Skip to content

Advertisement

  • Oral presentation
  • Open Access

Guidelines, process and ethics with the New Zealand Mental Health (compulsory assessment and treatment) Act: striking a balance

  • 1,
  • 1 and
  • 2
BMC Psychiatry20077 (Suppl 1) :S102

https://doi.org/10.1186/1471-244X-7-S1-S102

  • Published:

Keywords

  • Public Health
  • Mental Health
  • Mental Illness
  • Clinical Care
  • Clinical Interview

The New Zealand Mental Health (compulsory assessment and treatment) act [1] was amended to mandate the consultation of family and care-givers in every stage of civil committal. Although the use of committal has been seen by clinicians as an impediment to care [2] and clinicians continue to have concerns about the timing of discharge from the act [3], many people with serious mental illness have experienced the act as beneficial [4]. A recent review of the regulations has increased the length and detail of the reports clinicians have to provide to the court. This, combined with a clear directive that an advocate who is not part of the clinical care process must be present during the clinical interview to commence committal, may be causing a conflict between the provision of care in a timely manner when patients are at risk and complying with the requirements of the court.

Authors’ Affiliations

(1)
Department of Psychological Medicine, Dunedin School of Medicine, P O Box 913, Dunedin, 9054, New Zealand
(2)
Department of General Practice and Primary Health Care, School of Population Health, University of Auckland, Private Bag 92019, Auckland, 1000, New Zealand

References

  1. Statutes of New Zealand no 140: Mental Health (Compulsory Assessment and Treatment) Amendment Act. 1999Google Scholar
  2. Romans S, Dawson J, Mullen R, Gibbs A: How mental health clinicians view community treatment orders: a national New Zealand survey. Aust N Z J Psychiatry. 2004, 38: 836-841. 10.1111/j.1440-1614.2004.01470.x.View ArticlePubMedGoogle Scholar
  3. Mullen R, Dawson J, Gibbs A: Dilemmas for clinicians in use of community treatment orders. Int J Law Psychiatry.Google Scholar
  4. Gibbs A, Dawson J, Mullen R: Community treatment orders for people with serious mental illness: a New Zealand study. Br J Soc Work. 2006, 36: 1085-1100. 10.1093/bjsw/bch392.View ArticleGoogle Scholar

Copyright

Advertisement