❓ This WA parliamentary question addresses the procedures and policies surrounding the discharge of mental health patients from emergency departments and involuntary detention in hospitals, including assessment processes, review mechanisms, and relevant legislation.
AnsweredQoN 1552Legislative Assembly
QuestionView source ↗
(b) discharge?
AnswerView source ↗
Answered
21 November 2006
Responded by
Minister for Health
Response time
35 days
(b) voluntary,
(b) A patient may be discharged from the Emergency Department following an examination either by the medical officer or psychiatric registrar. (2) Yes.No. (3) Not applicable. (4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(2) Yes.No. (3) Not applicable. (4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(3) Not applicable. (4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
, Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(b) A patient may be discharged from the Emergency Department following an examination either by the medical officer or psychiatric registrar. (2) Yes.No. (3) Not applicable. (4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(2) Yes.No. (3) Not applicable. (4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(3) Not applicable. (4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(4) Although there is no specific state-wide policy, most Emergency Departments have a protocol of regular reviews by the on-call psychiatrist of persons with a mental illness requiring admission while the person awaits transport to the hospital. (5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(5) No. (6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(6) Not applicable. (7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(7) Although there is no mandatory standard procedure for the conduct of mental health assessments, clinicians are familiar with and use the Mental State Examination (MSE) process, which can lead to a decision as to treatment options. The MSE is a standardized process used to determine the patient's mental state at the time of presentation and is used across all services. The result of this examination is combined with the psychiatric history to produce a psychiatric formulation of the person being examined. The Mental Health Division is currently developing a policy aimed at establishing the minimum standards for clinical risk assessment and management in Western Australian public mental health services, which will apply to all clinicians and managers in those services. This policy states the times when a clinical risk assessment is to be undertaken including when there has been a significant change in the patient's status. A draft of this policy is being considered by the mental health sector with the aim of releasing the policy in early 2007. A training package for mental health staff will be part of the policy implementation. (8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(8) Under the Mental Health Act 1996 (MHA), a medical practitioner or an authorised mental health practitioner who suspects on reasonable grounds that a person should be made an involuntary patient may refer the person for an examination by a psychiatrist at an authorised hospital. The psychiatrist will assess and makeexamine the person and make a determination in line with section 26 of the MHA as to whether the person should be made an involuntary detained patient. to make the patient involuntary. (9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(9) Under the Mental Hhealth Act 1996 a review of the decision to admit a person as an involuntary patient is undertaken by the Mental Health Review Board (MHRB). The MHRB conducts a review on request or on a mandatory basis within eight weeks of the person being made an involuntary patient. , Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
, Iinvoluntary patients can be detained for an initial period of up to 28 days. Before the end of this period the treating psychiatrist must examine the patient and decide whether to extend the involuntary detained status, make a community treatment order or make the person no longer involuntary. (10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(10) At any time while a person is detained as an involuntary patient in an authorised hospital a Psychiatrist may, : ·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
·if the psychiatristhe or she believes that the person should not continue to be an involuntary patient, order that the person is not longer an iInvoluntary patient ·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
·make a Community Treatment Order in respect of the person. The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
The person may also be made no longer an involuntary patient by the Mental Health Review Board. (11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(11) Under the Mental Health Act 1996, a psychiatrist must examine the patient within the first 72 hours and decide to make another order or decide not to, in which case the person is entitled to leave or with the psychiatrist's permission become a voluntary patient.At any time a psychiatrist may make a person no longer involuntary if the patient does not meet the criteria of section 26 of the MHA. There is no mandatory review of the decision to make an involuntary patient voluntary. (12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(12) On presentation to the Emergency Department of a hospital a person will be assessed for the purposes of deciding whether a voluntary admission is required. The person would be admitted to hospital if the hospital psychiatrist decides they have a treatable mental illness and needed to be in a hospital environment. (13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(13) The care needs of all voluntary psychiatric patients are reviewed on a daily regular basis by the treating psychiatrist/team. (14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(14) A Psychiatrist must examine the person and may reclassify make a voluntary patient to an involuntary patient only if the person meets the section 26 criteria under the MHA for involuntary status. (15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(15) All involuntary patients, either on a community treatment order or detained in an authorized hospital must be reviewed by the Mental Health Review Board (MHRB). The MHRB will conduct a review either on request or on a mandatory basis within eight weeks of the person being made involuntary. (16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(16a) Under the Mental Health Act 1996, involuntary detained patients are detained treated in an authorised hospital either in a secure setting or in a less restrictive way if they are not at risk of absconding. The secure setting minimises the risk of the patient absconding. Involuntary patients who abscond are considered to be absent without leave and may be returned to the hospital by the police or persons authorised by the hospital. (b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
(b) Voluntary patients can leave public hospitals at any time. It is preferable they give notice of their intention however they are entitled to leave the hospital as any general patient would. on request. This request is followed by discussions with the treating team who would undertake a determination of risk and appropriateness. A voluntary patient may be prevented from leaving an authorised hospital for up to six hours under section 30 of the MHA if a senior mental health practitioner believes that they require an assessment as to whether they should be referred for examination by a psychiatrist. If the patient has already left the hospital a risk management process is conducted and hospital or service protocols are then applied to manage the situation. If there are health and safety concerns for the persons or others, relatives will be contacted. In high risk situations the police may also be informed.
Explore WA Government Data
Search the full archive in the free dashboard, or query programmatically via API.
Explore more
Government Gazette
Appointments, regulatory notices, planning changes.
Hansard
Debates, questions, speeches and sentiment.
Tabled Papers
Reports and documents tabled in Parliament.
Committees
Committee profiles and recent reports.
Regulations
Subsidiary legislation with filters and summaries.
Bills
Proposed laws and parliamentary progress.
Acts
Current WA legislation and summaries.
Explanatory Memoranda
Bills with EMs (text/PDF) available.
Members
MP profiles, party breakdown and rankings.
Pollie Rankings
Data-driven rankings across 19 categories.
Amendment Chains
Track how schemes and regulations evolve over time.