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Background
• Intended to repeal and replace Mental Health Act 1996
• 1996 Act commenced late 1997, 5 year review clause
• Holman Review commenced 2001
• Change of Government, appointment Minister for Mental
Health, Mental Health Commissioner
• Advice from local, national and international experts
• Exposure Draft Mental Health Bill released December
2011
• Green Bill tabled for public comment in November 2012
Principles underlying the Bill
The Bill is predicated on the principles of:
• Procedural fairness for people experiencing mental illness
• Accountability of clinicians
• Inclusion of families and carers
Key changes from 1996 Act: rights
• Person’s wishes must be taken into account, including those in any AHD
• Right to independent further opinion
• Treatment, support and discharge plan
• Physical examination within 12 hours
• Additional rights for Aboriginal and Torres Strait Islander people
• Must be visited or otherwise contacted by Mental Health Advocacy Service
within 7 days for adults and 24 hours for children
• Other groups of people have a right to access the Mental Health Advocacy
Service, including persons referred for examination by a psychiatrist
• More frequent reviews by a Mental Health Tribunal
Key changes from 1996 Act: recourse
• Mental Health Tribunal with additional functions, including reviewing
validity of orders, issuing compliance notices, review of other decisions
affecting rights
• Comprehensive Part dealing with complaints to mental health services
and to HaDSCO, who can conciliate and investigate complaints
• Expanded role of Chief Psychiatrist – can review and overturn clinical
decisions
• Decision not to admit a person as a voluntary patient can be reviewed
by Chief Psychiatrist and HaDSCO
Key changes from 1996 Act:other advancements• Charter of Mental Health Care Principles
• Shorter timeframes for detention
• Can be an involuntary inpatient in general hospital where physically unwell
• Recognition of families, carers and nominated person – inform and involve
• Audiovisual assessment and examination in regional and remote areas
• Transport officers to undertake some patient transport
• Prohibition on ECT being provided to children under 14
• Prohibition on psychosurgery being provided to children under 16