-A123

RIGHTS OF PATIENTS 24.01-24.42

ROYAL COLLEGE OF PSYCHIATRISTS 6.16ROYAL COMMISSION ON CARE AND CONTROL OF THE FEEBLEMINDED

1.07.2

ROYAL COMMISSION ON LUNACY AND MENTAL DISORDER. See MacMillanCommission

ROYAL COMMISSION ON THE LAW RELATING TO MENTAL ILLNESS ANDMENTAL DEFICIENCY 1957. See Percy Commission

SALARYmentally disordered person, of 23.16

SCHIZOPHRENIA

SCOTLANDapplication of Mental Health Act 1983 toMental Welfare Commission, for

ISSUE No. 4

.. A15922.02.3

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INDEX 39

SCOTLAND—continuedremoval of patients to

SEARCH. See also Restraintdangerous articles, fordetained patients ...general inspection of patient's roomoffensive weapon, forpatients, ofproperty, ofstolen property, forwarrant for ...

SECLUSIONin special hospitals

SECOND OPINION. See also Consent to treatmentcertificate of

form

SECRETARY OF STATE FOR HEALTHcode of practice. See also Mental Health Act Commissiondefault powersfunctions of. See also Mental Health Act Commission ...functions relating to mental health

19.02, A114-A115

... 21.19-21.2421.2021.24

21.19

... 21.22... 21.19-21.24... 21.19-21.24

... 21.21... A150-A152

20.08A... ... 3.12A

... B55

2.03-2.0522.14, A139-A140

... 22.20, A14422.05, A139-A144

2.05general protection of detained patients. See also Mental Health Act Commission

22.05, A 140-A141inquiries 22.19, A144joint consultative committees, and ... ... ...2.23.2practitioners approved for purposes of Part IV and section 118 of the Mental HealthAct 1983 ... 20.22, A140

services ... ... 2.04charges as to . . .2.04.3duties as to ... .!! 2.04.1powers as to ! 2!o4!2

special hospitals 3.04-3.05vicarious liability of ... 21.32

SECRETARY OF STATE FOR WALES. See also Secretary of State for Health2.03-2.05

SELF-DEFENCErestraint, and 21.10

SENTENCEappeal against. See also Appeal A22-A25meaning of A31

SENTENCING 15.01-15.25mental disorder at time of ... 15.01-15.25

SERIOUS HARMmeaning of

SERIOUSLY IRRESPONSIBLE CONDUCT. See also Mental disorder

SERVICES FOR THE MENTALLY DISORDERED. See also Social Servicesaftercarebackground ''monitoring ofprevention, care and aftercarereplacement of schemes by arrangements

SEVERE MENTAL IMPAIRMENTdefinitionfor purposes of personal community chargefor purposes of Sexual Offences Act

SEX HORMONE IMPLANT TREATMENTgives rise to special concern

SEXUAL INTERCOURSE WITH PATIENTS

SEXUAL OFFENCESabduction from parent

15.12

9.05

4.08

... 1.11.122.22, 22.23

... 4.07

C9-C13

9.03... A42... 24.43... 25.07

20.20.2

A9-A10

... 25.06-25.12, A3-A625.08.2

ISSUE No. 4

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40 INDEX

SEXUAL OFFEHCES-conHnuedcompetency to consent to sexual intercourse 25.06Criminal Law Revision Committee 25.11.1European Convention on Human Rights 25.12homosexual acts with severely mentally handicapped man 25.09matters for the jury 25.09permitting use of premises for intercourse 25.08.3powers of court A5procurement 25.08.1proof of exceptions A6proposals for reform ... Ve aq Vprostitution, causing or encouraging 25.08.4, A4-A5severe mental impairment 25.07sexual intercourse with patients by members of staff 25.10

hospital patients 25.10.1patients under guardianship, in custody or care 25.10.2

sexual intercourse with severely mentally handicapped woman 25.07defendant incompetent to consent to hospital order, and ... ... 15.05.1

SOCIAL REPORTS 7.18

SOCIAL SECURITY BENEFITreduction in 23.19

SOCIAL SERVICES. See also Approved social worker. Community care 4.02-4.10.2advocacy for 22.25-22.27after-care ... ... ... ... ... • • ••• ••• 4.07, A138, A139

advocacy for, and disabled people 23.24-22.27authority responsible for providing 4.08.4background to 1.11.1conditionally discharged patients 15.17.1duration of duty 4.08.3duty to provide... ... ... ... ... ••• 4.07, 4.08, A138, A139enforcement of duties 4.08.5entitlement to services 4.08.1Mental Health Act 1983, under 4.08of conditionally discharged patients 7.25A, 15.16.3, 15.17.1, 18.14Apatients "liable to be detained" 4.08.2

approved social workers. See Approved Social Workerscare of persons suffering from illness 4.07crisis intervention 7.08, 7.26Director oflegislative structure 4.03Local Social Services Authority, definition of 4.04.1National Health Service Act 1977, and 4.07organisation 4.04Part III Accommodation. See Part III Accommodationpowers 4.02powers of entry and inspection 4.09

approved social worker, by 4.09.1duly authorised officer of Secretaiy of State, by 4.09.2person authorised by local authority 4.09.3

prevention, care and aftercare 4.07Social Services Committee 4.04.2voluntary organisations, use of 4.06.1welfare of hospital patients ... 4.10.2welfare services under section 29(1) National Assistance act 1948 4.06

SOCIAL SERVICES AUTHORITIESstatutory duties

summarystatutory functions

summary

SOCIAL WORKERappointment ofapproved. See Approved social workerfunction ofpower of entry and inspection 4.09.1

7.27

7.27

ISSUE No. 4

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INDEX 41

SOCIAL WORKER-conHnuedsocial enquiry report, care proceedings 24.21.1

•L J social reports for hospital managers 7.18tribunal reports . . . 7.24

SPECIAL EDUCATION. See education

SPECIAL EDUCATIONAL NEEDS 4.22.1management of special hospitals 3.05.2

SPECIAL HEALTH AUTHORITIES. See also Special Hospitals ServiceAuthority 2.16

SPECIAL HOSPITAL SERVICES 3.01-3.14

SPECIAL HOSPITALS. See also Broadmoor, Moss Side, Park Lane, Ramptoni I 3.04-3.13

admission 3^97application of Mental Health Act to patients in 3^09complaints, investigation of 3.12current management arrangements 3.05.2A"dangerous, violent or criminal propensities" 3.04.3definition 3,q4description of four special hospitals 3*06difficulty in effecting transfer to local NHS hospital ... 3.08.1discharge 3.O7"for persons subject to detention" 3.04.1management 3,05

current "i05.2Adelegation of functions 3.05.2Secretary of State 3.05.1

Official Secrets Act, application of 3.11seclusion 3.12Atransfers I" **] *3,08travelling expenses of visitors 3] 10

SPECIAL HOSPITALS RESEARCH UNIT 3.I3

SPECIAL HOSPITALS SERVICE AUTHORITY 3.05.1, 3.05.2Aestablishment and constitution 3.05.2A, B167functions and membership 3.05.2A, B168

SPECIAL HOSPITALS SERVICE BOARD 3.05.1

SPECIAL SECURITYmeaning of 3.04.2

SPECIAL SCHOOLS 4.27closing of . . . 4.27.2withdrawal from 4.27.1

SPECIAL VERDICT. See also Insanity 13.03, 13.05STANDARD ADVISORY COMMITTEES 2.20

STATUTE DE PREROGATIVA REGIS 20.16.2, 23.01STATUTE OF LIMITATIONS 24.29

ST AUGUSTINE'S REPORT 1.09.1

STERILISATION 20.09, 20.16, 20.16A, 20.16Badults 20.16Bminors 20.16Aparens patriae powers 20.16B

SUBNORMALITY. See also Mental deficiency. Mental impairment 9.03.1medicalisation of 1.07.5

SUICIDEabetting 21.07not crime 21.08.4

I j restraint, and... 21.08.4

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42 INDEX

T

THERAPEUTIC RELATIONSHIP. See also Confidentiality; Treatment 20.01-20.34

TORT . 23.31

20.05.2TRANQUILLISERS

minor

TRANSFER DIRECTION. See Transfer to hospital

TRANSFER OF PATIENTS. See also Compulsory admission to hospitalII'IS, B14—B16

authority forforms

conveyance ofexercise of clinical judgementhospital order patientsregulationsto and from guardianship. See Guardianshipto and from special hospitals 3.08, A143-A144

TRANSFER TO HOSPITAL OF PERSONS SERVING SENTENCES OF IMPRISONMENT. See also Unsentenced prisoners 16.01-16.03

criteria 16.02

B43-B46

B16-B17

11.18.1

... 15.10

A58-A59

current practice of Home Secretaryprocedurestransfer direction, effect of...

16.03

16.02

16.03

TRIAL

mental disorder at time of 14.01-14.16

ISSUE No. 4

TREATABILITY TEST. admission for treatment 11.01, 11.06.1

background 1.11.2discharge by tribunal

admission for treatment patients 18.08.2hospital order patients 18.08.2restricted patients 18.13

hospital order 15.06, 18.08.2psychopathic disorder 9.04.2

TREATMENT. See also Medical treatment 20.01-20.29absence of consent 20.16, 20.16A, 20.16Bcommunity basedconsent to. See Consent to treatmentEuropean Convention on Human Rights. See European Convention onHuman Rights

"inherent implications" 20.12.2mental disorder, for 20.02-20.09necessity. See Necessitynegligence, and 20.12.1-20.12.2parens patriae powers to provide 20.16.2permanently incompetent patient 20.16.1power to treat ^

whether arising under common law 22.11A.1reasonableness test 20.12.1review of ... ... 20.26urgent 20.27

TRESPASSmental capacity, and 23.31

TRESPASS TO THE PERSON ... 21.02consent to treatment, and 20,11direct action 21.02.3

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INDEX 43

UUNHTNESS TO PLEAD

appealburden of proofdefendant's costseffect of findinginsanity upon arraignmentjury, determination bypostponement of issuereform of law, proposals forremittal for trial, andsubstantive test to be appliedterminologywho can raise issue

UNLAWFUL RESTRAINT. See also Restraintcriminal offences

Mental Health legislation, underduty to patient to prevent him taking his own lifeduty to prevent dangerous acts of detained patientsknowledge of restraintnegligencetrespass to the person

UNSENTENCED PRISONERStransfer to hospital

basic provisionscivil prisonersduration of directiongroundspersons detained in prison or remand centrepersons detained under Immigration Act 1971

persons remanded by magistrates' courtproceduresproposals for reform of provisionstransfer direction, effect of

UNSOUNDNESS OF MIND. See also Mental disorderEuropean Convention on Human Rights, under

URGENT CASESnotification of hospitals having arrangements for reception of

URGENT TREATMENT. See also Consent to treatmentconsent, and

14.05-14.13, A13-A1414.10, A28-A29

14.06.1

... 14.10

... 14.11

... 1.03.3

... 14.09

... 14.08

... 14.13

... 14.12

... 14.07

... 14.05

... 14.06

21.02-21.04... 21.0321.03.121.04.221.04.2

21.02.4

21.04.121.02.1

14.02-14.04... 14.02

14.03.3... 14.03

14.02.1

14.03.114.03.1

14.03.2

14.02.1

.. 14.04

14.02.2

.. 9.09

.. A154

... 20.07

VAGRANCY

VICARIOUS LIABILITYhealth authority, ofSecretary of State for Social Services, of...

VISITING OF PATIENTSauthorised representativedoctor authorised by the nearest relativeMental Health Act Commission

VISITORSspecial hospitals, to

travelling expenses of

VOIDABLE MARRIAGE. See also Marriagelack of consentmental disorder

... 1.02.2

... 21.32

... 21.32

22.25.28.03, A64... 22.10

3.10

24.1324.13.1

24.13.2

ISSUE No. 4

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44 INDEX

VOLUNTARY MENTAL PATIENTS. See also Informal admission to hospital 24.06meaning of 24.06.1

VOTING RIGHTScases

incapacity by virtue of mental disorderpersons entitledregistration of detained mental patientsregistration of voluntary mental patients

attestationcancellation of declarationdefinitions

local electionsnotification to patientsobservationspatient's declarationpostal vote -..

11.3, 24.02-24.06, A34-A3624.02.2

... 24.04

... 24.03

... 24.05

... 24.06

... 4.06.424.06.5

24.06.1

24.06.6

24.06.2

24.06.8

24.06.3

24.06.7

wWARDS OF COURT. See also Parens patriae powers

compulsory admission to hospitalWARDSHIP

sterilisation

WARNOCK REPORTimplementation

WARRANTsearch for and remove patients

WELFARE OF CERTAIN HOSPITAL PATIENTS

WILFUL NEGLECT OF PATIENTSMeaning of

WILLScapacity to makecourt of protection, andexecution of

A7211.03

20.16B, 24.3320.09, 20.16A, 20.16B

4.18.44.19

... 21.13.5, 21.16, A150-A152

4.10.2, A138

25.03.4

23 2823.05!i, Ai27-Ai28

ISSUE No. 4