Video Transcription

Hey everyone, welcome to another psych student video.

Today we're looking at the mental health act as a real quick overview. This is relevant for England as of 2020.

So first of all, we're going to think about how people get into Hospital in the first place. So I'm drawing out a house here which represents people in their own home or a safe space and what that means is that if someone is thought to be unwell, we need a warrant and a section 135 that allows for the police to move the person outside of that home. The other option is a section 136 which can be applied when someone's in the community or a public space in these cases both options mean that someone is moved to a place of safety. Sometimes referred to as a POS. And once there there's 24 hours in which a mental health act assessment must take place. This requires two doctors and an approved mental health act practitioner to all meet and assess the person.

Once the mental health act assessment takes place there are lots of different options for the person. It may be that they don't need to come into hospital at all and they can go home with support for example out-patients or different teams within Psychiatry might be able to go and see them at home. They might come in informally, which means they've agreed voluntarily to come into hospital with capacity. There are sections 2 and 3 of the mental health act which apply when a person does not have capacity or does not consent to an informal admission. A section 2 can last for up to 28 days at which point another assessment is needed to see if the section 3 is required. On the other hand a Section 3 could last for up to six months. At which point again another assessment is required for review of this process and appeals can be completed throughout in both cases. The section could be discharged earlier with agreement of their consultant.

Alternatively, you might find that there's a person that is very unwell from a mental health perspective, but they are already in a hospital. Just not under mental health law already. So, if they were to become unwell in a hospital, whether it's a general or a psychiatric unit if they wanted to leave and you felt that it was unsafe for them to do so because of mental health there is the option for a Section 5(4) or Section 5(2). Section 5(4) is usually done by members of nursing team and last for up to six hours. A section 5(2) on the other hand is usually done by Medics and doctors and that can last for up to 72 hours the purpose of which is to obtain a mental health assessment. This can't be done in A&E because they're not an inpatient and they need to be an inpatient for this to be applicable.

Other options include liaison with the criminal justice system. This can be much more complex and there's lots of different section options that might apply depending on where abouts the person is in this process. So once they come into a police station it potentially means they might go in and be placed on remand they might then go on to be convicted of a crime and may end up in prison and at either of these stages either in police custody, remand or even in prison it may be the person becomes unwell or is felt to be unwell from a mental health perspective then and they need to be transferred to a hospital. So psychiatric treatment depends on where they are in this process. There's lots of different types of sections and different restrictions that may come from the ministry of justice and it may be that after the time at hospitals are required to go back to prison or remand.

Thank you very much for your time. Please do like subscribe and share if you do like the video. Thank you very much.