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By Brown, Robert; Puri, Basant; McKee, Heather
A concise, useful consultant to psychological overall healthiness legislations for college kids and execs operating in psychiatric settings.
summary: A concise, sensible consultant to psychological healthiness legislations for college kids and execs operating in psychiatric settings
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Sample text
Here, we will just refer to ‘the Tribunal’. Section 66 of the Act allows patients to apply to a Tribunal in specified circumstances. The tribunal gives most detained patients a legal right to challenge their detention. This meets the requirements of Article 5(4) of the ECHR. Tribunals have the power to discharge patients from detention immediately or at a future specified date. They can also make the following recommendations for patients on treatment orders: that the patient should be granted Section 17 leave, transferred to another hospital, transferred into guardianship, or made subject to a CTO.
Hospital managers should keep the appropriateness of each patient’s responsible clinician under review. 29 Main functions of the responsible clinician Detained patients All patients detained under Part II (Compulsory Admission to Hospital and Guardianship) and Part III (Patients Concerned in Criminal Proceedings or Under Sentence), with the exception of those remanded for a report under Section 35 (Remand to hospital for report on accused’s mental condition) of Part III, require a responsible clinician, whose functions include having: • overall responsibility for the patient’s care within the context of a multi- disciplinary team; • responsibility for reviewing the patient’s progress, including regular assessment of whether the patient still meets the criteria for detention; • the power to grant leave of absence or discharge; • the power to block discharge of the patient by his nearest relative; • the power to renew detention, with the agreement of another professional from a profession different from that of the responsible clinician and who is also involved in the patient’s treatment.
In practice, a temporary responsible clinician may initially have to be allocated to a patient when he is first detained in hospital in order to provide him with a responsible clinician at that stage, but as soon as is practicable and the patient’s main treatment needs are known, the available approved clinician with the most appropriate expertise for that patient should be allocated as his responsible clinician. Even while a patient remains in the same treatment centre, as his therapeutic needs change, his responsible clinician may also need to change.