This Act sets out when and how people with a mental illness (and, in specified situations, intellectual disability) may be examined, detained, treated involuntarily, or diverted from criminal proceedings, and creates processes for courts, a tribunal, clinicians and service administrators. Its stated aims are to protect patients’ rights, use the least restrictive option, promote recovery and protect community safety. It affects involuntary patients, accused persons whose mental state is in issue, victims and nominated support persons, and shifts decision‑making and reporting duties to authorised doctors, the chief psychiatrist, courts and the tribunal.
The Mental Health Act 2016 (Qld) is Queensland's comprehensive statute governing the involuntary assessment and treatment of people with mental illness, the diversion of people from the criminal justice system when they were of unsound mind at the time of an alleged offence or are unfit for trial, and the protection of community safety where diverted persons may pose risks to others.
The Act's three main objects (s 3) are:
To improve and maintain the health and wellbeing of persons with mental illness who lack capacity to consent to treatment.
To enable diversion from the criminal justice system for persons found to have been of unsound mind at the time of committing an unlawful act, or to be unfit for trial.
To protect the community where diverted persons may harm others.
These objects are to be achieved in the least restrictive way consistent with protecting the person's safety, welfare, and the safety of others. Recovery and community participation are expressly promoted.
The Act is large (19 chapters, 115 Parts) and covers the full lifecycle of involuntary mental health care: from initial examination and assessment, through the making and review of treatment authorities, to specialist courts and tribunal processes, information, rights, confidentiality, and offences. It is Queensland's replacement for the Mental Health Act 2000.
Main concepts
Current sections
Direct links to the current provisions in Mental Health Act 2016.
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ch.1-pt.1
Introduction
Introduction
sec.1
Short title
sec.1 Short title
This Act may be cited as the Mental Health Act 2016 .
sec.2
Commencement
sec.2 Commencement
This Act commences on a day to be fixed by proclamation.
sec.3
Main objects of Act
sec.3 Main objects of Act
The main objects of this Act are—
to improve and maintain the health and wellbeing of persons who have a mental illness who do not have the capacity to consent to be treated; and
to enable persons to be diverted from the criminal justice system if found to have been of unsound mind at the time of committing an unlawful act or to be unfit for trial; and
to protect the community if persons diverted from the criminal justice system may be at risk of harming others.
The main objects are to be achieved in a way that—
safeguards the rights of persons; and
is the least restrictive of the rights and liberties of a person who has a mental illness; and
promotes the recovery of a person who has a mental illness, and the person’s ability to live in the community, without the need for involuntary treatment and care.
For subsection (2) (b) , a way is the least restrictive of the rights and liberties of a person who has a mental illness if the way adversely affects the person’s rights and liberties only to the extent required to protect the person’s safety and welfare or the safety of others.
(sec.3-ssec.1) The main objects of this Act are— to improve and maintain the health and wellbeing of persons who have a mental illness who do not have the capacity to consent to be treated; and to enable persons to be diverted from the criminal justice system if found to have been of unsound mind at the time of committing an unlawful act or to be unfit for trial; and to protect the community if persons diverted from the criminal justice system may be at risk of harming others.
(sec.3-ssec.2) The main objects are to be achieved in a way that— safeguards the rights of persons; and is the least restrictive of the rights and liberties of a person who has a mental illness; and promotes the recovery of a person who has a mental illness, and the person’s ability to live in the community, without the need for involuntary treatment and care.
(sec.3-ssec.3) For subsection (2) (b) , a way is the least restrictive of the rights and liberties of a person who has a mental illness if the way adversely affects the person’s rights and liberties only to the extent required to protect the person’s safety and welfare or the safety of others.
(a) to improve and maintain the health and wellbeing of persons who have a mental illness who do not have the capacity to consent to be treated; and
(b) to enable persons to be diverted from the criminal justice system if found to have been of unsound mind at the time of committing an unlawful act or to be unfit for trial; and
(c) to protect the community if persons diverted from the criminal justice system may be at risk of harming others.
(a) safeguards the rights of persons; and
(b) is the least restrictive of the rights and liberties of a person who has a mental illness; and
(c) promotes the recovery of a person who has a mental illness, and the person’s ability to live in the community, without the need for involuntary treatment and care.
sec.4
Act binds all persons
sec.4 Act binds all persons
This Act binds all persons, including the State and, as far as the legislative power of the Parliament permits, the Commonwealth and the other States.
Nothing in this Act makes the State liable to be prosecuted for an offence.
(sec.4-ssec.1) This Act binds all persons, including the State and, as far as the legislative power of the Parliament permits, the Commonwealth and the other States.
(sec.4-ssec.2) Nothing in this Act makes the State liable to be prosecuted for an offence.
ch.1-pt.2
Principles for administration of Act
Principles for administration of Act
sec.5
Principles for persons with mental illness
sec.5 Principles for persons with mental illness
The following principles apply to the administration of this Act in relation to a person who has, or may have, a mental illness—
Same human rights
the right of all persons to the same basic human rights must be recognised and taken into account
a person’s right to respect for his or her human worth and dignity as an individual must be recognised and taken into account
Matters to be considered in making decisions
to the greatest extent practicable, a person is to be encouraged to take part in making decisions affecting the person’s life, especially decisions about treatment and care
to the greatest extent practicable, in making a decision about a person, the person’s views, wishes and preferences are to be taken into account
a person is presumed to have capacity to make decisions about the person’s treatment and care and other matters under this Act
Support persons
to the greatest extent practicable, family, carers and other support persons of a person who has a mental illness are to be involved in decisions about the person’s treatment and care, subject to the person’s right to privacy
Provision of support and information
to the greatest extent practicable, a person is to be provided with necessary support and information to enable the person to exercise rights under this Act, including, for example, providing access to other persons to help the person express the person’s views, wishes and preferences
Achievement of maximum potential and self-reliance
to the greatest extent practicable, a person is to be helped to achieve maximum physical, social, psychological and emotional potential, quality of life and self-reliance
Acknowledgement of needs
a person’s age-related, gender-related, religious, communication and other special needs must be recognised and taken into account
a person’s hearing, visual or speech impairment must be recognised and taken into account
Aboriginal people and Torres Strait Islanders
the unique cultural, communication and other needs of Aboriginal people and Torres Strait Islanders must be recognised and taken into account
Aboriginal people and Torres Strait Islanders should be provided with treatment, care and support in a way that recognises and is consistent with Aboriginal tradition or Island custom, mental health and social and emotional wellbeing, and is culturally appropriate and respectful
to the extent practicable and appropriate in the circumstances, communication with Aboriginal people and Torres Strait Islanders is to be assisted by an interpreter
Persons from culturally and linguistically diverse backgrounds
the unique cultural, communication and other needs of persons from culturally and linguistically diverse backgrounds must be recognised and taken into account
services provided to persons from culturally and linguistically diverse backgrounds must have regard to the person’s cultural, religious and spiritual beliefs and practices
to the extent practicable and appropriate in the circumstances, communication with persons from culturally and linguistically diverse backgrounds is to be assisted by an interpreter
Minors
to the greatest extent practicable, a minor receiving treatment and care must have the minor’s best interests recognised and promoted, including, for example, by receiving treatment and care separately from adults if practicable and by having the minor’s specific needs, wellbeing and safety recognised and protected
Maintenance of supportive relationships and community participation
to the greatest extent practicable, the importance of a person’s continued participation in community life and maintaining existing supportive relationships are to be taken into account, including, for example, by providing treatment in the community in which the person lives
Importance of recovery-oriented services and reduction of stigma
the importance of recovery-oriented services and the reduction of stigma associated with mental illness must be recognised and taken into account
Provision of treatment and care
treatment and care provided under this Act must be provided to a person who has a mental illness only if it is appropriate for promoting and maintaining the person’s health and wellbeing
Privacy and confidentiality
a person’s right to privacy and confidentiality of information about the person must be recognised and taken into account.
(a) Same human rights • the right of all persons to the same basic human rights must be recognised and taken into account • a person’s right to respect for his or her human worth and dignity as an individual must be recognised and taken into account
• the right of all persons to the same basic human rights must be recognised and taken into account
• a person’s right to respect for his or her human worth and dignity as an individual must be recognised and taken into account
(b) Matters to be considered in making decisions • to the greatest extent practicable, a person is to be encouraged to take part in making decisions affecting the person’s life, especially decisions about treatment and care • to the greatest extent practicable, in making a decision about a person, the person’s views, wishes and preferences are to be taken into account • a person is presumed to have capacity to make decisions about the person’s treatment and care and other matters under this Act
• to the greatest extent practicable, a person is to be encouraged to take part in making decisions affecting the person’s life, especially decisions about treatment and care
• to the greatest extent practicable, in making a decision about a person, the person’s views, wishes and preferences are to be taken into account
• a person is presumed to have capacity to make decisions about the person’s treatment and care and other matters under this Act
(c) Support persons • to the greatest extent practicable, family, carers and other support persons of a person who has a mental illness are to be involved in decisions about the person’s treatment and care, subject to the person’s right to privacy
• to the greatest extent practicable, family, carers and other support persons of a person who has a mental illness are to be involved in decisions about the person’s treatment and care, subject to the person’s right to privacy
(d) Provision of support and information • to the greatest extent practicable, a person is to be provided with necessary support and information to enable the person to exercise rights under this Act, including, for example, providing access to other persons to help the person express the person’s views, wishes and preferences
• to the greatest extent practicable, a person is to be provided with necessary support and information to enable the person to exercise rights under this Act, including, for example, providing access to other persons to help the person express the person’s views, wishes and preferences
(e) Achievement of maximum potential and self-reliance • to the greatest extent practicable, a person is to be helped to achieve maximum physical, social, psychological and emotional potential, quality of life and self-reliance
• to the greatest extent practicable, a person is to be helped to achieve maximum physical, social, psychological and emotional potential, quality of life and self-reliance
(f) Acknowledgement of needs • a person’s age-related, gender-related, religious, communication and other special needs must be recognised and taken into account • a person’s hearing, visual or speech impairment must be recognised and taken into account
• a person’s age-related, gender-related, religious, communication and other special needs must be recognised and taken into account
• a person’s hearing, visual or speech impairment must be recognised and taken into account
(g) Aboriginal people and Torres Strait Islanders • the unique cultural, communication and other needs of Aboriginal people and Torres Strait Islanders must be recognised and taken into account • Aboriginal people and Torres Strait Islanders should be provided with treatment, care and support in a way that recognises and is consistent with Aboriginal tradition or Island custom, mental health and social and emotional wellbeing, and is culturally appropriate and respectful • to the extent practicable and appropriate in the circumstances, communication with Aboriginal people and Torres Strait Islanders is to be assisted by an interpreter
• the unique cultural, communication and other needs of Aboriginal people and Torres Strait Islanders must be recognised and taken into account
• Aboriginal people and Torres Strait Islanders should be provided with treatment, care and support in a way that recognises and is consistent with Aboriginal tradition or Island custom, mental health and social and emotional wellbeing, and is culturally appropriate and respectful
• to the extent practicable and appropriate in the circumstances, communication with Aboriginal people and Torres Strait Islanders is to be assisted by an interpreter
(h) Persons from culturally and linguistically diverse backgrounds • the unique cultural, communication and other needs of persons from culturally and linguistically diverse backgrounds must be recognised and taken into account • services provided to persons from culturally and linguistically diverse backgrounds must have regard to the person’s cultural, religious and spiritual beliefs and practices • to the extent practicable and appropriate in the circumstances, communication with persons from culturally and linguistically diverse backgrounds is to be assisted by an interpreter
• the unique cultural, communication and other needs of persons from culturally and linguistically diverse backgrounds must be recognised and taken into account
• services provided to persons from culturally and linguistically diverse backgrounds must have regard to the person’s cultural, religious and spiritual beliefs and practices
• to the extent practicable and appropriate in the circumstances, communication with persons from culturally and linguistically diverse backgrounds is to be assisted by an interpreter
(i) Minors • to the greatest extent practicable, a minor receiving treatment and care must have the minor’s best interests recognised and promoted, including, for example, by receiving treatment and care separately from adults if practicable and by having the minor’s specific needs, wellbeing and safety recognised and protected
• to the greatest extent practicable, a minor receiving treatment and care must have the minor’s best interests recognised and promoted, including, for example, by receiving treatment and care separately from adults if practicable and by having the minor’s specific needs, wellbeing and safety recognised and protected
(j) Maintenance of supportive relationships and community participation • to the greatest extent practicable, the importance of a person’s continued participation in community life and maintaining existing supportive relationships are to be taken into account, including, for example, by providing treatment in the community in which the person lives
• to the greatest extent practicable, the importance of a person’s continued participation in community life and maintaining existing supportive relationships are to be taken into account, including, for example, by providing treatment in the community in which the person lives
(k) Importance of recovery-oriented services and reduction of stigma • the importance of recovery-oriented services and the reduction of stigma associated with mental illness must be recognised and taken into account
• the importance of recovery-oriented services and the reduction of stigma associated with mental illness must be recognised and taken into account
(l) Provision of treatment and care • treatment and care provided under this Act must be provided to a person who has a mental illness only if it is appropriate for promoting and maintaining the person’s health and wellbeing
• treatment and care provided under this Act must be provided to a person who has a mental illness only if it is appropriate for promoting and maintaining the person’s health and wellbeing
(m) Privacy and confidentiality • a person’s right to privacy and confidentiality of information about the person must be recognised and taken into account.
• a person’s right to privacy and confidentiality of information about the person must be recognised and taken into account.
• the right of all persons to the same basic human rights must be recognised and taken into account
• a person’s right to respect for his or her human worth and dignity as an individual must be recognised and taken into account
• to the greatest extent practicable, a person is to be encouraged to take part in making decisions affecting the person’s life, especially decisions about treatment and care
• to the greatest extent practicable, in making a decision about a person, the person’s views, wishes and preferences are to be taken into account
• a person is presumed to have capacity to make decisions about the person’s treatment and care and other matters under this Act
• to the greatest extent practicable, family, carers and other support persons of a person who has a mental illness are to be involved in decisions about the person’s treatment and care, subject to the person’s right to privacy
• to the greatest extent practicable, a person is to be provided with necessary support and information to enable the person to exercise rights under this Act, including, for example, providing access to other persons to help the person express the person’s views, wishes and preferences
• to the greatest extent practicable, a person is to be helped to achieve maximum physical, social, psychological and emotional potential, quality of life and self-reliance
• a person’s age-related, gender-related, religious, communication and other special needs must be recognised and taken into account
• a person’s hearing, visual or speech impairment must be recognised and taken into account
• the unique cultural, communication and other needs of Aboriginal people and Torres Strait Islanders must be recognised and taken into account
• Aboriginal people and Torres Strait Islanders should be provided with treatment, care and support in a way that recognises and is consistent with Aboriginal tradition or Island custom, mental health and social and emotional wellbeing, and is culturally appropriate and respectful
• to the extent practicable and appropriate in the circumstances, communication with Aboriginal people and Torres Strait Islanders is to be assisted by an interpreter
• the unique cultural, communication and other needs of persons from culturally and linguistically diverse backgrounds must be recognised and taken into account
• services provided to persons from culturally and linguistically diverse backgrounds must have regard to the person’s cultural, religious and spiritual beliefs and practices
• to the extent practicable and appropriate in the circumstances, communication with persons from culturally and linguistically diverse backgrounds is to be assisted by an interpreter
• to the greatest extent practicable, a minor receiving treatment and care must have the minor’s best interests recognised and promoted, including, for example, by receiving treatment and care separately from adults if practicable and by having the minor’s specific needs, wellbeing and safety recognised and protected
• to the greatest extent practicable, the importance of a person’s continued participation in community life and maintaining existing supportive relationships are to be taken into account, including, for example, by providing treatment in the community in which the person lives
• the importance of recovery-oriented services and the reduction of stigma associated with mental illness must be recognised and taken into account
• treatment and care provided under this Act must be provided to a person who has a mental illness only if it is appropriate for promoting and maintaining the person’s health and wellbeing
• a person’s right to privacy and confidentiality of information about the person must be recognised and taken into account.
sec.6
Principles for victims and others
sec.6 Principles for victims and others
The principles mentioned in subsection (2) apply to the administration of this Act in relation to each of the following (each a victim )—
a victim of an unlawful act;
a close relative of a victim of an unlawful act;
another individual who has suffered harm because of an unlawful act committed against a person mentioned in paragraph (a) .
The principles are the following—
the physical, psychological and emotional harm caused to the victim by the unlawful act must be recognised with compassion;
the benefits of counselling, advice on the nature of proceedings under this Act and other support services to the recovery of the victim from the harm caused by the unlawful act must be recognised;
the benefits to the victim of being advised in a timely way of proceedings under this Act against a person in relation to the unlawful act must be recognised;
the benefits to the victim of the timely completion of proceedings against a person in relation to the unlawful act must be recognised;
the benefits to the victim of being advised in a timely way of a decision to allow a person to be treated in the community must be recognised;
the benefits to the victim of being given the opportunity to express the victim’s views on the impact of the unlawful act to decision-making entities under this Act must be recognised.
(sec.6-ssec.1) The principles mentioned in subsection (2) apply to the administration of this Act in relation to each of the following (each a victim )— a victim of an unlawful act; a close relative of a victim of an unlawful act; another individual who has suffered harm because of an unlawful act committed against a person mentioned in paragraph (a) .
(sec.6-ssec.2) The principles are the following— the physical, psychological and emotional harm caused to the victim by the unlawful act must be recognised with compassion; the benefits of counselling, advice on the nature of proceedings under this Act and other support services to the recovery of the victim from the harm caused by the unlawful act must be recognised; the benefits to the victim of being advised in a timely way of proceedings under this Act against a person in relation to the unlawful act must be recognised; the benefits to the victim of the timely completion of proceedings against a person in relation to the unlawful act must be recognised; the benefits to the victim of being advised in a timely way of a decision to allow a person to be treated in the community must be recognised; the benefits to the victim of being given the opportunity to express the victim’s views on the impact of the unlawful act to decision-making entities under this Act must be recognised.
(a) a victim of an unlawful act;
(b) a close relative of a victim of an unlawful act;
(c) another individual who has suffered harm because of an unlawful act committed against a person mentioned in paragraph (a) .
(a) the physical, psychological and emotional harm caused to the victim by the unlawful act must be recognised with compassion;
(b) the benefits of counselling, advice on the nature of proceedings under this Act and other support services to the recovery of the victim from the harm caused by the unlawful act must be recognised;
(c) the benefits to the victim of being advised in a timely way of proceedings under this Act against a person in relation to the unlawful act must be recognised;
(d) the benefits to the victim of the timely completion of proceedings against a person in relation to the unlawful act must be recognised;
(e) the benefits to the victim of being advised in a timely way of a decision to allow a person to be treated in the community must be recognised;
(f) the benefits to the victim of being given the opportunity to express the victim’s views on the impact of the unlawful act to decision-making entities under this Act must be recognised.
sec.7
Regard to principles
sec.7 Regard to principles
In performing a function or exercising a power under this Act, a person is to have regard to the principles mentioned in sections 5 and 6 .
sec.8
Application to person with intellectual disability
sec.8 Application to person with intellectual disability
To the extent this Act applies to a person who has an intellectual disability—
sections 3 and 5 apply in relation to the person as if a reference in the sections to a person who has a mental illness were a reference to a person who has an intellectual disability; and
a reference in the Act to treatment and care of a person means a reference to care of the person; and
a reference in the Act to recovery of a person means a reference to the rehabilitation, and development of living skills, of the person.
(a) sections 3 and 5 apply in relation to the person as if a reference in the sections to a person who has a mental illness were a reference to a person who has an intellectual disability; and
(b) a reference in the Act to treatment and care of a person means a reference to care of the person; and
(c) a reference in the Act to recovery of a person means a reference to the rehabilitation, and development of living skills, of the person.
ch.1-pt.3
Interpretation
Interpretation
sec.9
Definitions
sec.9 Definitions
The dictionary in schedule 3 defines particular words used in this Act.
sec.10
Meaning of mental illness
sec.10 Meaning of mental illness
Mental illness is a condition characterised by a clinically significant disturbance of thought, mood, perception or memory.
However, a person must not be considered to have a mental illness merely because—
the person holds or refuses to hold a particular religious, cultural, philosophical or political belief or opinion; or
the person is a member of a particular racial group; or
the person has a particular economic or social status; or
the person has a particular sexual preference or sexual orientation; or
the person engages in sexual promiscuity; or
the person engages in immoral or indecent conduct; or
the person takes drugs or alcohol; or
the person has an intellectual disability; or
the person engages in antisocial behaviour or illegal behaviour; or
the person is or has been involved in family conflict; or
the person has previously been treated for a mental illness or been subject to involuntary assessment or treatment.
Subsection (2) does not prevent a person mentioned in the subsection having a mental illness.
A person may have a mental illness caused by taking drugs or alcohol.
A person may have a mental illness as well as an intellectual disability.
A decision that a person has a mental illness must be made in accordance with internationally accepted medical standards.
(sec.10-ssec.1) Mental illness is a condition characterised by a clinically significant disturbance of thought, mood, perception or memory.
(sec.10-ssec.2) However, a person must not be considered to have a mental illness merely because— the person holds or refuses to hold a particular religious, cultural, philosophical or political belief or opinion; or the person is a member of a particular racial group; or the person has a particular economic or social status; or the person has a particular sexual preference or sexual orientation; or the person engages in sexual promiscuity; or the person engages in immoral or indecent conduct; or the person takes drugs or alcohol; or the person has an intellectual disability; or the person engages in antisocial behaviour or illegal behaviour; or the person is or has been involved in family conflict; or the person has previously been treated for a mental illness or been subject to involuntary assessment or treatment.
(sec.10-ssec.3) Subsection (2) does not prevent a person mentioned in the subsection having a mental illness. A person may have a mental illness caused by taking drugs or alcohol. A person may have a mental illness as well as an intellectual disability.
(sec.10-ssec.4) A decision that a person has a mental illness must be made in accordance with internationally accepted medical standards.
(a) the person holds or refuses to hold a particular religious, cultural, philosophical or political belief or opinion; or
(b) the person is a member of a particular racial group; or
(c) the person has a particular economic or social status; or
(d) the person has a particular sexual preference or sexual orientation; or
(e) the person engages in sexual promiscuity; or
(f) the person engages in immoral or indecent conduct; or
(g) the person takes drugs or alcohol; or
(h) the person has an intellectual disability; or
(i) the person engages in antisocial behaviour or illegal behaviour; or
(j) the person is or has been involved in family conflict; or
(k) the person has previously been treated for a mental illness or been subject to involuntary assessment or treatment.
1 A person may have a mental illness caused by taking drugs or alcohol.
2 A person may have a mental illness as well as an intellectual disability.
sec.11
Meaning of involuntary patient
sec.11 Meaning of involuntary patient
An involuntary patient means—
a person subject to any of the following—
an examination authority;
a recommendation for assessment;
a treatment authority;
a forensic order;
a treatment support order;
a judicial order; or
a person detained in an authorised mental health service or public sector health service facility under section 36 ; or
a person from another State detained in an authorised mental health service under section 368 (3) (b) .
s 11 amd 2022 No. 1 s 117 s ch 1 pt 2
(a) a person subject to any of the following— (i) an examination authority; (ii) a recommendation for assessment; (iii) a treatment authority; (iv) a forensic order; (v) a treatment support order; (vi) a judicial order; or
(i) an examination authority;
(ii) a recommendation for assessment;
(iii) a treatment authority;
(iv) a forensic order;
(v) a treatment support order;
(vi) a judicial order; or
(b) a person detained in an authorised mental health service or public sector health service facility under section 36 ; or
(c) a person from another State detained in an authorised mental health service under section 368 (3) (b) .
(i) an examination authority;
(ii) a recommendation for assessment;
(iii) a treatment authority;
(iv) a forensic order;
(v) a treatment support order;
(vi) a judicial order; or
sec.12
Meaning of treatment criteria
sec.12 Meaning of treatment criteria
The treatment criteria for a person are all of the following—
the person has a mental illness;
the person does not have capacity to consent to be treated for the illness;
because of the person’s illness, the absence of involuntary treatment, or the absence of continued involuntary treatment, is likely to result in—
imminent serious harm to the person or others; or
the person suffering serious mental or physical deterioration.
For subsection (1) (b) , the person’s own consent only is relevant.
Subsection (2) applies despite the Guardianship and Administration Act 2000 , the Powers of Attorney Act 1998 or any other law.
(sec.12-ssec.1) The treatment criteria for a person are all of the following— the person has a mental illness; the person does not have capacity to consent to be treated for the illness; because of the person’s illness, the absence of involuntary treatment, or the absence of continued involuntary treatment, is likely to result in— imminent serious harm to the person or others; or the person suffering serious mental or physical deterioration.
(sec.12-ssec.2) For subsection (1) (b) , the person’s own consent only is relevant.
(sec.12-ssec.3) Subsection (2) applies despite the Guardianship and Administration Act 2000 , the Powers of Attorney Act 1998 or any other law.
(a) the person has a mental illness;
(b) the person does not have capacity to consent to be treated for the illness;
(c) because of the person’s illness, the absence of involuntary treatment, or the absence of continued involuntary treatment, is likely to result in— (i) imminent serious harm to the person or others; or (ii) the person suffering serious mental or physical deterioration.
(i) imminent serious harm to the person or others; or
(ii) the person suffering serious mental or physical deterioration.
(i) imminent serious harm to the person or others; or
(ii) the person suffering serious mental or physical deterioration.
sec.13
Meaning of less restrictive way
sec.13 Meaning of less restrictive way
For this Act, there is a less restrictive way for a person to receive treatment and care for the person’s mental illness if, instead of receiving involuntary treatment and care, the person is able to receive the treatment and care that is reasonably necessary for the person’s mental illness in 1 of the following ways—
if the person is a minor—with the consent of the minor’s parent;
if the person has made an advance health directive—under the advance health directive;
if a personal guardian has been appointed for the person—with the consent of the personal guardian;
if an attorney has been appointed by the person—with the consent of the attorney;
otherwise—with the consent of the person’s statutory health attorney.
An advance health directive does not cover the matters that are clinically relevant or appropriate for the person’s treatment and care.
An advance health directive does not authorise the administration of the medications that are clinically necessary for the person’s treatment and care.
An attorney does not consent to the administration of the medications that are clinically necessary for the person’s treatment and care.
In deciding whether there is a less restrictive way for a person to receive the treatment and care that is reasonably necessary for the person’s mental illness, a person performing a function or exercising a power under this Act must—
consider the ways mentioned in subsection (1) in the listed order set out in the subsection; and
comply with the policy that must be made by the chief psychiatrist under section 305 (1) (a) about when it may not be appropriate for a person to receive treatment and care for the person’s mental illness under an advance health directive or with the consent of a personal guardian, attorney or statutory health attorney for the person.
To remove any doubt, it is declared that this section does not limit the power of the public guardian to act as a statutory health attorney for a person under the Powers of Attorney Act 1998 .
In this section—
statutory health attorney means the person’s statutory health attorney under the Powers of Attorney Act 1998 , section 63 (1) .
(sec.13-ssec.1) For this Act, there is a less restrictive way for a person to receive treatment and care for the person’s mental illness if, instead of receiving involuntary treatment and care, the person is able to receive the treatment and care that is reasonably necessary for the person’s mental illness in 1 of the following ways— if the person is a minor—with the consent of the minor’s parent; if the person has made an advance health directive—under the advance health directive; if a personal guardian has been appointed for the person—with the consent of the personal guardian; if an attorney has been appointed by the person—with the consent of the attorney; otherwise—with the consent of the person’s statutory health attorney. An advance health directive does not cover the matters that are clinically relevant or appropriate for the person’s treatment and care. An advance health directive does not authorise the administration of the medications that are clinically necessary for the person’s treatment and care. An attorney does not consent to the administration of the medications that are clinically necessary for the person’s treatment and care.
(sec.13-ssec.2) In deciding whether there is a less restrictive way for a person to receive the treatment and care that is reasonably necessary for the person’s mental illness, a person performing a function or exercising a power under this Act must— consider the ways mentioned in subsection (1) in the listed order set out in the subsection; and comply with the policy that must be made by the chief psychiatrist under section 305 (1) (a) about when it may not be appropriate for a person to receive treatment and care for the person’s mental illness under an advance health directive or with the consent of a personal guardian, attorney or statutory health attorney for the person.
(sec.13-ssec.3) To remove any doubt, it is declared that this section does not limit the power of the public guardian to act as a statutory health attorney for a person under the Powers of Attorney Act 1998 .
(sec.13-ssec.4) In this section— statutory health attorney means the person’s statutory health attorney under the Powers of Attorney Act 1998 , section 63 (1) .
(a) if the person is a minor—with the consent of the minor’s parent;
(b) if the person has made an advance health directive—under the advance health directive;
(c) if a personal guardian has been appointed for the person—with the consent of the personal guardian;
(d) if an attorney has been appointed by the person—with the consent of the attorney;
(e) otherwise—with the consent of the person’s statutory health attorney.
1 An advance health directive does not cover the matters that are clinically relevant or appropriate for the person’s treatment and care.
2 An advance health directive does not authorise the administration of the medications that are clinically necessary for the person’s treatment and care.
3 An attorney does not consent to the administration of the medications that are clinically necessary for the person’s treatment and care.
(a) consider the ways mentioned in subsection (1) in the listed order set out in the subsection; and
(b) comply with the policy that must be made by the chief psychiatrist under section 305 (1) (a) about when it may not be appropriate for a person to receive treatment and care for the person’s mental illness under an advance health directive or with the consent of a personal guardian, attorney or statutory health attorney for the person.
sec.14
Meaning of capacity to consent to be treated
sec.14 Meaning of capacity to consent to be treated
A person has capacity to consent to be treated if the person—
is capable of understanding, in general terms—
that the person has an illness, or symptoms of an illness, that affects the person’s mental health and wellbeing; and
the nature and purpose of the treatment for the illness; and
the benefits and risks of the treatment, and alternatives to the treatment; and
the consequences of not receiving the treatment; and
is capable of making a decision about the treatment and communicating the decision in some way.
A person may have capacity to consent to be treated even though the person decides not to receive treatment.
A person may be supported by another person in understanding the matters mentioned in subsection (1) (a) and making a decision about the treatment.
This section does not affect the common law in relation to—
the capacity of a minor to consent to be treated; or
a parent of a minor consenting to treatment of the minor.
(sec.14-ssec.1) A person has capacity to consent to be treated if the person— is capable of understanding, in general terms— that the person has an illness, or symptoms of an illness, that affects the person’s mental health and wellbeing; and the nature and purpose of the treatment for the illness; and the benefits and risks of the treatment, and alternatives to the treatment; and the consequences of not receiving the treatment; and is capable of making a decision about the treatment and communicating the decision in some way.
(sec.14-ssec.2) A person may have capacity to consent to be treated even though the person decides not to receive treatment.
(sec.14-ssec.3) A person may be supported by another person in understanding the matters mentioned in subsection (1) (a) and making a decision about the treatment.
(sec.14-ssec.4) This section does not affect the common law in relation to— the capacity of a minor to consent to be treated; or a parent of a minor consenting to treatment of the minor.
(a) is capable of understanding, in general terms— (i) that the person has an illness, or symptoms of an illness, that affects the person’s mental health and wellbeing; and (ii) the nature and purpose of the treatment for the illness; and (iii) the benefits and risks of the treatment, and alternatives to the treatment; and (iv) the consequences of not receiving the treatment; and
(i) that the person has an illness, or symptoms of an illness, that affects the person’s mental health and wellbeing; and
(ii) the nature and purpose of the treatment for the illness; and
(iii) the benefits and risks of the treatment, and alternatives to the treatment; and
(iv) the consequences of not receiving the treatment; and
(b) is capable of making a decision about the treatment and communicating the decision in some way.
(i) that the person has an illness, or symptoms of an illness, that affects the person’s mental health and wellbeing; and
(ii) the nature and purpose of the treatment for the illness; and
(iii) the benefits and risks of the treatment, and alternatives to the treatment; and
(iv) the consequences of not receiving the treatment; and
(a) the capacity of a minor to consent to be treated; or
(b) a parent of a minor consenting to treatment of the minor.
sec.14A
Territory of Norfolk Island taken to be a State
sec.14A Territory of Norfolk Island taken to be a State
For this Act, the Territory of Norfolk Island is taken to be a State.
s 14A ins 2022 No. 1 s 9B
sec.15
Responsibility for involuntary patient or forensic disability client
sec.15 Responsibility for involuntary patient or forensic disability client
This section applies if a provision of this Act states that—
an authorised mental health service is responsible for an involuntary patient; or
the forensic disability service is responsible for a person subject to a forensic order (disability).
If subsection (1) (a) applies, the administrator of the authorised mental health service is responsible for the treatment and care of the involuntary patient under the authority or order to which the person is subject.
If subsection (1) (b) applies, the administrator of the forensic disability service is responsible for the care of the person under the forensic order (disability) to which the person is subject.
(sec.15-ssec.1) This section applies if a provision of this Act states that— an authorised mental health service is responsible for an involuntary patient; or the forensic disability service is responsible for a person subject to a forensic order (disability).
(sec.15-ssec.2) If subsection (1) (a) applies, the administrator of the authorised mental health service is responsible for the treatment and care of the involuntary patient under the authority or order to which the person is subject.
(sec.15-ssec.3) If subsection (1) (b) applies, the administrator of the forensic disability service is responsible for the care of the person under the forensic order (disability) to which the person is subject.
(a) an authorised mental health service is responsible for an involuntary patient; or
(b) the forensic disability service is responsible for a person subject to a forensic order (disability).
sec.16
Purpose of limited community treatment
sec.16 Purpose of limited community treatment
The purpose of limited community treatment is to support a patient’s recovery by transitioning the patient to living in the community with appropriate treatment and care.
ch.1-pt.4
Overview of Act
Overview of Act
sec.17
Purpose of pt 4
sec.17 Purpose of pt 4
This part gives an overview of this Act.
sec.18
Treatment authorities
sec.18 Treatment authorities
A treatment authority is a lawful authority to provide treatment and care to a person who has a mental illness who does not have capacity to consent to be treated.
A treatment authority may be made for a person if an authorised doctor considers the treatment criteria apply to the person and there is no less restrictive way for the person to receive treatment and care for the person’s mental illness, including, for example, under an advance health directive.
Key elements of the treatment criteria are that the person does not have capacity to consent to be treated and there is a risk of imminent serious harm to the person or others.
The category of a treatment authority is—
community, if the person’s treatment and care needs can be met in the community; or
inpatient, if the person’s treatment and care needs can be met only by being an inpatient.
If the category of a person’s treatment authority is inpatient, the person may receive limited community treatment, for a period of not more than 7 consecutive days, if authorised under this Act.
(sec.18-ssec.1) A treatment authority is a lawful authority to provide treatment and care to a person who has a mental illness who does not have capacity to consent to be treated.
(sec.18-ssec.2) A treatment authority may be made for a person if an authorised doctor considers the treatment criteria apply to the person and there is no less restrictive way for the person to receive treatment and care for the person’s mental illness, including, for example, under an advance health directive.
(sec.18-ssec.3) Key elements of the treatment criteria are that the person does not have capacity to consent to be treated and there is a risk of imminent serious harm to the person or others.
(sec.18-ssec.4) The category of a treatment authority is— community, if the person’s treatment and care needs can be met in the community; or inpatient, if the person’s treatment and care needs can be met only by being an inpatient.
(sec.18-ssec.5) If the category of a person’s treatment authority is inpatient, the person may receive limited community treatment, for a period of not more than 7 consecutive days, if authorised under this Act.
(a) community, if the person’s treatment and care needs can be met in the community; or
(b) inpatient, if the person’s treatment and care needs can be met only by being an inpatient.
sec.19
Persons in custody
sec.19 Persons in custody
A person in custody, including, for example, in a watch house or prison, may be transferred to an authorised mental health service for an assessment to decide if a treatment authority should be made for the person, or for treatment and care for the person’s mental illness.
sec.20
Psychiatrist reports
sec.20 Psychiatrist reports
If a person subject to a treatment authority, forensic order or treatment support order is charged with a serious offence, the person, or someone on the person’s behalf, may request that a psychiatrist prepare a report stating the psychiatrist’s opinion about whether the person—
may have been of unsound mind at the time of the alleged commission of the serious offence; or
may be unfit for trial.
Also, if a person is charged with a serious offence, whether or not the person is subject to a treatment authority, forensic order or treatment support order, the chief psychiatrist may direct that a psychiatrist prepare a report about the matters mentioned in subsection (1) if the chief psychiatrist considers it is in the public interest.
A serious offence is an indictable offence, other than an offence that, under the Criminal Code , must be heard and decided summarily.
(sec.20-ssec.1) If a person subject to a treatment authority, forensic order or treatment support order is charged with a serious offence, the person, or someone on the person’s behalf, may request that a psychiatrist prepare a report stating the psychiatrist’s opinion about whether the person— may have been of unsound mind at the time of the alleged commission of the serious offence; or may be unfit for trial.
(sec.20-ssec.2) Also, if a person is charged with a serious offence, whether or not the person is subject to a treatment authority, forensic order or treatment support order, the chief psychiatrist may direct that a psychiatrist prepare a report about the matters mentioned in subsection (1) if the chief psychiatrist considers it is in the public interest.
(sec.20-ssec.3) A serious offence is an indictable offence, other than an offence that, under the Criminal Code , must be heard and decided summarily.
(a) may have been of unsound mind at the time of the alleged commission of the serious offence; or
(b) may be unfit for trial.
sec.21
Mental Health Court
sec.21 Mental Health Court
The Mental Health Court decides whether a person charged with a serious offence or other particular offences was of unsound mind or, for the offence of murder, of diminished responsibility, when the offence was allegedly committed or is unfit for trial.
If the court decides a person was of unsound mind when the offence was allegedly committed, or is unfit for trial, the court may make a forensic order or treatment support order for the person.
The forensic order may be a forensic order (mental health) or a forensic order (disability).
The court must also decide the category of the order and, if the category is inpatient, any limited community treatment for the person.
If the court decides a person is unfit for trial and the unfitness for trial is not permanent, the person’s fitness for trial is periodically reviewed by the Mental Health Review Tribunal.
(sec.21-ssec.1) The Mental Health Court decides whether a person charged with a serious offence or other particular offences was of unsound mind or, for the offence of murder, of diminished responsibility, when the offence was allegedly committed or is unfit for trial.
(sec.21-ssec.2) If the court decides a person was of unsound mind when the offence was allegedly committed, or is unfit for trial, the court may make a forensic order or treatment support order for the person.
(sec.21-ssec.3) The forensic order may be a forensic order (mental health) or a forensic order (disability).
(sec.21-ssec.4) The court must also decide the category of the order and, if the category is inpatient, any limited community treatment for the person.
(sec.21-ssec.5) If the court decides a person is unfit for trial and the unfitness for trial is not permanent, the person’s fitness for trial is periodically reviewed by the Mental Health Review Tribunal.
sec.22
Magistrates Courts
sec.22 Magistrates Courts
A Magistrates Court may dismiss a complaint for a simple offence if the court is reasonably satisfied, on the balance of probabilities, that the person charged with the offence was, or appears to have been, of unsound mind when the offence was allegedly committed or is unfit for trial.
A Magistrates Court may also order that a person appearing before the court be examined by an authorised doctor to decide whether to make a treatment authority for the person or to make recommendations about the person’s treatment and care.
(sec.22-ssec.1) A Magistrates Court may dismiss a complaint for a simple offence if the court is reasonably satisfied, on the balance of probabilities, that the person charged with the offence was, or appears to have been, of unsound mind when the offence was allegedly committed or is unfit for trial.
(sec.22-ssec.2) A Magistrates Court may also order that a person appearing before the court be examined by an authorised doctor to decide whether to make a treatment authority for the person or to make recommendations about the person’s treatment and care.
sec.23
Treatment and care of patients
sec.23 Treatment and care of patients
The treatment and care of a patient is the responsibility of authorised doctors and administrators of authorised mental health services.
A person subject to a treatment authority must be regularly assessed to decide if the treatment authority should continue.
An authorised doctor may amend a person’s treatment authority, forensic order or treatment support order by changing the category of the authority or order, its conditions, or the nature or extent of limited community treatment.
An amendment of an authority or order by an authorised doctor must be in accordance with decisions of the Mental Health Court and the Mental Health Review Tribunal.
To the extent practicable, decisions in relation to treatment and care for a patient must be made in consultation with the patient and the patient’s family, carers and other support persons, subject to the patient’s right to privacy.
The performance of electroconvulsive therapy and non-ablative neurosurgical procedures is regulated under this Act.
Psychosurgery is prohibited under this Act.
(sec.23-ssec.1) The treatment and care of a patient is the responsibility of authorised doctors and administrators of authorised mental health services.
(sec.23-ssec.2) A person subject to a treatment authority must be regularly assessed to decide if the treatment authority should continue.
(sec.23-ssec.3) An authorised doctor may amend a person’s treatment authority, forensic order or treatment support order by changing the category of the authority or order, its conditions, or the nature or extent of limited community treatment.
(sec.23-ssec.4) An amendment of an authority or order by an authorised doctor must be in accordance with decisions of the Mental Health Court and the Mental Health Review Tribunal.
(sec.23-ssec.5) To the extent practicable, decisions in relation to treatment and care for a patient must be made in consultation with the patient and the patient’s family, carers and other support persons, subject to the patient’s right to privacy.
(sec.23-ssec.6) The performance of electroconvulsive therapy and non-ablative neurosurgical procedures is regulated under this Act.
(sec.23-ssec.7) Psychosurgery is prohibited under this Act.
sec.24
Mechanical restraint, seclusion, physical restraint and other practices
sec.24 Mechanical restraint, seclusion, physical restraint and other practices
The use of mechanical restraint, seclusion, physical restraint, and other practices are regulated under this Act.
The use of mechanical restraint on an involuntary patient in an authorised mental health service must be approved by the chief psychiatrist.
Mechanical restraint and seclusion may be used only if there is no other reasonably practicable way to protect the patient or others from physical harm.
(sec.24-ssec.1) The use of mechanical restraint, seclusion, physical restraint, and other practices are regulated under this Act.
(sec.24-ssec.2) The use of mechanical restraint on an involuntary patient in an authorised mental health service must be approved by the chief psychiatrist.
(sec.24-ssec.3) Mechanical restraint and seclusion may be used only if there is no other reasonably practicable way to protect the patient or others from physical harm.
sec.25
Rights of patients
sec.25 Rights of patients
This Act provides for a statement of rights for involuntary patients and other patients of authorised mental health services.
A person may appoint 1 or 2 nominated support persons to support the person under this Act if the person becomes an involuntary patient.
The health service chief executive responsible for a public sector mental health service must appoint 1 or more independent patient rights advisers to advise patients and their nominated support persons, family, carers and other support persons of their rights under this Act.
(sec.25-ssec.1) This Act provides for a statement of rights for involuntary patients and other patients of authorised mental health services.
(sec.25-ssec.2) A person may appoint 1 or 2 nominated support persons to support the person under this Act if the person becomes an involuntary patient.
(sec.25-ssec.3) The health service chief executive responsible for a public sector mental health service must appoint 1 or more independent patient rights advisers to advise patients and their nominated support persons, family, carers and other support persons of their rights under this Act.
sec.26
Chief psychiatrist
sec.26 Chief psychiatrist
The chief psychiatrist protects the rights of patients in authorised mental health services.
The chief psychiatrist makes policies and practice guidelines that must be complied with by persons performing functions in authorised mental health services.
The chief psychiatrist has powers to investigate matters under this Act.
(sec.26-ssec.1) The chief psychiatrist protects the rights of patients in authorised mental health services.
(sec.26-ssec.2) The chief psychiatrist makes policies and practice guidelines that must be complied with by persons performing functions in authorised mental health services.
(sec.26-ssec.3) The chief psychiatrist has powers to investigate matters under this Act.
sec.27
Information notices
sec.27 Information notices
Victims of unlawful acts, close relatives of the victims, and other particular persons may apply to the chief psychiatrist to receive specific information about the person who committed the unlawful act, including when treatment in the community is authorised for the person.
sec.28
Mental Health Review Tribunal
sec.28 Mental Health Review Tribunal
The Mental Health Review Tribunal reviews the following—
treatment authorities;
forensic orders;
treatment support orders;
the fitness for trial of particular persons;
the detention of minors in high security units.
The Mental Health Review Tribunal also hears applications for the following—
examination authorities;
the approval of regulated treatment;
the transfer of particular patients into and out of Queensland.
This Act states when periodic reviews of treatment authorities, forensic orders and treatment support orders must take place.
An involuntary patient, or an interested person for the patient, may apply for a review at any time.
(sec.28-ssec.1) The Mental Health Review Tribunal reviews the following— treatment authorities; forensic orders; treatment support orders; the fitness for trial of particular persons; the detention of minors in high security units.
(sec.28-ssec.2) The Mental Health Review Tribunal also hears applications for the following— examination authorities; the approval of regulated treatment; the transfer of particular patients into and out of Queensland.
(sec.28-ssec.3) This Act states when periodic reviews of treatment authorities, forensic orders and treatment support orders must take place.
(sec.28-ssec.4) An involuntary patient, or an interested person for the patient, may apply for a review at any time.
(a) treatment authorities;
(b) forensic orders;
(c) treatment support orders;
(d) the fitness for trial of particular persons;
(e) the detention of minors in high security units.
(a) examination authorities;
(b) the approval of regulated treatment;
(c) the transfer of particular patients into and out of Queensland.
sec.29
Appeals
sec.29 Appeals
This Act provides for—
an appeal to the Mental Health Review Tribunal against particular decisions of the chief psychiatrist or the administrator of an authorised mental health service; and
an appeal to the Mental Health Court against particular decisions of the Mental Health Review Tribunal; and
an appeal to the Court of Appeal against a decision of the Mental Health Court on a reference in relation to a person.
(a) an appeal to the Mental Health Review Tribunal against particular decisions of the chief psychiatrist or the administrator of an authorised mental health service; and
(b) an appeal to the Mental Health Court against particular decisions of the Mental Health Review Tribunal; and
(c) an appeal to the Court of Appeal against a decision of the Mental Health Court on a reference in relation to a person.
ch.2-pt.1
Preliminary
Preliminary
sec.30
Purpose of ch 2
sec.30 Purpose of ch 2
The purpose of this chapter is to provide for—
matters relating to the examination and assessment of persons who may have a mental illness; and
the making of treatment authorities for persons who have a mental illness if—
the treatment criteria apply to the person; and
there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
See also chapter 3 for other matters in relation to persons in custody who have or may have a mental illness.
(a) matters relating to the examination and assessment of persons who may have a mental illness; and
(b) the making of treatment authorities for persons who have a mental illness if— (i) the treatment criteria apply to the person; and (ii) there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(i) the treatment criteria apply to the person; and
(ii) there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(i) the treatment criteria apply to the person; and
(ii) there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
ch.2-pt.2
Examinations and recommendations for assessment
Examinations and recommendations for assessment
ch.2-pt.2-div.1
Examinations generally
Examinations generally
sec.31
Examination
sec.31 Examination
A doctor or authorised mental health practitioner may examine a person to decide whether to make a recommendation for assessment for the person.
Without limiting subsection (1) , the examination may be carried out—
if the person asks for, or consents to, the examination; or
under this Act or another Act providing for the examination, including, for example, under an examination authority or emergency examination authority.
See chapter 12 , part 8 in relation to applications for examination authorities.
However, a doctor or authorised mental health practitioner must not examine a person subject to a forensic order (mental health), forensic order (Criminal Code) or treatment support order to decide whether to make a recommendation for assessment for the person.
(sec.31-ssec.1) A doctor or authorised mental health practitioner may examine a person to decide whether to make a recommendation for assessment for the person.
(sec.31-ssec.2) Without limiting subsection (1) , the examination may be carried out— if the person asks for, or consents to, the examination; or under this Act or another Act providing for the examination, including, for example, under an examination authority or emergency examination authority. See chapter 12 , part 8 in relation to applications for examination authorities.
(sec.31-ssec.3) However, a doctor or authorised mental health practitioner must not examine a person subject to a forensic order (mental health), forensic order (Criminal Code) or treatment support order to decide whether to make a recommendation for assessment for the person.
(a) if the person asks for, or consents to, the examination; or
(b) under this Act or another Act providing for the examination, including, for example, under an examination authority or emergency examination authority. Note— See chapter 12 , part 8 in relation to applications for examination authorities.
ch.2-pt.2-div.2
Powers under examination authorities
Powers under examination authorities
sec.32
Powers of doctor or authorised mental health practitioner
sec.32 Powers of doctor or authorised mental health practitioner
This section applies if a person is subject to an examination authority.
A doctor or authorised mental health practitioner may—
enter a place stated in the authority or another place in which the doctor or authorised mental health practitioner considers the person may be found, and any other place necessary for entry to either of those places, to find the person; and
examine the person, without the person’s consent, at—
the place at which the person is found; or
if the doctor or authorised mental health practitioner considers it clinically appropriate—an authorised mental health service or public sector health service facility; and
detain the person at the place at which the person is examined—
if the place is an authorised mental health service or public sector health service facility—for a period, of not more than 6 hours, starting when the person first attends at the service or facility for the examination; or
otherwise—for a period, of not more than 1 hour, starting when the person is found at the place.
If subsection (2) (b) (ii) applies to the person, an authorised person may transport the person to the authorised mental health service or public sector health service facility for the examination.
The doctor or authorised mental health practitioner examining the person may extend, or further extend, the period under subsection (2) (c) (i) before it ends if the doctor or authorised mental health practitioner considers the extension is necessary to carry out or finish the examination.
An extension under subsection (4) may be for a period, of not more than 12 hours, starting when the person first attends at the service or facility for the examination.
s 32 amd 2017 No. 3 s 3
(sec.32-ssec.1) This section applies if a person is subject to an examination authority.
(sec.32-ssec.2) A doctor or authorised mental health practitioner may— enter a place stated in the authority or another place in which the doctor or authorised mental health practitioner considers the person may be found, and any other place necessary for entry to either of those places, to find the person; and examine the person, without the person’s consent, at— the place at which the person is found; or if the doctor or authorised mental health practitioner considers it clinically appropriate—an authorised mental health service or public sector health service facility; and detain the person at the place at which the person is examined— if the place is an authorised mental health service or public sector health service facility—for a period, of not more than 6 hours, starting when the person first attends at the service or facility for the examination; or otherwise—for a period, of not more than 1 hour, starting when the person is found at the place.
(sec.32-ssec.3) If subsection (2) (b) (ii) applies to the person, an authorised person may transport the person to the authorised mental health service or public sector health service facility for the examination.
(sec.32-ssec.4) The doctor or authorised mental health practitioner examining the person may extend, or further extend, the period under subsection (2) (c) (i) before it ends if the doctor or authorised mental health practitioner considers the extension is necessary to carry out or finish the examination.
(sec.32-ssec.5) An extension under subsection (4) may be for a period, of not more than 12 hours, starting when the person first attends at the service or facility for the examination.
(a) enter a place stated in the authority or another place in which the doctor or authorised mental health practitioner considers the person may be found, and any other place necessary for entry to either of those places, to find the person; and
(b) examine the person, without the person’s consent, at— (i) the place at which the person is found; or (ii) if the doctor or authorised mental health practitioner considers it clinically appropriate—an authorised mental health service or public sector health service facility; and
(i) the place at which the person is found; or
(ii) if the doctor or authorised mental health practitioner considers it clinically appropriate—an authorised mental health service or public sector health service facility; and
(c) detain the person at the place at which the person is examined— (i) if the place is an authorised mental health service or public sector health service facility—for a period, of not more than 6 hours, starting when the person first attends at the service or facility for the examination; or (ii) otherwise—for a period, of not more than 1 hour, starting when the person is found at the place.
(i) if the place is an authorised mental health service or public sector health service facility—for a period, of not more than 6 hours, starting when the person first attends at the service or facility for the examination; or
(ii) otherwise—for a period, of not more than 1 hour, starting when the person is found at the place.
(i) the place at which the person is found; or
(ii) if the doctor or authorised mental health practitioner considers it clinically appropriate—an authorised mental health service or public sector health service facility; and
(i) if the place is an authorised mental health service or public sector health service facility—for a period, of not more than 6 hours, starting when the person first attends at the service or facility for the examination; or
(ii) otherwise—for a period, of not more than 1 hour, starting when the person is found at the place.
sec.33
Reasonable help and force to exercise powers
sec.33 Reasonable help and force to exercise powers
A doctor or authorised mental health practitioner may exercise a power under section 32 with the help, and using the force, that is necessary and reasonable in the circumstances.
sec.34
Asking police officer for help
sec.34 Asking police officer for help
For performing a function or exercising a power under section 32 in relation to a person, a doctor or authorised mental health practitioner is a public official for the Police Powers and Responsibilities Act 2000 .
For the powers of a police officer while helping a public official, see the Police Powers and Responsibilities Act 2000 , section 16 .
sec.35
Action before exercising powers
sec.35 Action before exercising powers
Before performing a function or exercising a power under section 32 in relation to a person, a doctor or authorised mental health practitioner must do or make a reasonable attempt to do each of the following—
identify himself or herself to the person;
tell the person an examination authority has been made;
explain to the person, in general terms, the nature and effect of the authority;
give the person a copy of the authority, if requested;
if the doctor or health practitioner is entering a place—give the person an opportunity to allow the doctor or health practitioner immediate entry to the place without using force.
However, the doctor or authorised mental health practitioner need not comply with subsection (1) if the doctor or health practitioner believes on reasonable grounds that not complying with the subsection is required to ensure the execution of the authority is not frustrated.
The doctor or authorised mental health practitioner must give a copy of the authority to the person’s nominated support persons, personal guardian or attorney, if requested.
(sec.35-ssec.1) Before performing a function or exercising a power under section 32 in relation to a person, a doctor or authorised mental health practitioner must do or make a reasonable attempt to do each of the following— identify himself or herself to the person; tell the person an examination authority has been made; explain to the person, in general terms, the nature and effect of the authority; give the person a copy of the authority, if requested; if the doctor or health practitioner is entering a place—give the person an opportunity to allow the doctor or health practitioner immediate entry to the place without using force.
(sec.35-ssec.2) However, the doctor or authorised mental health practitioner need not comply with subsection (1) if the doctor or health practitioner believes on reasonable grounds that not complying with the subsection is required to ensure the execution of the authority is not frustrated.
(sec.35-ssec.3) The doctor or authorised mental health practitioner must give a copy of the authority to the person’s nominated support persons, personal guardian or attorney, if requested.
(a) identify himself or herself to the person;
(b) tell the person an examination authority has been made;
(c) explain to the person, in general terms, the nature and effect of the authority;
(d) give the person a copy of the authority, if requested;
(e) if the doctor or health practitioner is entering a place—give the person an opportunity to allow the doctor or health practitioner immediate entry to the place without using force.
ch.2-pt.2-div.3
Detention of particular persons to make recommendation for assessment
Detention of particular persons to make recommendation for assessment
sec.36
Powers of doctor or authorised mental health practitioner
sec.36 Powers of doctor or authorised mental health practitioner
This section applies if—
a person asks for, or consents to, an examination under section 31 by a doctor or authorised mental health practitioner in an authorised mental health service or public sector health service facility; and
after examining the person, the doctor or authorised mental health practitioner decides under section 39 to make a recommendation for assessment for the person; and
there is a risk the person will leave the authorised mental health service or public sector health service facility in which the person is being examined before the recommendation for assessment is made.
The doctor or authorised mental health practitioner may detain the person in the authorised mental health service or public sector health service facility for the period, of not more than 1 hour, reasonably necessary to make the recommendation for assessment.
The doctor or authorised mental health practitioner must record in the person’s health records—
the reasons for detaining the person under subsection (2) ; and
the duration of the detention.
(sec.36-ssec.1) This section applies if— a person asks for, or consents to, an examination under section 31 by a doctor or authorised mental health practitioner in an authorised mental health service or public sector health service facility; and after examining the person, the doctor or authorised mental health practitioner decides under section 39 to make a recommendation for assessment for the person; and there is a risk the person will leave the authorised mental health service or public sector health service facility in which the person is being examined before the recommendation for assessment is made.
(sec.36-ssec.2) The doctor or authorised mental health practitioner may detain the person in the authorised mental health service or public sector health service facility for the period, of not more than 1 hour, reasonably necessary to make the recommendation for assessment.
(sec.36-ssec.3) The doctor or authorised mental health practitioner must record in the person’s health records— the reasons for detaining the person under subsection (2) ; and the duration of the detention.
(a) a person asks for, or consents to, an examination under section 31 by a doctor or authorised mental health practitioner in an authorised mental health service or public sector health service facility; and
(b) after examining the person, the doctor or authorised mental health practitioner decides under section 39 to make a recommendation for assessment for the person; and
(c) there is a risk the person will leave the authorised mental health service or public sector health service facility in which the person is being examined before the recommendation for assessment is made.
(a) the reasons for detaining the person under subsection (2) ; and
(b) the duration of the detention.
sec.37
Reasonable help and force to exercise powers
sec.37 Reasonable help and force to exercise powers
A doctor or authorised mental health practitioner may exercise a power under section 36 with the help, and using the force, that is necessary and reasonable in the circumstances.
sec.38
Action before exercising powers
sec.38 Action before exercising powers
Before exercising a power under section 36 in relation to a person, a doctor or authorised mental health practitioner must do or make a reasonable attempt to do the following—
identify himself or herself to the person;
tell the person a recommendation for assessment will be made;
explain to the person, in general terms, the nature and effect of a recommendation for assessment;
explain to the person that the person will be detained in the authorised mental health service or public sector health service facility for the period, of not more than 1 hour, reasonably necessary to make the recommendation for assessment;
give the person an opportunity to allow the doctor or health practitioner to make the recommendation for assessment without detaining the person.
s 38 amd 2022 No. 1 s 52
(a) identify himself or herself to the person;
(b) tell the person a recommendation for assessment will be made;
(c) explain to the person, in general terms, the nature and effect of a recommendation for assessment;
(d) explain to the person that the person will be detained in the authorised mental health service or public sector health service facility for the period, of not more than 1 hour, reasonably necessary to make the recommendation for assessment;
(e) give the person an opportunity to allow the doctor or health practitioner to make the recommendation for assessment without detaining the person.
ch.2-pt.2-div.4
Recommendations for assessment
Recommendations for assessment
sec.39
Making recommendation for assessment
sec.39 Making recommendation for assessment
A doctor or authorised mental health practitioner may, after examining a person under section 31 , make a recommendation for assessment for the person if satisfied—
the treatment criteria may apply to the person; and
there appears to be no less restrictive way for the person to receive treatment and care for the person’s mental illness.
The recommendation for assessment must be made within 7 days after the examination.
The recommendation for assessment must be in the approved form.
(sec.39-ssec.1) A doctor or authorised mental health practitioner may, after examining a person under section 31 , make a recommendation for assessment for the person if satisfied— the treatment criteria may apply to the person; and there appears to be no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(sec.39-ssec.2) The recommendation for assessment must be made within 7 days after the examination.
(sec.39-ssec.3) The recommendation for assessment must be in the approved form.
(a) the treatment criteria may apply to the person; and
(b) there appears to be no less restrictive way for the person to receive treatment and care for the person’s mental illness.
sec.40
Notice of making
sec.40 Notice of making
As soon as practicable after deciding to make the recommendation for assessment, the doctor or authorised mental health practitioner must—
tell the person of the decision; and
explain to the person the effect of the recommendation; and
give the person a copy of the recommendation, if requested.
Subsection (1) (c) does not apply if the doctor or authorised mental health practitioner considers giving the person a copy may adversely affect the health and wellbeing of the person.
Also, the doctor or authorised mental health practitioner must give a copy of the recommendation to the person’s nominated support persons, personal guardian or attorney, if requested.
(sec.40-ssec.1) As soon as practicable after deciding to make the recommendation for assessment, the doctor or authorised mental health practitioner must— tell the person of the decision; and explain to the person the effect of the recommendation; and give the person a copy of the recommendation, if requested.
(sec.40-ssec.2) Subsection (1) (c) does not apply if the doctor or authorised mental health practitioner considers giving the person a copy may adversely affect the health and wellbeing of the person.
(sec.40-ssec.3) Also, the doctor or authorised mental health practitioner must give a copy of the recommendation to the person’s nominated support persons, personal guardian or attorney, if requested.
(a) tell the person of the decision; and
(b) explain to the person the effect of the recommendation; and
(c) give the person a copy of the recommendation, if requested.
sec.41
Duration
sec.41 Duration
A recommendation for assessment is in force for 7 days after the day it is made.
sec.42
Revocation
sec.42 Revocation
A doctor or authorised mental health practitioner who makes a recommendation for assessment for a person may revoke the recommendation at any time before the start of the assessment period for the person.
The doctor or authorised mental health practitioner may act under subsection (1) only if the doctor or health practitioner is no longer satisfied—
the treatment criteria may apply to the person; or
there appears to be no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(sec.42-ssec.1) A doctor or authorised mental health practitioner who makes a recommendation for assessment for a person may revoke the recommendation at any time before the start of the assessment period for the person.
(sec.42-ssec.2) The doctor or authorised mental health practitioner may act under subsection (1) only if the doctor or health practitioner is no longer satisfied— the treatment criteria may apply to the person; or there appears to be no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(a) the treatment criteria may apply to the person; or
(b) there appears to be no less restrictive way for the person to receive treatment and care for the person’s mental illness.
ch.2-pt.3
Assessments
Assessments
sec.43
Making assessment
sec.43 Making assessment
An authorised doctor may make an assessment of a person subject to a recommendation for assessment to decide—
whether the treatment criteria apply to the person; and
whether there is a less restrictive way for the person to receive treatment and care for the person’s mental illness.
The authorised doctor who makes the assessment under subsection (1) must not be the authorised doctor who made the recommendation for assessment for the person.
Subsection (2) does not apply if the authorised doctor is an authorised doctor for an authorised mental health service (rural and remote) and is the only authorised doctor reasonably available to make the assessment.
For subsection (1) (b) , the authorised doctor must take reasonable steps to find out whether there is a less restrictive way for the person to receive treatment and care for the person’s mental illness, including, for example, by searching the person’s health records to find out whether the person has made an advance health directive or has a personal guardian.
(sec.43-ssec.1) An authorised doctor may make an assessment of a person subject to a recommendation for assessment to decide— whether the treatment criteria apply to the person; and whether there is a less restrictive way for the person to receive treatment and care for the person’s mental illness.
(sec.43-ssec.2) The authorised doctor who makes the assessment under subsection (1) must not be the authorised doctor who made the recommendation for assessment for the person.
(sec.43-ssec.3) Subsection (2) does not apply if the authorised doctor is an authorised doctor for an authorised mental health service (rural and remote) and is the only authorised doctor reasonably available to make the assessment.
(sec.43-ssec.4) For subsection (1) (b) , the authorised doctor must take reasonable steps to find out whether there is a less restrictive way for the person to receive treatment and care for the person’s mental illness, including, for example, by searching the person’s health records to find out whether the person has made an advance health directive or has a personal guardian.
(a) whether the treatment criteria apply to the person; and
(b) whether there is a less restrictive way for the person to receive treatment and care for the person’s mental illness.
sec.44
Where and how person may be assessed
sec.44 Where and how person may be assessed
A person subject to a recommendation for assessment may be assessed in—
an authorised mental health service; or
a public sector health service facility; or
another place considered clinically appropriate by the authorised doctor making the assessment.
An authorised person may transport the person to an authorised mental health service or a public sector health service facility for assessment.
For a person in custody subject to a recommendation for assessment, see section 65 .
For the powers of an authorised person when detaining and transporting a person, see chapter 11 , part 6 , division 5 .
An authorised doctor making an assessment of a person must discuss the assessment with the person.
(sec.44-ssec.1) A person subject to a recommendation for assessment may be assessed in— an authorised mental health service; or a public sector health service facility; or another place considered clinically appropriate by the authorised doctor making the assessment.
(sec.44-ssec.2) An authorised person may transport the person to an authorised mental health service or a public sector health service facility for assessment. For a person in custody subject to a recommendation for assessment, see section 65 . For the powers of an authorised person when detaining and transporting a person, see chapter 11 , part 6 , division 5 .
(sec.44-ssec.3) An authorised doctor making an assessment of a person must discuss the assessment with the person.
(a) an authorised mental health service; or
(b) a public sector health service facility; or
(c) another place considered clinically appropriate by the authorised doctor making the assessment.
1 For a person in custody subject to a recommendation for assessment, see section 65 .
2 For the powers of an authorised person when detaining and transporting a person, see chapter 11 , part 6 , division 5 .
sec.45
Detention for assessment
sec.45 Detention for assessment
If a person subject to a recommendation for assessment is to be assessed in an authorised mental health service or public sector health service facility, the person may be detained for assessment in the service or facility for a period of not more than 24 hours starting—
if the person is at the service or facility when the recommendation for assessment is made—when the recommendation is made; or
otherwise—when the person first attends at the service or facility for the assessment.
The authorised doctor making the assessment of the person may extend, or further extend, the period under subsection (1) before it ends to a period of not more than 72 hours after it starts if the authorised doctor considers the extension is necessary to carry out or finish the assessment.
If, at any time during the period mentioned in subsection (1) , or extended under subsection (2) , the authorised doctor making the assessment makes a decision on the assessment, the period for which the person may be detained for assessment ends.
The period under this section for which the person may be detained for assessment is the assessment period for the person.
s 45 amd 2017 No. 3 s 4
(sec.45-ssec.1) If a person subject to a recommendation for assessment is to be assessed in an authorised mental health service or public sector health service facility, the person may be detained for assessment in the service or facility for a period of not more than 24 hours starting— if the person is at the service or facility when the recommendation for assessment is made—when the recommendation is made; or otherwise—when the person first attends at the service or facility for the assessment.
(sec.45-ssec.2) The authorised doctor making the assessment of the person may extend, or further extend, the period under subsection (1) before it ends to a period of not more than 72 hours after it starts if the authorised doctor considers the extension is necessary to carry out or finish the assessment.
(sec.45-ssec.3) If, at any time during the period mentioned in subsection (1) , or extended under subsection (2) , the authorised doctor making the assessment makes a decision on the assessment, the period for which the person may be detained for assessment ends.
(sec.45-ssec.4) The period under this section for which the person may be detained for assessment is the assessment period for the person.
(a) if the person is at the service or facility when the recommendation for assessment is made—when the recommendation is made; or
(b) otherwise—when the person first attends at the service or facility for the assessment.
sec.46
Start of assessment period to be noted
sec.46 Start of assessment period to be noted
If the assessment period for a person starts as mentioned in section 45 (1) (a) —
the doctor or authorised mental health practitioner who made the recommendation for assessment for the person must make a note on the recommendation of the time when the assessment period starts; and
the note must be made when the recommendation for assessment is made.
If the assessment period for a person starts as mentioned in section 45 (1) (b) —
an employee of the service or facility must make a note on the recommendation for assessment of the time when the assessment period starts; and
the note must be made as soon as practicable after the person is admitted to the service or facility.
s 46 amd 2017 No. 3 s 5
(sec.46-ssec.1) If the assessment period for a person starts as mentioned in section 45 (1) (a) — the doctor or authorised mental health practitioner who made the recommendation for assessment for the person must make a note on the recommendation of the time when the assessment period starts; and the note must be made when the recommendation for assessment is made.
(sec.46-ssec.2) If the assessment period for a person starts as mentioned in section 45 (1) (b) — an employee of the service or facility must make a note on the recommendation for assessment of the time when the assessment period starts; and the note must be made as soon as practicable after the person is admitted to the service or facility. s 46 amd 2017 No. 3 s 5
(a) the doctor or authorised mental health practitioner who made the recommendation for assessment for the person must make a note on the recommendation of the time when the assessment period starts; and
(b) the note must be made when the recommendation for assessment is made.
(a) an employee of the service or facility must make a note on the recommendation for assessment of the time when the assessment period starts; and
(b) the note must be made as soon as practicable after the person is admitted to the service or facility.
sec.47
Explaining decision not to make treatment authority
sec.47 Explaining decision not to make treatment authority
This section applies if, on making an assessment of a person subject to a recommendation for assessment, an authorised doctor decides—
the treatment criteria do not apply to the person; or
there is a less restrictive way for the person to receive treatment and care for the person’s mental illness.
The authorised doctor must—
tell the person of the decision; and
explain its effect to the person; and
make a note on the recommendation for assessment of the decision not to make a treatment authority for the person.
(sec.47-ssec.1) This section applies if, on making an assessment of a person subject to a recommendation for assessment, an authorised doctor decides— the treatment criteria do not apply to the person; or there is a less restrictive way for the person to receive treatment and care for the person’s mental illness.
(sec.47-ssec.2) The authorised doctor must— tell the person of the decision; and explain its effect to the person; and make a note on the recommendation for assessment of the decision not to make a treatment authority for the person.
(a) the treatment criteria do not apply to the person; or
(b) there is a less restrictive way for the person to receive treatment and care for the person’s mental illness.
(a) tell the person of the decision; and
(b) explain its effect to the person; and
(c) make a note on the recommendation for assessment of the decision not to make a treatment authority for the person.
ch.2-pt.4
Treatment authorities
Treatment authorities
sec.48
Application of pt 4
sec.48 Application of pt 4
This part applies if, on making an assessment of a person under part 3 , the authorised doctor making the assessment is satisfied—
the treatment criteria apply to the person; and
there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(a) the treatment criteria apply to the person; and
(b) there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
sec.49
Making treatment authority
sec.49 Making treatment authority
The authorised doctor may make an authority (a treatment authority ) for the person.
sec.50
Form of treatment authority
sec.50 Form of treatment authority
The treatment authority must—
be in the approved form; and
state the following—
the grounds on which the authorised doctor is satisfied the treatment criteria apply to the person;
the authorised mental health service responsible for the person’s treatment and care under the authority;
the category of the authority;
if the authorised doctor decides under section 51 (1) that the category of the authority is inpatient—whether limited community treatment is authorised for the person;
any conditions the authorised doctor considers necessary for the person’s treatment and care.
See schedule 3 , definition condition .
For subsection (1) (b) (ii) , if the authorised doctor decides under section 51 (1) that the category of the authority is inpatient, the authorised mental health service responsible for the person’s treatment and care must not be a high security unit without the prior written approval of the chief psychiatrist.
s 50 amd 2017 No. 3 s 6
(sec.50-ssec.1) The treatment authority must— be in the approved form; and state the following— the grounds on which the authorised doctor is satisfied the treatment criteria apply to the person; the authorised mental health service responsible for the person’s treatment and care under the authority; the category of the authority; if the authorised doctor decides under section 51 (1) that the category of the authority is inpatient—whether limited community treatment is authorised for the person; any conditions the authorised doctor considers necessary for the person’s treatment and care. See schedule 3 , definition condition .
(sec.50-ssec.2) For subsection (1) (b) (ii) , if the authorised doctor decides under section 51 (1) that the category of the authority is inpatient, the authorised mental health service responsible for the person’s treatment and care must not be a high security unit without the prior written approval of the chief psychiatrist.
(a) be in the approved form; and
(b) state the following— (i) the grounds on which the authorised doctor is satisfied the treatment criteria apply to the person; (ii) the authorised mental health service responsible for the person’s treatment and care under the authority; (iii) the category of the authority; (iv) if the authorised doctor decides under section 51 (1) that the category of the authority is inpatient—whether limited community treatment is authorised for the person; (v) any conditions the authorised doctor considers necessary for the person’s treatment and care. Note— See schedule 3 , definition condition .
(i) the grounds on which the authorised doctor is satisfied the treatment criteria apply to the person;
(ii) the authorised mental health service responsible for the person’s treatment and care under the authority;
(iii) the category of the authority;
(iv) if the authorised doctor decides under section 51 (1) that the category of the authority is inpatient—whether limited community treatment is authorised for the person;
(v) any conditions the authorised doctor considers necessary for the person’s treatment and care. Note— See schedule 3 , definition condition .
(i) the grounds on which the authorised doctor is satisfied the treatment criteria apply to the person;
(ii) the authorised mental health service responsible for the person’s treatment and care under the authority;
(iii) the category of the authority;
(iv) if the authorised doctor decides under section 51 (1) that the category of the authority is inpatient—whether limited community treatment is authorised for the person;
(v) any conditions the authorised doctor considers necessary for the person’s treatment and care. Note— See schedule 3 , definition condition .
sec.51
Category
sec.51 Category
If the authorised doctor makes a treatment authority for the person, and the person is not a classified patient, the authorised doctor must decide whether the category of the authority is—
inpatient; or
community.
In deciding the category of the authority, the authorised doctor must have regard to the relevant circumstances of the person.
However, the authorised doctor may decide the category of the authority is inpatient only if the authorised doctor considers, after having regard to the relevant circumstances of the person, that 1 or more of the following can not reasonably be met if the category of the authority is community—
the person’s treatment and care needs;
the safety and welfare of the person;
the safety of others.
If the person is a classified patient, the category of the authority is inpatient.
(sec.51-ssec.1) If the authorised doctor makes a treatment authority for the person, and the person is not a classified patient, the authorised doctor must decide whether the category of the authority is— inpatient; or community.
(sec.51-ssec.2) In deciding the category of the authority, the authorised doctor must have regard to the relevant circumstances of the person.
(sec.51-ssec.3) However, the authorised doctor may decide the category of the authority is inpatient only if the authorised doctor considers, after having regard to the relevant circumstances of the person, that 1 or more of the following can not reasonably be met if the category of the authority is community— the person’s treatment and care needs; the safety and welfare of the person; the safety of others.
(sec.51-ssec.4) If the person is a classified patient, the category of the authority is inpatient.
(a) inpatient; or
(b) community.
(a) the person’s treatment and care needs;
(b) the safety and welfare of the person;
(c) the safety of others.
sec.52
Limited community treatment
sec.52 Limited community treatment
If the authorised doctor decides under section 51 (1) that the category of the treatment authority is inpatient, the authorised doctor must decide whether to authorise limited community treatment.
See chapter 7 , part 6 for the authorisation of limited community treatment for classified patients.
The authorised doctor may decide to authorise limited community treatment only if satisfied limited community treatment is appropriate having regard to—
the relevant circumstances of the person; and
the purpose of limited community treatment.
If limited community treatment is authorised under this section, the person’s treatment authority must state—
the nature and conditions of the limited community treatment; and
the period, of not more than 7 consecutive days, of the limited community treatment; and
the duration for which the authorisation is in force.
limited community treatment may be authorised for a period of 1 day per week for a duration of 8 weeks
(sec.52-ssec.1) If the authorised doctor decides under section 51 (1) that the category of the treatment authority is inpatient, the authorised doctor must decide whether to authorise limited community treatment. See chapter 7 , part 6 for the authorisation of limited community treatment for classified patients.
(sec.52-ssec.2) The authorised doctor may decide to authorise limited community treatment only if satisfied limited community treatment is appropriate having regard to— the relevant circumstances of the person; and the purpose of limited community treatment.
(sec.52-ssec.3) If limited community treatment is authorised under this section, the person’s treatment authority must state— the nature and conditions of the limited community treatment; and the period, of not more than 7 consecutive days, of the limited community treatment; and the duration for which the authorisation is in force. limited community treatment may be authorised for a period of 1 day per week for a duration of 8 weeks
(a) the relevant circumstances of the person; and
(b) the purpose of limited community treatment.
(a) the nature and conditions of the limited community treatment; and
(b) the period, of not more than 7 consecutive days, of the limited community treatment; and
(c) the duration for which the authorisation is in force.
sec.53
Nature and extent of treatment and care
sec.53 Nature and extent of treatment and care
The authorised doctor must decide the nature and extent of the treatment and care to be provided to the person under the treatment authority.
In deciding the nature and extent of the treatment and care, the authorised doctor must—
discuss the treatment and care to be provided with the person; and
have regard to the views, wishes and preferences of the person, to the extent they can be expressed, including, for example, in an advance health directive.
s 53 sub 2017 No. 3 s 7
(sec.53-ssec.1) The authorised doctor must decide the nature and extent of the treatment and care to be provided to the person under the treatment authority.
(sec.53-ssec.2) In deciding the nature and extent of the treatment and care, the authorised doctor must— discuss the treatment and care to be provided with the person; and have regard to the views, wishes and preferences of the person, to the extent they can be expressed, including, for example, in an advance health directive. s 53 sub 2017 No. 3 s 7
(a) discuss the treatment and care to be provided with the person; and
(b) have regard to the views, wishes and preferences of the person, to the extent they can be expressed, including, for example, in an advance health directive.
sec.54
When advance health directive not followed
sec.54 When advance health directive not followed
This section applies if—
the person has an advance health directive relating to the person’s future treatment and care for a mental illness; and
either—
the authorised doctor decides to make a treatment authority despite the person having an advance health directive; or
the nature and extent of the treatment and care decided by the authorised doctor under section 53 is inconsistent with the views, wishes and preferences of the person expressed in the advance health directive.
The authorised doctor must—
explain to the person the reasons why the authorised doctor made the decision mentioned in subsection (1) (b) ; and
record the reasons in the person’s health records.
(sec.54-ssec.1) This section applies if— the person has an advance health directive relating to the person’s future treatment and care for a mental illness; and either— the authorised doctor decides to make a treatment authority despite the person having an advance health directive; or the nature and extent of the treatment and care decided by the authorised doctor under section 53 is inconsistent with the views, wishes and preferences of the person expressed in the advance health directive.
(sec.54-ssec.2) The authorised doctor must— explain to the person the reasons why the authorised doctor made the decision mentioned in subsection (1) (b) ; and record the reasons in the person’s health records.
(a) the person has an advance health directive relating to the person’s future treatment and care for a mental illness; and
(b) either— (i) the authorised doctor decides to make a treatment authority despite the person having an advance health directive; or (ii) the nature and extent of the treatment and care decided by the authorised doctor under section 53 is inconsistent with the views, wishes and preferences of the person expressed in the advance health directive.
(i) the authorised doctor decides to make a treatment authority despite the person having an advance health directive; or
(ii) the nature and extent of the treatment and care decided by the authorised doctor under section 53 is inconsistent with the views, wishes and preferences of the person expressed in the advance health directive.
(i) the authorised doctor decides to make a treatment authority despite the person having an advance health directive; or
(ii) the nature and extent of the treatment and care decided by the authorised doctor under section 53 is inconsistent with the views, wishes and preferences of the person expressed in the advance health directive.
(a) explain to the person the reasons why the authorised doctor made the decision mentioned in subsection (1) (b) ; and
(b) record the reasons in the person’s health records.
sec.55
Notice of making
sec.55 Notice of making
As soon as practicable after making a treatment authority for a person, the authorised doctor must—
tell the person of the decision; and
explain its effect to the person.
If the authorised doctor is a psychiatrist, the administrator of the person’s treating health service must, within 7 days after the treatment authority is made—
give the person a copy of the authority; and
give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested; and
give the tribunal written notice of its making.
If the authorised doctor is not a psychiatrist, the administrator of the person’s treating health service must—
give the person a copy of the authority, if requested; and
give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested.
(sec.55-ssec.1) As soon as practicable after making a treatment authority for a person, the authorised doctor must— tell the person of the decision; and explain its effect to the person.
(sec.55-ssec.2) If the authorised doctor is a psychiatrist, the administrator of the person’s treating health service must, within 7 days after the treatment authority is made— give the person a copy of the authority; and give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested; and give the tribunal written notice of its making.
(sec.55-ssec.3) If the authorised doctor is not a psychiatrist, the administrator of the person’s treating health service must— give the person a copy of the authority, if requested; and give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested.
(a) tell the person of the decision; and
(b) explain its effect to the person.
(a) give the person a copy of the authority; and
(b) give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested; and
(c) give the tribunal written notice of its making.
(a) give the person a copy of the authority, if requested; and
(b) give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested.
sec.56
Review of treatment authority if not made by psychiatrist
sec.56 Review of treatment authority if not made by psychiatrist
This section applies if a treatment authority is made by an authorised doctor who is not a psychiatrist.
An authorised psychiatrist must review the treatment authority and decide whether—
to confirm the treatment authority, with or without amendment; or
to revoke the treatment authority.
The review must happen—
within 3 days (the review period ) after the treatment authority is made; or
if the person subject to the treatment authority is a patient of an authorised mental health service (rural and remote) and it is not reasonably practicable to complete the review within 3 days—within 7 days (also the review period ) after the treatment authority is made.
An authorised doctor may give the person subject to the treatment authority a written notice directing the person to attend for the review at a stated authorised mental health service or public sector health service facility on a stated day within the review period.
See chapter 11 , part 6 , division 3 for the powers that may be used in relation to a person who does not comply with a direction under subsection (4) .
The person subject to the treatment authority may be detained for the review in the stated service or facility for a period of not more than 6 hours starting when the person attends for the review at the service or facility.
A review of a treatment authority does not affect the operation of the treatment authority before a decision is made to confirm or revoke it under subsection (2) .
s 56 amd 2017 No. 3 s 8
(sec.56-ssec.1) This section applies if a treatment authority is made by an authorised doctor who is not a psychiatrist.
(sec.56-ssec.2) An authorised psychiatrist must review the treatment authority and decide whether— to confirm the treatment authority, with or without amendment; or to revoke the treatment authority.
(sec.56-ssec.3) The review must happen— within 3 days (the review period ) after the treatment authority is made; or if the person subject to the treatment authority is a patient of an authorised mental health service (rural and remote) and it is not reasonably practicable to complete the review within 3 days—within 7 days (also the review period ) after the treatment authority is made.
(sec.56-ssec.4) An authorised doctor may give the person subject to the treatment authority a written notice directing the person to attend for the review at a stated authorised mental health service or public sector health service facility on a stated day within the review period. See chapter 11 , part 6 , division 3 for the powers that may be used in relation to a person who does not comply with a direction under subsection (4) .
(sec.56-ssec.5) The person subject to the treatment authority may be detained for the review in the stated service or facility for a period of not more than 6 hours starting when the person attends for the review at the service or facility.
(sec.56-ssec.6) A review of a treatment authority does not affect the operation of the treatment authority before a decision is made to confirm or revoke it under subsection (2) .
(a) to confirm the treatment authority, with or without amendment; or
(b) to revoke the treatment authority.
(a) within 3 days (the review period ) after the treatment authority is made; or
(b) if the person subject to the treatment authority is a patient of an authorised mental health service (rural and remote) and it is not reasonably practicable to complete the review within 3 days—within 7 days (also the review period ) after the treatment authority is made.
sec.57
Decision on review
sec.57 Decision on review
On a review under section 56 of a treatment authority, the authorised psychiatrist may decide to confirm the treatment authority only if satisfied—
the treatment criteria apply to the person; and
there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
If the authorised psychiatrist decides to confirm the treatment authority, the authorised psychiatrist must—
decide whether to amend the treatment authority in any of the following ways—
to change the category of the authority;
to authorise or revoke, or change the nature or extent of, limited community treatment;
to impose a condition on, or change a condition of, the authority; and
decide the nature and extent of the treatment and care to be provided to the person under the treatment authority.
In deciding—
whether to change the category of the authority, section 51 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist; and
whether to authorise or revoke, or change the nature or extent of, limited community treatment, section 52 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist; and
the nature and extent of the treatment and care to be provided to the person, section 53 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist.
If, after reviewing the treatment authority, the authorised psychiatrist is not satisfied of the matters mentioned in subsection (1) , the authorised psychiatrist must decide to revoke the treatment authority.
The authorised psychiatrist must make a note on the treatment authority of the decision on the review.
If a treatment authority made by an authorised doctor who is not an authorised psychiatrist is not confirmed under subsection (1) or revoked under subsection (4) within the review period for the treatment authority, the treatment authority is revoked at the end of the review period.
However, subsection (6) does not apply if the person does not attend for the review as directed under section 56 (4) .
(sec.57-ssec.1) On a review under section 56 of a treatment authority, the authorised psychiatrist may decide to confirm the treatment authority only if satisfied— the treatment criteria apply to the person; and there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(sec.57-ssec.2) If the authorised psychiatrist decides to confirm the treatment authority, the authorised psychiatrist must— decide whether to amend the treatment authority in any of the following ways— to change the category of the authority; to authorise or revoke, or change the nature or extent of, limited community treatment; to impose a condition on, or change a condition of, the authority; and decide the nature and extent of the treatment and care to be provided to the person under the treatment authority.
(sec.57-ssec.3) In deciding— whether to change the category of the authority, section 51 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist; and whether to authorise or revoke, or change the nature or extent of, limited community treatment, section 52 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist; and the nature and extent of the treatment and care to be provided to the person, section 53 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist.
(sec.57-ssec.4) If, after reviewing the treatment authority, the authorised psychiatrist is not satisfied of the matters mentioned in subsection (1) , the authorised psychiatrist must decide to revoke the treatment authority.
(sec.57-ssec.5) The authorised psychiatrist must make a note on the treatment authority of the decision on the review.
(sec.57-ssec.6) If a treatment authority made by an authorised doctor who is not an authorised psychiatrist is not confirmed under subsection (1) or revoked under subsection (4) within the review period for the treatment authority, the treatment authority is revoked at the end of the review period.
(sec.57-ssec.7) However, subsection (6) does not apply if the person does not attend for the review as directed under section 56 (4) .
(a) the treatment criteria apply to the person; and
(b) there is no less restrictive way for the person to receive treatment and care for the person’s mental illness.
(a) decide whether to amend the treatment authority in any of the following ways— (i) to change the category of the authority; (ii) to authorise or revoke, or change the nature or extent of, limited community treatment; (iii) to impose a condition on, or change a condition of, the authority; and
(i) to change the category of the authority;
(ii) to authorise or revoke, or change the nature or extent of, limited community treatment;
(iii) to impose a condition on, or change a condition of, the authority; and
(b) decide the nature and extent of the treatment and care to be provided to the person under the treatment authority.
(i) to change the category of the authority;
(ii) to authorise or revoke, or change the nature or extent of, limited community treatment;
(iii) to impose a condition on, or change a condition of, the authority; and
(a) whether to change the category of the authority, section 51 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist; and
(b) whether to authorise or revoke, or change the nature or extent of, limited community treatment, section 52 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist; and
(c) the nature and extent of the treatment and care to be provided to the person, section 53 applies to the authorised psychiatrist as if a reference in the section to an authorised doctor were a reference to the authorised psychiatrist.
sec.58
Notice about review
sec.58 Notice about review
As soon as practicable after making a decision under section 57 on a review of a treatment authority for a person, the authorised psychiatrist must—
tell the person of the decision; and
explain its effect to the person.
If the decision on the review is to confirm the treatment authority, the administrator of the person’s treating health service must, within 7 days after the decision—
give the person a copy of the authority; and
give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested; and
give the tribunal written notice of the decision.
(sec.58-ssec.1) As soon as practicable after making a decision under section 57 on a review of a treatment authority for a person, the authorised psychiatrist must— tell the person of the decision; and explain its effect to the person.
(sec.58-ssec.2) If the decision on the review is to confirm the treatment authority, the administrator of the person’s treating health service must, within 7 days after the decision— give the person a copy of the authority; and give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested; and give the tribunal written notice of the decision.
(a) tell the person of the decision; and
(b) explain its effect to the person.
(a) give the person a copy of the authority; and
(b) give the person’s nominated support persons, personal guardian or attorney a copy of the authority, if requested; and
(c) give the tribunal written notice of the decision.
sec.59
Date for first assessment
sec.59 Date for first assessment
If an authorised doctor makes a treatment authority for a person, the authorised doctor must decide and record in the person’s health records a date for the first regular assessment of the patient under section 205 .
The date for the assessment must be not later than 3 months after the day the treatment authority is made.
(sec.59-ssec.1) If an authorised doctor makes a treatment authority for a person, the authorised doctor must decide and record in the person’s health records a date for the first regular assessment of the patient under section 205 .
(sec.59-ssec.2) The date for the assessment must be not later than 3 months after the day the treatment authority is made.
sec.60
Relationship with forensic order (disability)
sec.60 Relationship with forensic order (disability)
If a treatment authority for a person is inconsistent with a forensic order (disability) for the person, the forensic order (disability) prevails to the extent of the inconsistency.
ch.3-pt.1
Preliminary
Preliminary
sec.61
Purpose of ch 3
sec.61 Purpose of ch 3
The purpose of this chapter is to provide for—
the transport of persons in custody to an inpatient unit of an authorised mental health service—
for assessment under chapter 2 , part 3 ; or
to receive treatment and care under this Act for the person’s mental illness; and
persons subject to examination orders or court examination orders remaining in an inpatient unit of an authorised mental health service to receive treatment and care under this Act for the person’s mental illness; and
particular requirements that apply when persons become classified patients; and
the return to custody, or release from detention in an authorised mental health service, of classified patients.
(a) the transport of persons in custody to an inpatient unit of an authorised mental health service— (i) for assessment under chapter 2 , part 3 ; or (ii) to receive treatment and care under this Act for the person’s mental illness; and
(i) for assessment under chapter 2 , part 3 ; or
(ii) to receive treatment and care under this Act for the person’s mental illness; and
(b) persons subject to examination orders or court examination orders remaining in an inpatient unit of an authorised mental health service to receive treatment and care under this Act for the person’s mental illness; and
(c) particular requirements that apply when persons become classified patients; and
(d) the return to custody, or release from detention in an authorised mental health service, of classified patients.
(i) for assessment under chapter 2 , part 3 ; or
(ii) to receive treatment and care under this Act for the person’s mental illness; and
sec.62
Definitions for ch 3
sec.62 Definitions for ch 3
In this chapter—
administrator consent , for a person in custody, means consent given by the administrator of an authorised mental health service under section 69 for the transport of the person.
classified patient see section 64 (1) .
classified patient (involuntary) see section 64 (2) .
classified patient (voluntary) see section 64 (3) .
custodian consent , for a person in custody, means consent given under section 71 for the transport of the person.
notice event see section 81 (1) .
person in custody see section 63 .
transfer recommendation see section 68 (2) .
sec.63
Meaning of person in custody
sec.63 Meaning of person in custody
A person in custody is a person who is in lawful custody—
on a charge of an offence or awaiting sentence on conviction for an offence; or
without charge under—
an Act of the State, other than this Act; or
an Act of the Commonwealth; or
serving a sentence of imprisonment, or period of detention under a court order, for an offence and who is not released on parole.
To remove any doubt, it is declared that an offence mentioned in subsection (1) includes an offence against a law of the Commonwealth.
See the Judiciary Act 1903 (Cwlth) , section 68 (Jurisdiction of State and Territory courts in criminal cases).
(sec.63-ssec.1) A person in custody is a person who is in lawful custody— on a charge of an offence or awaiting sentence on conviction for an offence; or without charge under— an Act of the State, other than this Act; or an Act of the Commonwealth; or serving a sentence of imprisonment, or period of detention under a court order, for an offence and who is not released on parole.
(sec.63-ssec.2) To remove any doubt, it is declared that an offence mentioned in subsection (1) includes an offence against a law of the Commonwealth. See the Judiciary Act 1903 (Cwlth) , section 68 (Jurisdiction of State and Territory courts in criminal cases).
(a) on a charge of an offence or awaiting sentence on conviction for an offence; or
(b) without charge under— (i) an Act of the State, other than this Act; or (ii) an Act of the Commonwealth; or
(i) an Act of the State, other than this Act; or
(ii) an Act of the Commonwealth; or
(c) serving a sentence of imprisonment, or period of detention under a court order, for an offence and who is not released on parole.
(i) an Act of the State, other than this Act; or
(ii) an Act of the Commonwealth; or
sec.64
Meaning of classified patient
sec.64 Meaning of classified patient
A classified patient is—
a classified patient (involuntary); or
a classified patient (voluntary).
A classified patient (involuntary) is—
a person who is—
subject to any of the following—
a recommendation for assessment;
a treatment authority;
a forensic order (mental health);
a treatment support order; and
transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and
admitted to the inpatient unit of the authorised mental health service; or
a person who—
is subject to any of the following—
a treatment authority;
a forensic order (mental health);
a treatment support order; and
remains in an inpatient unit of an authorised mental health service under section 74 .
A classified patient (voluntary) is—
a person who—
is transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and
is admitted to the inpatient unit of the authorised mental health service; and
consents under section 67 or 79 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service; or
a person who—
remains in an inpatient unit of an authorised mental health service under section 74 ; and
consents under section 74 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service.
(sec.64-ssec.1) A classified patient is— a classified patient (involuntary); or a classified patient (voluntary).
(sec.64-ssec.2) A classified patient (involuntary) is— a person who is— subject to any of the following— a recommendation for assessment; a treatment authority; a forensic order (mental health); a treatment support order; and transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and admitted to the inpatient unit of the authorised mental health service; or a person who— is subject to any of the following— a treatment authority; a forensic order (mental health); a treatment support order; and remains in an inpatient unit of an authorised mental health service under section 74 .
(sec.64-ssec.3) A classified patient (voluntary) is— a person who— is transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and is admitted to the inpatient unit of the authorised mental health service; and consents under section 67 or 79 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service; or a person who— remains in an inpatient unit of an authorised mental health service under section 74 ; and consents under section 74 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service.
(a) a classified patient (involuntary); or
(b) a classified patient (voluntary).
(a) a person who is— (i) subject to any of the following— (A) a recommendation for assessment; (B) a treatment authority; (C) a forensic order (mental health); (D) a treatment support order; and (ii) transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and (iii) admitted to the inpatient unit of the authorised mental health service; or
(i) subject to any of the following— (A) a recommendation for assessment; (B) a treatment authority; (C) a forensic order (mental health); (D) a treatment support order; and
(A) a recommendation for assessment;
(B) a treatment authority;
(C) a forensic order (mental health);
(D) a treatment support order; and
(ii) transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and
(iii) admitted to the inpatient unit of the authorised mental health service; or
(b) a person who— (i) is subject to any of the following— (A) a treatment authority; (B) a forensic order (mental health); (C) a treatment support order; and (ii) remains in an inpatient unit of an authorised mental health service under section 74 .
(i) is subject to any of the following— (A) a treatment authority; (B) a forensic order (mental health); (C) a treatment support order; and
(A) a treatment authority;
(B) a forensic order (mental health);
(C) a treatment support order; and
(ii) remains in an inpatient unit of an authorised mental health service under section 74 .
(i) subject to any of the following— (A) a recommendation for assessment; (B) a treatment authority; (C) a forensic order (mental health); (D) a treatment support order; and
(A) a recommendation for assessment;
(B) a treatment authority;
(C) a forensic order (mental health);
(D) a treatment support order; and
(ii) transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and
(iii) admitted to the inpatient unit of the authorised mental health service; or
(A) a recommendation for assessment;
(B) a treatment authority;
(C) a forensic order (mental health);
(D) a treatment support order; and
(i) is subject to any of the following— (A) a treatment authority; (B) a forensic order (mental health); (C) a treatment support order; and
(A) a treatment authority;
(B) a forensic order (mental health);
(C) a treatment support order; and
(ii) remains in an inpatient unit of an authorised mental health service under section 74 .
(A) a treatment authority;
(B) a forensic order (mental health);
(C) a treatment support order; and
(a) a person who— (i) is transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and (ii) is admitted to the inpatient unit of the authorised mental health service; and (iii) consents under section 67 or 79 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service; or
(i) is transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and
(ii) is admitted to the inpatient unit of the authorised mental health service; and
(iii) consents under section 67 or 79 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service; or
(b) a person who— (i) remains in an inpatient unit of an authorised mental health service under section 74 ; and (ii) consents under section 74 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service.
(i) remains in an inpatient unit of an authorised mental health service under section 74 ; and
(ii) consents under section 74 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service.
(i) is transported under part 2 from a place of custody to an inpatient unit of an authorised mental health service; and
(ii) is admitted to the inpatient unit of the authorised mental health service; and
(iii) consents under section 67 or 79 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service; or
(i) remains in an inpatient unit of an authorised mental health service under section 74 ; and
(ii) consents under section 74 to receiving treatment and care for the person’s mental illness in the inpatient unit of the authorised mental health service.
ch.3-pt.2
Transport of persons in custody to authorised mental health services
Transport of persons in custody to authorised mental health services
sec.65
Transport for assessment
sec.65 Transport for assessment
This section applies to a person in custody who is subject to a recommendation for assessment.
The person may be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service for assessment under chapter 2 , part 3 .
The authorised person may transport the person only if both of the following have been made for the person—
an administrator consent;
a custodian consent.
Despite section 44 (1) and (2) , the person may be transported only to, and assessed only in, an inpatient unit of an authorised mental health service.
(sec.65-ssec.1) This section applies to a person in custody who is subject to a recommendation for assessment.
(sec.65-ssec.2) The person may be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service for assessment under chapter 2 , part 3 .
(sec.65-ssec.3) The authorised person may transport the person only if both of the following have been made for the person— an administrator consent; a custodian consent.
(sec.65-ssec.4) Despite section 44 (1) and (2) , the person may be transported only to, and assessed only in, an inpatient unit of an authorised mental health service.
(a) an administrator consent;
(b) a custodian consent.
sec.66
Transport for treatment and care under treatment authority or particular orders
sec.66 Transport for treatment and care under treatment authority or particular orders
This section applies to a person in custody who is subject to a treatment authority, forensic order (mental health) or treatment support order.
The person may be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service to receive treatment and care for the person’s mental illness.
The authorised person may transport the person only if all of the following have been made for the person—
a transfer recommendation;
an administrator consent;
a custodian consent.
When the person is admitted to the inpatient unit of the authorised mental health service—
if the category of the person’s treatment authority, forensic order (mental health) or treatment support order is community—the category is changed to inpatient; and
if limited community treatment has been authorised for the person by an authorised doctor under section 52 , 57 , 209 , 212 or 216 —the authorisation is revoked; and
if limited community treatment has been ordered or approved by the Mental Health Court or tribunal—the order or approval is of no effect while the person is receiving treatment and care for the person’s mental illness in the inpatient unit.
(sec.66-ssec.1) This section applies to a person in custody who is subject to a treatment authority, forensic order (mental health) or treatment support order.
(sec.66-ssec.2) The person may be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service to receive treatment and care for the person’s mental illness.
(sec.66-ssec.3) The authorised person may transport the person only if all of the following have been made for the person— a transfer recommendation; an administrator consent; a custodian consent.
(sec.66-ssec.4) When the person is admitted to the inpatient unit of the authorised mental health service— if the category of the person’s treatment authority, forensic order (mental health) or treatment support order is community—the category is changed to inpatient; and if limited community treatment has been authorised for the person by an authorised doctor under section 52 , 57 , 209 , 212 or 216 —the authorisation is revoked; and if limited community treatment has been ordered or approved by the Mental Health Court or tribunal—the order or approval is of no effect while the person is receiving treatment and care for the person’s mental illness in the inpatient unit.
(a) a transfer recommendation;
(b) an administrator consent;
(c) a custodian consent.
(a) if the category of the person’s treatment authority, forensic order (mental health) or treatment support order is community—the category is changed to inpatient; and
(b) if limited community treatment has been authorised for the person by an authorised doctor under section 52 , 57 , 209 , 212 or 216 —the authorisation is revoked; and
(c) if limited community treatment has been ordered or approved by the Mental Health Court or tribunal—the order or approval is of no effect while the person is receiving treatment and care for the person’s mental illness in the inpatient unit.
sec.67
Transport for treatment and care by consent
sec.67 Transport for treatment and care by consent
This section applies to a person in custody who—
is not subject to a treatment authority, forensic order (mental health) or treatment support order; and
consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
The person may be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service to receive treatment and care for the person’s mental illness.
The authorised person may transport the person only if all of the following have been made for the person—
a transfer recommendation;
an administrator consent;
a custodian consent.
The person may withdraw the person’s consent under subsection (1) (b) at any time.
If the person withdraws consent, see sections 80 and 83 .
Subsection (4) does not prevent a treatment authority being made under chapter 2 for the person.
(sec.67-ssec.1) This section applies to a person in custody who— is not subject to a treatment authority, forensic order (mental health) or treatment support order; and consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
(sec.67-ssec.2) The person may be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service to receive treatment and care for the person’s mental illness.
(sec.67-ssec.3) The authorised person may transport the person only if all of the following have been made for the person— a transfer recommendation; an administrator consent; a custodian consent.
(sec.67-ssec.4) The person may withdraw the person’s consent under subsection (1) (b) at any time. If the person withdraws consent, see sections 80 and 83 .
(sec.67-ssec.5) Subsection (4) does not prevent a treatment authority being made under chapter 2 for the person.
(a) is not subject to a treatment authority, forensic order (mental health) or treatment support order; and
(b) consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
(a) a transfer recommendation;
(b) an administrator consent;
(c) a custodian consent.
sec.68
Transfer recommendation
sec.68 Transfer recommendation
This section applies to a person in custody who—
is subject to a treatment authority, forensic order (mental health) or treatment support order; or
consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
A doctor or authorised mental health practitioner may, in the approved form, make a recommendation (a transfer recommendation ) for the person to be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service to receive treatment and care for the person’s mental illness.
The doctor or authorised mental health practitioner may make the transfer recommendation only if satisfied—
for a person who is not subject to a treatment authority, forensic order (mental health) or treatment support order—the person may have a mental illness; and
it is clinically appropriate for the person to receive treatment and care for the person’s mental illness in an authorised mental health service.
As soon as practicable after making the transfer recommendation, the doctor or authorised mental health practitioner must—
tell the person of the making of the transfer recommendation; and
explain its effect to the person; and
give the person a copy of the transfer recommendation, if requested.
Subsection (4) (c) does not apply if the doctor or authorised mental health practitioner considers giving the copy may adversely affect the health and wellbeing of the person.
Also, the doctor or authorised mental health practitioner must give a copy of the transfer recommendation to the person’s nominated support persons, personal guardian or attorney, if requested.
(sec.68-ssec.1) This section applies to a person in custody who— is subject to a treatment authority, forensic order (mental health) or treatment support order; or consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
(sec.68-ssec.2) A doctor or authorised mental health practitioner may, in the approved form, make a recommendation (a transfer recommendation ) for the person to be transported by an authorised person from the person’s place of custody to an inpatient unit of an authorised mental health service to receive treatment and care for the person’s mental illness.
(sec.68-ssec.3) The doctor or authorised mental health practitioner may make the transfer recommendation only if satisfied— for a person who is not subject to a treatment authority, forensic order (mental health) or treatment support order—the person may have a mental illness; and it is clinically appropriate for the person to receive treatment and care for the person’s mental illness in an authorised mental health service.
(sec.68-ssec.4) As soon as practicable after making the transfer recommendation, the doctor or authorised mental health practitioner must— tell the person of the making of the transfer recommendation; and explain its effect to the person; and give the person a copy of the transfer recommendation, if requested.
(sec.68-ssec.5) Subsection (4) (c) does not apply if the doctor or authorised mental health practitioner considers giving the copy may adversely affect the health and wellbeing of the person.
(sec.68-ssec.6) Also, the doctor or authorised mental health practitioner must give a copy of the transfer recommendation to the person’s nominated support persons, personal guardian or attorney, if requested.
(a) is subject to a treatment authority, forensic order (mental health) or treatment support order; or
(b) consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
(a) for a person who is not subject to a treatment authority, forensic order (mental health) or treatment support order—the person may have a mental illness; and
(b) it is clinically appropriate for the person to receive treatment and care for the person’s mental illness in an authorised mental health service.
(a) tell the person of the making of the transfer recommendation; and
(b) explain its effect to the person; and
(c) give the person a copy of the transfer recommendation, if requested.
sec.69
Administrator consent
sec.69 Administrator consent
This section applies to a person in custody who—
is subject to a recommendation for assessment; or
is subject to a treatment authority, forensic order (mental health) or treatment support order; or
consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
The administrator of an authorised mental health service may, in the approved form, consent to the person in custody being transported by an authorised person from the person’s place of custody to an inpatient unit of the authorised mental health service—
for a person mentioned in subsection (1) (a) —for assessment under chapter 2 , part 3 ; or
for a person mentioned in subsection (1) (b) or (c) —to receive treatment and care for the person’s mental illness.
The administrator may consent only if satisfied—
the authorised mental health service has capacity—
for a person mentioned in subsection (1) (a) —to carry out the assessment; or
for a person mentioned in subsection (1) (b) or (c) —to provide treatment and care for the person’s mental illness; and
for an authorised mental health service that is not a high security unit—that carrying out the assessment, or providing the treatment and care, would not pose an unreasonable risk to the safety of the person or others having regard to—
the person’s mental state and psychiatric history; and
the person’s treatment and care needs; and
the security requirements for the person.
(sec.69-ssec.1) This section applies to a person in custody who— is subject to a recommendation for assessment; or is subject to a treatment authority, forensic order (mental health) or treatment support order; or consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
(sec.69-ssec.2) The administrator of an authorised mental health service may, in the approved form, consent to the person in custody being transported by an authorised person from the person’s place of custody to an inpatient unit of the authorised mental health service— for a person mentioned in subsection (1) (a) —for assessment under chapter 2 , part 3 ; or for a person mentioned in subsection (1) (b) or (c) —to receive treatment and care for the person’s mental illness.
(sec.69-ssec.3) The administrator may consent only if satisfied— the authorised mental health service has capacity— for a person mentioned in subsection (1) (a) —to carry out the assessment; or for a person mentioned in subsection (1) (b) or (c) —to provide treatment and care for the person’s mental illness; and for an authorised mental health service that is not a high security unit—that carrying out the assessment, or providing the treatment and care, would not pose an unreasonable risk to the safety of the person or others having regard to— the person’s mental state and psychiatric history; and the person’s treatment and care needs; and the security requirements for the person.
(a) is subject to a recommendation for assessment; or
(b) is subject to a treatment authority, forensic order (mental health) or treatment support order; or
(c) consents to receiving treatment and care for the person’s mental illness in an inpatient unit of an authorised mental health service.
(a) for a person mentioned in subsection (1) (a) —for assessment under chapter 2 , part 3 ; or
(b) for a person mentioned in subsection (1) (b) or (c) —to receive treatment and care for the person’s mental illness.
(a) the authorised mental health service has capacity— (i) for a person mentioned in subsection (1) (a) —to carry out the assessment; or (ii) for a person mentioned in subsection (1) (b) or (c) —to provide treatment and care for the person’s mental illness; and
(i) for a person mentioned in subsection (1) (a) —to carry out the assessment; or
(ii) for a person mentioned in subsection (1) (b) or (c) —to provide treatment and care for the person’s mental illness; and
(b) for an authorised mental health service that is not a high security unit—that carrying out the assessment, or providing the treatment and care, would not pose an unreasonable risk to the safety of the person or others having regard to— (i) the person’s mental state and psychiatric history; and (ii) the person’s treatment and care needs; and (iii) the security requirements for the person.
(i) the person’s mental state and psychiatric history; and
(ii) the person’s treatment and care needs; and
(iii) the security requirements for the person.
(i) for a person mentioned in subsection (1) (a) —to carry out the assessment; or
(ii) for a person mentioned in subsection (1) (b) or (c) —to provide treatment and care for the person’s mental illness; and
(i) the person’s mental state and psychiatric history; and
(ii) the person’s treatment and care needs; and
(iii) the security requirements for the person.
More sections below
Source text: opening excerpt
Sourced from Queensland Legislation (legislation.qld.gov.au), CC BY 4.0.
ch.1-pt.1 Introduction
Introduction
sec.1 Short title
sec.1 Short title
This Act may be cited as the Mental Health Act 2016 .
sec.2 Commencement
sec.2 Commencement
This Act commences on a day to be fixed by proclamation.
sec.3 Main objects of Act
sec.3 Main objects of Act
The main objects of this Act are—
to improve and maintain the health and wellbeing of persons who have a mental illness who do not have the capacity to consent to be treated; and
to enable persons to be diverted from the criminal justice system if found to have been of unsound mind at the time of committing an unlawful act or to be unfit for trial; and
to protect the community if persons diverted from the criminal justice system may be at risk of harming others.
The main objects are to be achieved in a way that—
safeguards the rights of persons; and
is the least restrictive of the rights and liberties of a person who has a mental illness; and
promotes the recovery of a person who has a mental illness, and the person’s ability to live in the community, without the need for involuntary treatment and care.
For subsection (2) (b) , a way is the least restrictive of the rights and liberties of a person who has a mental illness if the way adversely affects the person’s rights and liberties only to the extent required to protect the person’s safety and welfare or the safety of others.
(sec.3-ssec.1) The main objects of this Act are— to improve and maintain the health and wellbeing of persons who have a mental illness who do not have the capacity to consent to be treated; and to enable persons to be diverted from the criminal justice system if found to have been of unsound mind at the time of committing an unlawful act or to be unfit for trial; and to protect the community if persons diverted from the criminal justice system may be at risk of harming others.
(sec.3-ssec.2) The main objects are to be achieved in a way that— safeguards the rights of persons; and is the least restrictive of the rights and liberties of a person who has a mental illness; and promotes the recovery of a person who has a mental illness, and the person’s ability to live in the community, without the need for involuntary treatment and care.
(sec.3-ssec.3) For subsection (2) (b) , a way is the least restrictive of the rights and liberties of a person who has a mental illness if the way adversely affects the person’s rights and liberties only to the extent required to protect the person’s safety and welfare or the safety of others.
(a) to improve and maintain the health and wellbeing of persons who have a mental illness who do not have the capacity to consent to be treated; and
Treatment criteria (s 12): The criteria that must all be satisfied for a person to be subject to a treatment authority. They are: (a) the person has a mental illness; (b) the person does not have capacity to consent to be treated for the illness; and (c) because of the illness, the absence of involuntary treatment is likely to result in imminent serious harm to the person or others, or in serious mental or physical deterioration. The person's own consent only is relevant under (b), despite the Guardianship and Administration Act 2000 or Powers of Attorney Act 1998 (s 12(2) to (3)).
Treatment authority (s 18): The formal lawful authority to provide treatment and care to a person with mental illness who lacks capacity to consent. Treatment authorities are made by authorised doctors and may be community category (treatment in the community) or inpatient category. Inpatient-category patients may receive limited community treatment for up to 7 consecutive days if authorised.
Forensic order (s 21): An order made by the Mental Health Court when a person charged with a serious offence was found to have been of unsound mind when the offence was allegedly committed, or is unfit for trial. May be a forensic order (mental health) or forensic order (disability). The court determines the category and any limited community treatment.
Treatment support order: An order that may be made by the Mental Health Court as an alternative to a forensic order for particular persons. Reviewed by the Mental Health Review Tribunal.
Authorised mental health service: A declared facility authorised to provide involuntary mental health care.
Authorised doctor: A doctor authorised to perform specific functions under the Act, including making treatment authorities.
Authorised mental health practitioner: A practitioner (not necessarily a doctor) with specific authorised functions under the Act.
Chief psychiatrist: The statutory officeholder who protects the rights of patients in authorised mental health services, makes binding policies and practice guidelines, and has investigation powers (ss 26, Ch 10).
Mental Health Review Tribunal (s 28): Reviews treatment authorities, forensic orders, treatment support orders, fitness for trial, and detention of minors in high security units. Also hears applications for examination authorities, regulated treatment approvals, and interstate transfers.
Mental Health Court (s 21): A specialist court (constituted by a Supreme Court judge with clinical members) that decides unsound mind and unfitness for trial references, makes forensic orders and treatment support orders, and hears appeals from the Tribunal.
Who it affects
People with mental illness who lack capacity: The primary subjects, including those who become involuntary patients through a treatment authority, classified patients (persons in custody transferred to mental health services), forensic patients, and persons subject to treatment support orders.
Criminal defendants: Persons charged with serious offences may be diverted from the criminal justice system through the psychiatrist report and Mental Health Court reference processes.
Families, carers, and nominated support persons: Carers and family members have recognised roles in treatment and care decisions (s 5 principles) and may appoint nominated support persons to support them if they become involuntary patients. Independent patient rights advisers must be appointed to advise patients and their support networks.
Authorised doctors, authorised mental health practitioners, and administrators: Persons with statutory functions and duties under the Act, including making and amending treatment authorities, providing treatment and care, and compliance with chief psychiatrist policies.
Magistrates Courts, District Courts, and Supreme Courts: Interact with the Act when dealing with offenders, fitness for trial matters, and judicial orders. Magistrates Courts have specific powers to dismiss complaints for simple offences and order examinations (s 22).
Queensland Police Service and custodial services: Transport persons to authorised mental health services; deal with persons in custody who have mental illness.
Victims of serious offences: May apply to the chief psychiatrist under Chapter 10 (information notices, s 27) to receive specified information about the person who committed the unlawful act, including when community treatment is authorised.
Key obligations
Least restrictive principle (s 3(3)): All decisions under the Act must adversely affect the person's rights and liberties only to the extent required to protect the person's safety, welfare, or the safety of others. This is a mandatory statutory constraint on all decision-makers.
Treatment criteria satisfied before involuntary treatment (s 12): All three treatment criteria must apply before a treatment authority can be made. Capacity to consent is assessed by reference only to the person's own consent.
Regular assessments (s 23(2)): Persons subject to treatment authorities must be regularly assessed to decide whether the treatment authority should continue.
Consultation in treatment decisions (s 23(5)): To the extent practicable, decisions about treatment and care must be made in consultation with the patient and their family, carers, and support persons, subject to the patient's right to privacy.
Chief psychiatrist policies (s 26(2)): Persons performing functions in authorised mental health services must comply with the chief psychiatrist's policies and practice guidelines.
Statement of rights (s 25(1)): Involuntary patients and other patients of authorised mental health services are entitled to a statement of rights.
Independent patient rights advisers (s 25(3)): Health service chief executives responsible for public sector mental health services must appoint one or more independent patient rights advisers.
Prohibited treatment (Chapter 7, Part 11): Psychosurgery is prohibited under the Act (s 23(7)). Electroconvulsive therapy and non-ablative neurosurgical procedures are regulated, not prohibited.
Mechanical restraint and seclusion (s 24): May only be used if there is no other reasonably practicable way to protect the patient or others from physical harm. Mechanical restraint on an involuntary patient requires chief psychiatrist approval.
Powers and discretions
Examination powers (s 31): Doctors and authorised mental health practitioners may examine persons to decide whether to make a recommendation for assessment, either on request, by consent, or under an examination authority or emergency examination authority.
Treatment authority powers (s 18): Authorised doctors may make, amend, and revoke treatment authorities. Amendments include changing the category, conditions, or nature and extent of limited community treatment.
Chief psychiatrist's investigation powers (Chapter 10): The chief psychiatrist has powers to investigate matters, including issuing information notices to victims of serious offences, and powers to act where serious risks to persons or public safety are identified.
Mental Health Court jurisdiction: Makes forensic orders, treatment support orders, and decides unsound mind and fitness for trial references. Constituted by a judge of the Supreme Court (s 641).
Mental Health Review Tribunal jurisdiction (s 28, ss 705 to 708): Reviews treatment authorities, forensic orders, and treatment support orders. Members include legal practitioners, psychiatrists, and persons with other relevant qualifications.
Inspectors (Chapter 14): Have powers to enter places, gather information, and seize items under the Act.
Penalties and enforcement
Ill-treatment of patients (s 621): Persons assessing, examining, treating, or detaining patients must not ill-treat them (including wilful abuse, neglect, or exploitation). Maximum penalty: 200 penalty units or 2 years imprisonment.
Allowing or assisting a patient to abscond (s 622): Persons transporting or accompanying patients must not wilfully allow or knowingly assist patients to abscond from their charge. Maximum penalty: 200 penalty units or 2 years imprisonment.
Unlawfully absent patients (s 623): A person must not induce, knowingly help, or knowingly harbour a patient who is unlawfully absent from an authorised service. Maximum penalty: 200 penalty units or 2 years imprisonment (for classified, forensic patients, or persons subject to judicial orders); 200 penalty units otherwise.
Offences relating to officials: Chapter 15, Part 4 contains offences relating to officials including breach of confidentiality obligations under Chapter 17.
Criminal proceedings: Chapter 15, Part 2 provides for suspension of criminal proceedings where fitness for trial is in question.
Process and timelines
Pathway to treatment authority:
Doctor or authorised mental health practitioner examines a person (s 31).
Makes a recommendation for assessment if satisfied the treatment criteria may apply.
Authorised doctor performs an assessment at an authorised mental health service.
If the treatment criteria apply and no less restrictive option exists, authorised doctor makes a treatment authority.
Treatment authority is community category or inpatient category.
Regular assessments to decide whether the authority should continue (s 23(2)).
Periodic reviews by Tribunal (s 28): The Act prescribes when periodic reviews of treatment authorities, forensic orders, and treatment support orders must take place. Involuntary patients and interested persons may also apply for a review at any time.
Inpatient category limited community treatment: Permitted for not more than 7 consecutive days if authorised (s 18(5)).
Forensic order pathway:
Psychiatrist report obtained (s 20, Chapter 4).
Reference made to Mental Health Court (Chapter 5).
Mental Health Court decides unsound mind or fitness for trial (s 21).
Court makes forensic order or treatment support order and determines category.
If unfit for trial and unfitness is not permanent, fitness periodically reviewed by Tribunal.
Appeal pathway (s 29):
Appeal from chief psychiatrist or administrator decisions: to the Mental Health Review Tribunal.
Appeal from Tribunal decisions: to the Mental Health Court.
Appeal from Mental Health Court decisions on references: to the Court of Appeal.
In Ward v Judicial Registrar Cho [2021] FCA 1661, the Federal Court confirmed at paragraph 14 that the Act provides for appeal from Tribunal decisions to the Mental Health Court (by s 539 and Schedule 2), and from the Mental Health Court to the Court of Appeal (by s 549). The Federal Court itself has no jurisdiction over Tribunal decisions (paragraph 15).
Interactions with other law
Criminal Code (Qld): The Mental Health Court determines unsound mind and diminished responsibility references for criminal offences, including murder. Forensic orders may be forensic orders under the Criminal Code depending on the offence.
Guardianship and Administration Act 2000 (Qld) and Powers of Attorney Act 1998 (Qld): Section 12(2) to (3) provides that the treatment criteria are assessed against the person's own consent only, despite those Acts. Advance health directives under those Acts are relevant to whether there is a less restrictive alternative to a treatment authority (s 18(2)).
Mental Health and Other Legislation Amendment Act 2019 (Qld) and subsequent amendments: The Act has been amended by several Acts since its enactment, including amendments dealing with electroconvulsive therapy, transport, and other matters.
Judiciary Act 1903 (Cth) and Federal jurisdiction: As confirmed in Ward v Judicial Registrar Cho [2021] FCA 1661 (paragraphs 12 to 16), the Mental Health Act 2016 does not confer jurisdiction on the Federal Court, and challenges to Tribunal decisions on constitutional grounds must have a genuine federal element. The Tribunal's decisions are reviewable under the Act's own appeal hierarchy, not by certiorari in the Federal Court.
Hospital and Health Boards Act 2011 (Qld): Health service chief executives responsible for public sector mental health services have obligations under this Act (for example, s 25(3) appointment of independent patient rights advisers).
Forensic Disability Act 2011 (Qld): The forensic disability service is mentioned as a destination for transport of persons (s 622(1)), indicating interaction with the forensic disability framework.
National Mental Health Standards: The principles in Chapter 1, Part 2 align with national mental health policy frameworks requiring least restrictive care, recovery-orientation, and cultural responsiveness.
Gotchas
All treatment criteria must be met. Section 12 requires that all three criteria be present. A person who has a mental illness but has capacity to consent cannot be made subject to a treatment authority even if they would benefit from treatment. Capacity is assessed against the person's own consent, overriding substitute consent under the Guardianship Act.
No less restrictive alternative. Before a treatment authority is made, the authorised doctor must be satisfied there is no less restrictive way for the person to receive treatment and care (s 18(2)). This includes considering whether an advance health directive provides an adequate mechanism.
Inpatient category imposes a 7-day limit on community treatment. An inpatient-category patient may only receive limited community treatment for up to 7 consecutive days unless returning to inpatient status. This timeline must be carefully monitored.
Appeals follow a strictly defined hierarchy. As Ward v Judicial Registrar Cho [2021] FCA 1661 confirms, there is no Federal Court jurisdiction. The path is Tribunal, then Mental Health Court, then Court of Appeal. An attempt to challenge a Tribunal decision directly in the Federal Court will be dismissed as frivolous or lacking jurisdiction.
Psychosurgery is absolutely prohibited. Section 23(7) and Chapter 7, Part 11 prohibit psychosurgery. There is no exception. ECT and non-ablative neurosurgical procedures are regulated (requiring approval), not prohibited.
Chief psychiatrist policies are binding. Section 26(2) requires persons performing functions in authorised mental health services to comply with chief psychiatrist policies and practice guidelines. These are not merely advisory.
Confidentiality obligations are broad. Chapter 17 imposes a duty of confidentiality on information about patients. Permitted use and disclosure provisions (Part 3) are the only lawful exceptions. Publication of judicial proceedings relating to patients is restricted (Part 4).
Practical examples
Involuntary patient pathway: A person experiencing a severe psychotic episode is assessed by an authorised doctor. The doctor is satisfied the treatment criteria are met (mental illness, lack of capacity to consent, risk of serious harm) and no advance health directive or less restrictive option is available. The doctor makes a community-category treatment authority. The person receives treatment in the community. If the person's condition deteriorates to require admission, the doctor changes the category to inpatient.
Forensic referral: A person charged with a serious offence tells their lawyer they have no memory of the alleged offence. The person is subject to a treatment authority. A psychiatrist report is obtained. The report indicates the person may have been of unsound mind at the time. A reference is made to the Mental Health Court. The court finds the person was of unsound mind, makes a forensic order (mental health) with an inpatient category, and the person is transferred to an authorised mental health service rather than proceeding to criminal trial.
Mechanical restraint: A patient in an inpatient unit becomes severely agitated and presents an imminent physical danger to staff. Seclusion is considered but is not reasonably practicable. Staff apply mechanical restraint, having obtained the required chief psychiatrist approval (s 24(2)). The restraint is used only for the period necessary to prevent physical harm.
Appeal pathway in practice (Ward case): A patient whose treatment authority has been confirmed by the Tribunal has a right of appeal to the Mental Health Court under s 539 and Schedule 2 (as noted in Ward at paragraph 14). If dissatisfied with the Mental Health Court's decision, the patient may appeal to the Court of Appeal under s 549 (Ward at paragraph 15). Any attempt to invoke Federal Court jurisdiction on constitutional grounds must identify a genuine and non-colourable federal issue (Ward at paragraphs 11 to 16).
Part ch.1-pt.2Principles for administration of Act
(b) to enable persons to be diverted from the criminal justice system if found to have been of unsound mind at the time of committing an unlawful act or to be unfit for trial; and
(c) to protect the community if persons diverted from the criminal justice system may be at risk of harming others.
(a) safeguards the rights of persons; and
(b) is the least restrictive of the rights and liberties of a person who has a mental illness; and
(c) promotes the recovery of a person who has a mental illness, and the person’s ability to live in the community, without the need for involuntary treatment and care.
sec.4 Act binds all persons
sec.4 Act binds all persons
This Act binds all persons, including the State and, as far as the legislative power of the Parliament permits, the Commonwealth and the other States.
Nothing in this Act makes the State liable to be prosecuted for an offence.
(sec.4-ssec.1) This Act binds all persons, including the State and, as far as the legislative power of the Parliament permits, the Commonwealth and the other States.
(sec.4-ssec.2) Nothing in this Act makes the State liable to be prosecuted for an offence.
ch.1-pt.2 Principles for administration of Act
Principles for administration of Act
sec.5 Principles for persons with mental illness
sec.5 Principles for persons with mental illness
The following principles apply to the administration of this Act in relation to a person who has, or may have, a mental illness—
Same human rights
the right of all persons to the same basic human rights must be recognised and taken into account
a person’s right to respect for his or her human worth and dignity as an individual must be recognised and taken into account
Matters to be considered in making decisions
to the greatest extent practicable, a person is to be encouraged to take part in making decisions affecting the person’s life, especially decisions about treatment and care
to the greatest extent practicable, in making a decision about a person, the person’s views, wishes and preferences are to be taken into account
a person is presumed to have capacity to make decisions about the person’s treatment and care and other matters under this Act
Support persons
to the greatest extent practicable, family, carers and other support persons of a person who has a mental illness are to be involved in decisions about the person’s treatment and care, subject to the person’s right to privacy
Provision of support and information
to the greatest extent practicable, a person is to be provided with necessary support and information to enable the person to exercise rights under this Act, including, for example, providing access to other persons to help the person express the person’s views, wishes and preferences
Achievement of maximum potential and self-reliance
to the greatest extent practicable, a person is to be helped to achieve maximum physical, social, psychological and emotional potential, quality of life and self-reliance
Acknowledgement of needs
a person’s age-related, gender-related, religious, communication and other special needs must be recognised and taken into account
a person’s hearing, visual or speech impairment must be recognised and taken into account
Aboriginal people and Torres Strait Islanders
the unique cultural, communication and other needs of Aboriginal people and Torres Strait Islanders must be recognised and taken into account
Aboriginal people and Torres Strait Islanders should be provided with treatment, care and support in a way that recognises and is consistent with Aboriginal tradition or Island custom, mental health and social and emotional wellbeing, and is culturally appropriate and respectful
to the extent practicable and appropriate in the circumstances, communication with Aboriginal people and Torres Strait Islanders is to be assisted by an interpreter
Persons from culturally and linguistically diverse backgrounds
the unique cultural, communication and other needs of persons from culturally and linguistically diverse backgrounds must be recognised and taken into account
services provided to persons from culturally and linguistically diverse backgrounds must have regard to the person’s cultural, religious and spiritual beliefs and practices
to the extent practicable and appropriate in the circumstances, communication with persons from culturally and linguistically diverse backgrounds is to be assisted by an interpreter
Minors
to the greatest extent practicable, a minor receiving treatment and care must have the minor’s best interests recognised and promoted, including, for example, by receiving treatment and care separately from adults if practicable and by having the minor’s specific needs, wellbeing and safety recognised and protected
Maintenance of supportive relationships and community participation
to the greatest extent practicable, the importance of a person’s continued participation in community life and maintaining existing supportive relationships are to be taken into account, including, for example, by providing treatment in the community in which the person lives
Importance of recovery-oriented services and reduction of stigma
the importance of recovery-oriented services and the reduction of stigma associated with mental illness must be recognised and taken into account
Provision of treatment and care
treatment and care provided under this Act must be provided to a person who has a mental illness only if it is appropriate for promoting and maintaining the person’s health and wellbeing
Privacy and confidentiality
a person’s right to privacy and confidentiality of information about the person must be recognised and taken into account.
(a) Same human rights • the right of all persons to the same basic human rights must be recognised and taken into account • a person’s right to respect for his or her human worth and dignity as an individual must be recognised and taken into account
• the right of all persons to the same basic human rights must be recognised and taken into account
• a person’s right to respect for his or her human worth and dignity as an individual must be recognised and taken into account
(b) Matters to be considered in making decisions • to the greatest extent practicable, a person is to be encouraged to take part in making decisions affecting the person’s life, especially decisions about treatment and care • to the greatest extent practicable, in making a decision about a person, the person’s views, wishes and preferences are to be taken into account • a person is presumed to have capacity to make decisions about the person’s treatment and care and other matters under this Act
• to the greatest extent practicable, a person is to be encouraged to take part in making decisions affecting the person’s life, especially decisions about treatment and care
• to the greatest extent practicable, in making a decision about a person, the person’s views, wishes and preferences are to be taken into account
• a person is presumed to have capacity to make decisions about the person’s treatment and care and other matters under this Act
(c) Support persons • to the greatest extent practicable, family, carers and other support persons of a person who has a mental illness are to be involved in decisions about the person’s treatment and care, subject to the person’s right to privacy
• to the greatest extent practicable, family, carers and other support persons of a person who has a mental illness are to be involved in decisions about the person’s treatment and care, subject to the person’s right to privacy
(d) Provision of support and information • to the greatest extent practicable, a person is to be provided with necessary support and information to enable the person to exercise rights under this Act, including, for example, providing access to other persons to help the person express the person’s views, wishes and preferences
• to the greatest extent practicable, a person is to be provided with necessary support and information to enable the person to exercise rights under this Act, including, for example, providing access to other persons to help the person express the person’s views, wishes and preferences
(e) Achievement of maximum potential and self-reliance • to the greatest extent practicable, a person is to be helped to achieve maximum physical, social, psychological and emotional potential, quality of life and self-reliance
• to the greatest extent practicable, a person is to be helped to achieve maximum physical, social, psychological and emotional potential, quality of life and self-reliance
(f) Acknowledgement of needs • a person’s age-related, gender-related, religious, communication and other special needs must be recognised and taken into account • a person’s hearing, visual or speech impairment must be recognised and taken into account
• a person’s age-related, gender-related, religious, communication and other special needs must be recognised and taken into account
• a person’s hearing, visual or speech impairment must be recognised and taken into account
(g) Aboriginal people and Torres Strait Islanders • the unique cultural, communication and other needs of Aboriginal people and Torres Strait Islanders must be recognised and taken into account • Aboriginal people and Torres Strait Islanders should be provided with treatment, care and support in a way that recognises and is consistent with Aboriginal tradition or Island custom, mental health and social and emotional wellbeing, and is culturally appropriate and respectful • to the extent practicable and appropriate in the circumstances, communication with Aboriginal people and Torres Strait Islanders is to be assisted by an interpreter
• the unique cultural, communication and other needs of Aboriginal people and Torres Strait Islanders must be recognised and taken into account
• Aboriginal people and Torres Strait Islanders should be provided with treatment, care and support in a way that recognises and is consistent with Aboriginal tradition or Island custom, mental health and social and emotional wellbeing, and is culturally appropriate and respectful
• to the extent practicable and appropriate in the circumstances, communication with Aboriginal people and Torres Strait Islanders is to be assisted by an interpreter
(h) Persons from culturally and linguistically diverse backgrounds • the unique cultural, communication and other needs of persons from culturally and linguistically diverse backgrounds must be recognised and taken into account • services provided to persons from culturally and linguistically diverse backgrounds must have regard to the person’s cultural, religious and spiritual beliefs and practices • to the extent practicable and appropriate in the circumstances, communication with persons from culturally and linguistically diverse backgrounds is to be assisted by an interpreter
• the unique cultural, communication and other needs of persons from culturally and linguistically diverse backgrounds must be recognised and taken into account
• services provided to persons from culturally and linguistically diverse backgrounds must have regard to the person’s cultural, religious and spiritual beliefs and practices
• to the extent practicable and appropriate in the circumstances, communication with persons from culturally and linguistically diverse backgrounds is to be assisted by an interpreter
(i) Minors • to the greatest extent practicable, a minor receiving treatment and care must have the minor’s best interests recognised and promoted, including, for example, by receiving treatment and care separately from adults if practicable and by having the minor’s specific needs, wellbeing and safety recognised and protected
• to the greatest extent practicable, a minor receiving treatment and care must have the minor’s best interests recognised and promoted, including, for example, by receiving treatment and care separately from adults if practicable and by having the minor’s specific needs, wellbeing and safety recognised and protected
(j) Maintenance of supportive relationships and community participation • to the greatest extent practicable, the importance of a person’s continued participation in community life and maintaining existing supportive relationships are to be taken into account, including, for example, by providing treatment in the community in which the person lives
• to the greatest extent practicable, the importance of a person’s continued participation in community life and maintaining existing supportive relationships are to be taken into account, including, for example, by providing treatment in the community in which the person lives
(k) Importance of recovery-oriented services and reduction of stigma • the importance of recovery-oriented services and the reduction of stigma associated with mental illness must be recognised and taken into account
• the importance of recovery-oriented services and the reduction of stigma associated with mental illness must be recognised and taken into account
(l) Provision of treatment and care • treatment and care provided under this Act must be provided to a person who has a mental
This is an opening excerpt, not the complete document.