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Promoting Quality Care

Mental health legislation and capacity

  • 3 things to know
  • AS 1

Overview

Difference between a voluntary patient and a detained patient, role of the responsible medical officer and mental capacity.

What you need to know

Answer each one before you reveal it.

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Numbers

What does the Mental Health (Northern Ireland) Order 1986 provide for?

Numbers

Which conditions are expressly excluded from the definition of mental disorder in the Mental Health (Northern Ireland) Order 1986?

Key term

Explain the difference between a voluntary patient and a detained patient.

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What does the Mental Health (Northern Ireland) Order 1986 provide for?

    Model answer

    The Mental Health (Northern Ireland) Order 1986 provides for the assessment, admission, detention and treatment of people with a mental disorder, and sets out the safeguards that go with compulsion.

  2. 2

    Which conditions are expressly excluded from the definition of mental disorder in the Mental Health (Northern Ireland) Order 1986?

    Model answer

    The Mental Health (Northern Ireland) Order 1986 excludes personality disorder and dependence on alcohol or drugs from the definition of mental disorder. Neither condition alone is grounds for compulsory admission.

  3. 3

    Explain the difference between a voluntary patient and a detained patient.

    Model answer

    A voluntary patient agrees to come into hospital and may leave, while a detained patient is kept there under compulsory powers and needs authorisation before leaving.

  4. 4

    Who applies for a compulsory admission for assessment under the Mental Health (Northern Ireland) Order 1986?

    Model answer

    An application for compulsory admission is made by an approved social worker or by the person's nearest relative. The application must be supported by a medical recommendation.

  5. 5

    How long may a person be detained for assessment under the Mental Health (Northern Ireland) Order 1986?

    Model answer

    Detention for assessment lasts up to seven days and may be extended by a further seven. The maximum assessment period is therefore fourteen days.

  6. 6

    How long does an initial detention for treatment last under the Mental Health (Northern Ireland) Order 1986?

    Model answer

    An initial detention for treatment lasts up to six months and may be renewed if the grounds still apply.

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