Mental health review tribunals

For many psychiatrists in England and Wales, mental health review tribunals are likely to provide the most common forum in which reports and oral evidence will be requested. Mental health review tribunals provide an independent safeguard against unjustified detention under the Mental Health Act 1983. The tribunal has the authority to discharge a detained patient if it is satisfied that the patient does not suffer from mental disorder, or a specific form of mental disorder, of a nature or degree warranting detention in hospital for treatment; or if the detention is not necessary for the protection of the patients or others. The precise criteria vary slightly according to the particular section of the Mental Health Act under which the patient is detained. The patient's responsible medical officer is required to provide a report for the tribunal, and patients' legal representatives may commission independent psychiatric reports. In preparing a report or giving evidence to a tribunal, the psychiatrist should address each of the criteria for release, and give detailed reasons for the clinical opinions on them. Patients under hospital and restriction orders who are judged eligible for release are most likely to be given conditional discharges, with the conditions typically including supervision by a psychiatrist and social supervisor (social worker or probation officer), and residence at a particular address or type of accommodation. In considering discharge, it is important that reports should specifically consider whether the patient is likely to be safely and effectively supervisable.

Funny Wiring Autism

Funny Wiring Autism

Autism is a developmental disorder that manifests itself in early childhood and affects the functioning of the brain, primarily in the areas of social interaction and communication. Children with autism look like other children but do not play or behave like other children. They must struggle daily to cope and connect with the world around them.

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